LTSS Care Navigator and Care Coordination Lead

Jobtome; Arlington Heights (IL); Hybrid; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare seeks a dedicated care management professional to coordinate LTSS services, complete assessments, and develop care plans for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes across care settings.

The role requires strong communication, problem-solving, and the ability to work independently, with travel as needed. Prior LTSS and care coordination experience is preferred for success in this position.

Qualifications

• At least 2 years of health care experience, incl. LTSS/care management or equivalent.
• Licensure/certification required only if mandated by state contract or regulation.
• Bachelor’s degree may be required depending on state/contract.
• Valid driver’s license and reliable transportation for travel.
• Proven knowledge of community resources and ability to work across settings.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT for service approvals/denials.
• Travel as required (25–40%).

Skills

Health care experience

Care management

Communication skills

Microsoft Office

Time management

Problem-solving

Independent work

Travel (25‑40% local)

Education

Bachelor's degree in health care related field

Clinical licensure/certification (where required by state)

Tools

Microsoft Office Suite

Online portals and databases

Job description

Molina Healthcare seeks a dedicated care management professional to coordinate LTSS services, complete assessments, and develop care plans for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes across care settings.

The role requires strong communication, problem-solving, and the ability to work independently, with travel as needed. Prior LTSS and care coordination experience is preferred for success in this position.