LTSS Care Navigator & Coordinator

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

Job summary

Molina Healthcare in Illinois seeks a Care Management Specialist to support LTSS activities, collaborate with a multidisciplinary team, and help members progress toward outcomes while contributing to quality and cost-effective care.

You will conduct comprehensive member assessments, facilitate waiver enrollment, develop care plans, monitor progress, and coordinate services across behavioral health and LTSS. Travel up to 25–40% may be required.

Qualifications

• At least 2 years of health care experience, with LTSS exposure.
• 1 year in care management or medical/behavioral health setting.
• Valid state driver's license and reliable transportation.
• Strong knowledge of community resources.
• Ability to work independently in diverse 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, physicians and others.
• Monitor care plans and document interventions and outcomes.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for service approvals.
• Travel up to 25-40% locally as required.

Skills

Healthcare experience

Care management

Communication skills

Microsoft Office

Travel readiness

Independent work

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

Molina Healthcare in Illinois seeks a Care Management Specialist to support LTSS activities, collaborate with a multidisciplinary team, and help members progress toward outcomes while contributing to quality and cost-effective care.

You will conduct comprehensive member assessments, facilitate waiver enrollment, develop care plans, monitor progress, and coordinate services across behavioral health and LTSS. Travel up to 25–40% may be required.