Care Manager (Bh Licensed)

Molina Healthcare; Elizabethtown (KY); On-site; USD 43,000 - 70,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in the United States is seeking a Field-based Behavioral Health Care Manager to coordinate care across the continuum and collaborate with a multidisciplinary team. You will assess behavioral health needs, develop and implement individualized care plans, and monitor progress toward goals.

Travel 25-40% is required depending on contracts and state requirements. Strong communication, documentation, and knowledge of discharge planning are essential, with opportunities to mentor

Qualifications

• Licensed clinician with active license in state of practice.
• Experience in behavioral health and case management.
• Strong data entry and clinical platform experience.
• Excellent verbal and written communication skills.
• Valid driver’s license and reliable transportation.
• Ability to travel 25-40% as required.

Responsibilities

• Performs comprehensive behavioral health assessments and identifies care coordination candidates.
• Develops and implements care plans with the member, family and healthcare team.
• Conducts telephonic, in-person, or home visits as required.
• Monitors and documents progress toward goals; adjusts care plans as needed.
• Maintains ongoing member caseload and outreach.
• Promotes integration of services across care teams and LTSS.
• Facilitates care team meetings and ICT collaboration.
• Educates and motivates change using motivational interviewing.
• Assesses barriers to care and provides coordination support.
• May provide consultation/resources to peers.
• Travel 25-40% based on state contracts.

Skills

Communication skills

Data entry

Microsoft Office

Travel readiness

Education

Licensed Behavioral Health Clinician (LCSW/LMSW/APSW/LPC/LPCC/LMFT)

Doctorate (PhD/PsyD) or equivalent

Certified Health Education Specialist (CHES)

Tools

Microsoft Office

Job description

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.

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.
• Assess 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, preferable 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

• Certified Case Manager (CCM).
• Experience in behavioral health care management.
• 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

Pay Range: $25.08 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.