LTSS Care Navigator & Waiver Specialist

Jobtome; Naperville Township (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Equal opportunity employer

Job summary

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities. The role collaborates with a multidisciplinary team to deliver integrated member care across the continuum, aiming for desired outcomes and cost-effective services.

Responsibilities include assessing members, coordinating waiver services, developing care plans, and monitoring progress while addressing barriers to care. Local travel may be required as per state contracts.

Qualifications

• 2+ years in health care, LTSS or related settings.
• 1+ year in care management or equivalent.
• License/certification required only if state contract mandates.
• Valid, unrestricted driver’s license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and visit requirements.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plan effectiveness and document outcomes.
• Coordinate services across behavioral health and LTSS for continuity of care.
• Assess medical necessity and authorize applicable waiver services.
• Attend ICT meetings for service approvals/denials.
• Provide education and motivational support to members.

Skills

Communication skills

Time management

MS Office proficiency

Driver's license

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities. The role collaborates with a multidisciplinary team to deliver integrated member care across the continuum, aiming for desired outcomes and cost-effective services.

Responsibilities include assessing members, coordinating waiver services, developing care plans, and monitoring progress while addressing barriers to care. Local travel may be required as per state contracts.