Care Manager (BH Licensed)

Molina Talent Acquisition; Detroit (MI); Sur place; USD 60 000 - 85 000; Plein temps

Résumé du poste

Molina Healthcare, Inc. in Michigan seeks a licensed behavioral health clinician to support care management and coordination across the continuum of member care.

You will collaborate with a multidisciplinary team, develop and implement care plans, conduct visits (telephonic, in-person, or home), and monitor outcomes while traveling locally as required. Residency in Michigan is expected.

Qualifications

• 2+ years healthcare experience, preferably behavioral health.
• Active license as a behavioral health clinician in state of practice.
• Valid driver's license and reliable transportation for travel.
• Experience with severe mental health, SUD, or foster care.
• Proficiency with data entry and a clinical platform.

Responsabilités

• Complete comprehensive behavioral health assessments per regulated timelines.
• Develop and implement care plans with member and care team.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan effectiveness and document progress.
• Maintain ongoing member caseload with regular outreach.
• Promote integration of behavioral health with LTSS and community resources.
• Facilitate interdisciplinary care team meetings.

Connaissances

Verbal and written communication

Microsoft Office

Data entry

Communication skills

Organizational skills

Formation

Licensed behavioral health clinician (LCSW/LMSW/APSW/LPCC/LMFT/PhD/PsyD)

Outils

Clinical platform

Description du poste

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position supports the Molina Michigan Health plan, Medicaid line of business. The candidate should reside in the state of Michigan.

Essential Job Duties

• Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• 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.
• May provide consultation, resources and recommendations to peers as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience.
• Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care.
• Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination.
• Data entry skills and previous experience utilizing a clinical platform.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Experience in behavioral health care management.
• Familiarity with Michigan behavioral health population.
• Field-based care management or home health experience.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V