Care Manager

Molina Healthcare; Albuquerque (NM); On-site; USD 33,062 - 64,485; Full time

Benefits offered by this job

Competitive benefits and compensation package

Equal Opportunity Employer

Job summary

A healthcare services organization in Albuquerque is seeking a Care Manager to facilitate and coordinate care for members. The role includes clinical assessments, the creation of care plans, and collaboration with healthcare professionals. Candidates should have an LVN or LPN, or a degree in a related field, with 1-3 years of case management experience. This position requires New Mexico residency and offers a competitive hourly pay ranging from $24 to $46.81.

Qualifications

• 1-3 years in case management or related fields required.
• Licensed for the state of New Mexico necessary.
• Preferred experience of 3-5 years in similar roles.

Responsibilities

• Complete clinical assessments and develop case management plans.
• Conduct telephonic and face-to-face visits.
• Monitor care plans and evaluate their effectiveness.

Skills

Clinical assessments

Case management planning

Telephonic communication

Motivational interviewing

Care coordination

Education

Completion of an accredited LVN or LPN Program

Bachelor's or Master's Degree in social science or related

Job description

Join to apply for the Care Manager role at Molina Healthcare

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.

• New Mexico residency required

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

• 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)

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.

State Specific Requirements

• Licensed for the state of New Mexico.

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).

Pay Range: $24 - $46.81 / HOURLY

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

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• Hospitals and Health Care