LTSS Care Navigator & Waiver Specialist

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

Benefits offered by this job

Competitive benefits

EOE Employer

Job summary

Molina Healthcare, Inc. is seeking a field-based care coordination professional to support LTSS and waiver services for members. You will collaborate with a multidisciplinary team to develop and monitor care plans, assess medical necessity, and navigate barriers to care across multiple settings.

The role involves 25–40% local travel, requires appropriate licensure as applicable, and emphasizes strong communication with members, caregivers and health professionals to achieve desired outcomes.

Qualifications

• 2+ years health care experience, LTSS and care management exposure.
• Licensure/certification only if required by state contract or mandates.
• Bachelor’s degree may be required in some states.
• Valid driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines; conduct in-home visits as needed.
• Coordinate waiver enrollment/disenrollment and care plans with the care team.
• Monitor care plan effectiveness and adjust interventions as required.
• Educate members using motivational interviewing and Molina clinical guidance.

Skills

Care coordination

Disabilities

LTSS experience

Communication

Education

Bachelor's degree in health care or related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a field-based care coordination professional to support LTSS and waiver services for members. You will collaborate with a multidisciplinary team to develop and monitor care plans, assess medical necessity, and navigate barriers to care across multiple settings.

The role involves 25–40% local travel, requires appropriate licensure as applicable, and emphasizes strong communication with members, caregivers and health professionals to achieve desired outcomes.