BH Care Manager Complex Adult Care LMHC, LCSW, LMSW or LMFT Remote in New York

Molina Healthcare; Long Beach (CA); Remote; USD 65,000 - 85,000; Full time

Job summary

A renowned healthcare provider is seeking a dedicated Case Manager for its Complex Adult Behavioral Health Management program. The role involves facilitating integrated care and supporting members with high need potential in a remote capacity, requiring a behavioral health license and strong case management skills. The position offers a competitive benefits package and emphasizes a teamwork approach to improving member outcomes.

Benefits

Competitive benefits package

Equal Opportunity Employer

Qualifications

• Active behavioral health license required.
• 2+ years case management experience in medical/behavioral settings.
• Knowledge of chronic health condition management.

Responsibilities

• Completes clinical assessments and determines eligibility for case management.
• Develops and implements case management plans with healthcare teams.
• Conducts member visits and monitors care plans for effectiveness.

Skills

Communication

Coordination

Motivational Interviewing

Data Entry

Education

Bachelor's Degree in social science or related field

Master's Degree in social science or related field

Tools

Clinical documentation software

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Job description

Job Description

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.

This position will be supporting our Complex Adult Behavioral HealthCare Management program. We are seeking a candidate with a LMHC, LCSW, LMSW or LMFT licensure. Candidates with previous experience supporting the adult behavioral health/substance use population and knowledge of community-based BH services/resources for adults are highly preferred. Care Management experience is a bonus! Further details to be discussed during our interview process.

Remote position in New York

A New York LMHC, LCSW, LMSW, LMFTlicensure is required

Work schedule Monday - Friday 8:30 AM to 5:00 PM EST.

Job Duties

•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 QUALIFICATIONS:

•Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's Degree (in a social science, psychology, gerontology, public health or social work or related field).
•Must have active behavioral health license
•2+ years in case management, disease management, or medical or behavioral health settings.
•Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care
•2+ years with discharge planning coordination from different care settings
•Excellent communication skills, both verbal and written.
•Minimum of 1-3 years data entry skills and minimum 1+ years’ experience utilizing a clinical platform.
•Knowledge and experience with coordination specific to behavioral health “whole person” care principles
•Knowledge and experience managing chronic health conditions.
•Min 2+ years’ experience with Microsoft applications: PowerPoint, Excel, Word
•2+ years’ experience using a Clinical documentation software/platform
•Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

PREFERRED QUALIFICATIONS:

•Master’s Degree in a social science, psychology, gerontology, public health, social work, or related field.
•Master’s level behavioral health therapist, to include any of the following: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), or LMFT
•3+ years in behavioral health case management, disease management, managed care settings.
•Field-based case management or home health experience.
•Certified Case Manager (CCM)

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.