LTSS Care Navigator & Outcomes Specialist

Molina Healthcare, Inc.; Aurora (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a dedicated care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care.

The role focuses on assessments, care plan development, and ensuring progress toward outcomes in a regulated framework. Travel up to 40% locally, with potential for other state-based requirements; licensure or certification may be mandated by state contract, and strong communication is essential to educate and

Qualifications

• 2+ years of health care experience with LTSS or disability support.
• Clinical licensure/certification may be required by state contract.
• Bachelor’s degree in a health care field may be required by state rules.
• Valid driver’s license, reliable transportation, and travel readiness.
• Strong written and verbal communication skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and Care Team.
• Monitor care plan effectiveness and document outcomes.
• Promote integrated LTSS and behavioral health service delivery.
• Assess medical necessity and authorize waiver services.
• Collaborate with licensed care managers as needed.
• Travel 25-40% locally as required.

Skills

Healthcare experience

Care management

Communication skills

Time management

Problem-solving

Microsoft Office

Travel readiness

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a dedicated care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care.

The role focuses on assessments, care plan development, and ensuring progress toward outcomes in a regulated framework. Travel up to 40% locally, with potential for other state-based requirements; licensure or certification may be mandated by state contract, and strong communication is essential to educate and