LTSS Care Navigator—Integrated, High-Impact Support

Molina Healthcare; Elgin (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 Management Specialist to support LTSS across member care teams. You will collaborate with physicians, caregivers, and other professionals to develop and implement comprehensive care plans that meet member goals.

Responsibilities include assessments, waiver processing, monitoring outcomes, and coordinating interdisciplinary teams to ensure quality, cost-effective care. Travel 25–40% may be required based on state contracts.

Qualifications

• At least 2 years of health care experience, including LTSS.
• Licensure/certification required only if mandated by state contract.
• Bachelor’s degree in health care field may be required in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service approvals or denials.

Skills

Health care experience

LTSS experience

Care management

Driver's license

Communication skills

MS Office proficiency

Education

Bachelor's degree in health care field

Clinical licensure/certification (state-dependent)

Job description

Molina Healthcare is seeking a Care Management Specialist to support LTSS across member care teams. You will collaborate with physicians, caregivers, and other professionals to develop and implement comprehensive care plans that meet member goals.

Responsibilities include assessments, waiver processing, monitoring outcomes, and coordinating interdisciplinary teams to ensure quality, cost-effective care. Travel 25–40% may be required based on state contracts.