Behavioral Health Case Manager

Molina Healthcare; Darlington (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Behavioral Health Case Manager to support Medicaid SMI populations in South Carolina. This role involves conducting assessments, developing care plans, and collaborating with interdisciplinary teams to ensure quality care. The position requires excellent communication skills and attention to detail, as you will manage member interactions and documentation. With a focus on enhancing the continuity of care, you will play a vital role in promoting wellness and addressing barriers to care. If you are passionate about making a difference in the lives of individuals with mental health needs, this opportunity is perfect for you.

Benefits

Competitive benefits package

Flexible work schedule

Remote work options

Qualifications

• 1-3 years experience in case management or behavioral health settings.
• Bachelor's or Master's degree in social science, psychology, or related field.

Responsibilities

• Conduct clinical assessments and develop case management plans.
• Perform telephonic and face-to-face visits with members.
• Monitor care plans and evaluate effectiveness regularly.

Skills

Clinical Assessment

Case Management

Motivational Interviewing

Communication Skills

Attention to Detail

Education

Bachelor's Degree in Social Science or Related Field

Master's Degree in Psychology or Related Field

Completion of LVN or LPN Program

Tools

Computer Systems

Job description

JOB DESCRIPTION

Behavioral Health Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South Carolina. Case Manager will be required to communicate telephonically and complete Face to Face meetings. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.

TRAVEL

(up to 60%) in the field to do member visits in the surrounding areas will be required.

Home office with internet connectivity of high speed required.

SCHEDULE

Monday thru Friday 8:00AM to 5:00PM EST. - No weekends or Holiday

JOB SUMMARY

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.
• May implement specific Molina wellness programs i.e. asthma and depression disease management.
• Facilitates interdisciplinary care team meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with RN case managers/supervisors as needed or required.
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed.
• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina’s Central Programs unit.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Any of the following:

Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related field).

REQUIRED EXPERIENCE:

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

If license required for the job, license must be active, unrestricted and in good standing.

Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

STATE SPECIFIC REQUIREMENTS:

Roles serving Family Care and Family Care Partnership in the State of Wisconsin are required to have a Bachelor's Degree and a minimum of one year of professional experience.

PREFERRED EXPERIENCE:

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Any of the following:

Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

ADDITIONAL INFORMATION:

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

PAY RANGE:

$22.8 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.