LTSS Care Navigator & Coordination Specialist

Jobtome; Aurora Township (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Care Management professional to support LTSS and waiver services. The role collaborates with a multidisciplinary team to coordinate member care across settings, ensuring progress toward outcomes and adherence to care plans.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel up to 40% may be required to member homes or facilities, with strong emphasis on communication and problem-solving.

Qualifications

• Licensing and/or educational requirements as listed above.
• Experience with LTSS and waiver services is preferred.
• Ability to work independently with minimal supervision.

Responsibilities

• Provide care coordination and support across LTSS and waiver services.
• Collaborate with multidisciplinary team for integrated member care.
• Conduct comprehensive member assessments within required timelines.
• Develop and monitor individualized care plans and waiver service plans.
• Coordinate waiver enrollment/disenrollment and track progress toward goals.
• Promote integration of behavioral health and LTSS services.
• Assess medical necessity and authorize waiver services.
• Identify barriers to care and develop prevention plans.
• Travel as required (25–40%) to member homes or facilities.
• Maintain thorough documentation and participate in ICT meetings.

Skills

Empathy

Communication

Organizational skills

Problem solving

Proactive mindset

Interdisciplinary collaboration

Education

Licensed Clinical Social Worker (LCSW)

Licensed Master Social Worker (LMSW)

Advanced Practice Social Worker (APSW)

Certified Health Education Specialist (CHES)

Licensed Professional Counselor (LPC)

Licensed Professional Clinical Counselor (LPCC)

Licensed Marriage and Family Therapist (LMFT)

Doctor of Psychology (PhD/PsyD)

Bachelor’s degree in a health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Management professional to support LTSS and waiver services. The role collaborates with a multidisciplinary team to coordinate member care across settings, ensuring progress toward outcomes and adherence to care plans.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel up to 40% may be required to member homes or facilities, with strong emphasis on communication and problem-solving.