LTSS Care Navigator

Jobtome; Twin Falls (ID); On-site; USD 30,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum for high-need individuals.

Responsibilities include completing comprehensive assessments, facilitating waiver enrollment, developing and monitoring care plans, and promoting service integration across behavioral health and LTSS. Travel up to 40% may be required.

Qualifications

• At least 2 years of health care experience, including at least 1 year with persons with disabilities/chronic conditions LTSS, and 1 year in care management.
• Clinical licensure and/or certification required ONLY if mandated by state contract, regulation, or licensing mandates.
• In some states, a bachelor’s degree in a health care related field may be required.
• Valid and unrestricted driver's license, reliable transportation for job-related travel.
• Demonstrated knowledge of community resources.
• Ability to work in diverse settings with varied populations.
• Ability to work independently with minimal supervision and multitask.
• Strong verbal and written communication skills.
• Experience with individuals with substance use disorders in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits when required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and other health professionals.
• Monitors care plans to evaluate effectiveness and documents interventions.
• Promotes integration of services across behavioral health and LTSS and connects to home/community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for approval/denial of services.
• Uses motivational interviewing and Molina guidance to support behavior change.
• Identifies barriers to care and coordinates care to address psycho/social, financial, and medical needs.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Skills

Health care experience

LTSS experience

Care management

Behavioral health experience

Medical setting

Communication skills

Independent worker

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum for high-need individuals.

Responsibilities include completing comprehensive assessments, facilitating waiver enrollment, developing and monitoring care plans, and promoting service integration across behavioral health and LTSS. Travel up to 40% may be required.