LTSS Care Navigator & Coordination Specialist

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Coordinator to support LTSS care management activities. You’ll collaborate with a multidisciplinary team to coordinate integrated member care and ensure progress toward outcomes within regulatory timelines.

You will develop and monitor care plans, assess medical necessity, and help navigate waiver services and funding sources. You will promote LTSS and behavioral health integration, educate members, and participate in ICT meetings.

Qualifications

• Minimum 2 years healthcare experience with LTSS exposure.
• License requirements only if state dictates; active/unrestricted if required.
• Bachelor's degree may be required in some states/contracts.
• Valid driver's license, reliable transportation, insurance for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care teams.
• Monitor care plans, document interventions and outcomes.
• Promote service integration across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources; coordinate ICT meetings.
• Educate and motivate members using motivational interviewing.
• Identify barriers and coordinate psychosocial, financial, medical support.
• Identify critical incidents and develop prevention plans.
• Travel 25–40% as required by state/contractual needs.

Skills

Healthcare experience

Care management

Communication skills

Time management

Problem-solving

Self-motivation

Adaptability

Education

Bachelor's degree in a health care related field

Clinical licensure/certification as required by state

Tools

Microsoft Office

Online portals & databases

Job description

Molina Healthcare is seeking a Care Coordinator to support LTSS care management activities. You’ll collaborate with a multidisciplinary team to coordinate integrated member care and ensure progress toward outcomes within regulatory timelines.

You will develop and monitor care plans, assess medical necessity, and help navigate waiver services and funding sources. You will promote LTSS and behavioral health integration, educate members, and participate in ICT meetings.