LTSS Care Navigator & Waiver Specialist

Jobtome; Circleville (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordination–LTSS professional to support care management and coordination across the continuum for high-need members. You will perform home visits, develop care plans with families and providers, and monitor progress toward outcomes.

Roles involve coordinating with ICT/clinical staff, assessing barriers to care, and promoting integrated services. Requires 2+ years in healthcare and valid driver’s license; travel up to 40% may be required.

Qualifications

• 2+ years healthcare experience including LTSS.
• Experience with care management or medical/behavioral health settings preferred.
• Valid driver's license and reliable transportation for field travel.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plan effectiveness and document progress.
• Promote service integration across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate with interdisciplinary care team for approvals.

Skills

Care management

Disability/Chronic condition care

Communication skills

Time management

Independent work

Education

Bachelor’s degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordination–LTSS professional to support care management and coordination across the continuum for high-need members. You will perform home visits, develop care plans with families and providers, and monitor progress toward outcomes.

Roles involve coordinating with ICT/clinical staff, assessing barriers to care, and promoting integrated services. Requires 2+ years in healthcare and valid driver’s license; travel up to 40% may be required.