Remote Care Navigator for LTSS & Waivers

Jobtome; Chicago (IL); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a field-based Healthcare Care Coordinator in the greater Cook County area. This role supports care management and LTSS activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum.

You will ensure progress toward outcomes, promote service integration including behavioral health, and monitor care plans with regular documentation. Travel is required to support local members and contracts.

Qualifications

• At least 2 years of health care experience including 1 year in care management or medical/behavioral health settings.
• Active state license as listed above (LCSW/LMSW/APSW/LPC/LPCC/LMFT, etc.).
• Valid driver's license and reliable transportation for job travel.
• Ability to work independently with minimal supervision.
• Experience with individuals with disabilities, chronic conditions, LTSS, or substance use disorders.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members, caregivers, physicians and the care network.
• Monitor care plans to evaluate effectiveness and document progress.
• Promote integration of LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for service approvals.
• Use motivational interviewing to educate and motivate change.
• Identify barriers to care and provide coordination to address psycho/social, financial, and medical obstacles.
• Travel 25-40% locally as required.

Skills

Interdisciplinary collaboration

Motivational interviewing

Strong communication

Time management

Travel readiness

Education

Licensed Social Worker (LCSW/LMSW/APSW/LPC/LPCC/LMFT)

Bachelor's degree in health-related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a field-based Healthcare Care Coordinator in the greater Cook County area. This role supports care management and LTSS activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum.

You will ensure progress toward outcomes, promote service integration including behavioral health, and monitor care plans with regular documentation. Travel is required to support local members and contracts.