LTSS Care Navigator & Care Management Specialist

Jobtome; Genoa Township (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare seeks a care management professional to provide LTSS-focused support and coordinate member care across disciplines. You will conduct comprehensive assessments, develop care plans with providers and family, monitor progress, and promote integrated services including behavioral health and community resources.

Travel may be required 25-40% depending on state contracts; you will ensure timely authorizations, evaluate benefits, and collaborate with interdisciplinary teams to

Qualifications

• At least 2 years of health care experience, including LTSS exposure.
• Valid driver’s license and reliable transportation.
• Knowledge of community resources.

Responsibilities

• Perform comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care team.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services.
• Assess for medical necessity and authorize waiver services.
• Identify barriers to care and address psycho/social obstacles.
• Travel 25-40% may be required.

Skills

Care management

Verbal communication

Written communication

Microsoft Office

Time management

Problem solving

Education

Bachelor's degree

Job description

Molina Healthcare seeks a care management professional to provide LTSS-focused support and coordinate member care across disciplines. You will conduct comprehensive assessments, develop care plans with providers and family, monitor progress, and promote integrated services including behavioral health and community resources.

Travel may be required 25-40% depending on state contracts; you will ensure timely authorizations, evaluate benefits, and collaborate with interdisciplinary teams to