LTSS Care Navigator & Care Coordination Expert

Jobtome; Chicago Heights (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare seeks a Care Management professional to provide LTSS-specific support, coordinating care across a multidisciplinary team to ensure member progress and high-quality, cost-effective care. The role includes developing care plans with members and providers, and coordinating waiver services across settings.

The position requires 2+ years in health care with LTSS experience, a valid driver’s license, and strong communication abilities.

Qualifications

• At least 2 years of health care experience including LTSS and care management.
• Valid driver’s license and reliable transportation for travel.
• Bachelor’s degree in a health care related field may be required depending on state.
• Strong verbal and written communication skills.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and support network.
• Performs ongoing monitoring of care plans and adjusts as needed.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.

Skills

Healthcare experience

Care management

Communication skills

Time management

Education

Bachelor's degree in health care

Tools

MS Office

Job description

Molina Healthcare seeks a Care Management professional to provide LTSS-specific support, coordinating care across a multidisciplinary team to ensure member progress and high-quality, cost-effective care. The role includes developing care plans with members and providers, and coordinating waiver services across settings.

The position requires 2+ years in health care with LTSS experience, a valid driver’s license, and strong communication abilities.