Care Manager (BH Licensed)

Molina Healthcare; Long Beach (CA); Remote; USD 50,000 - 75,000; Full time

Job summary

A large healthcare organization is looking for a Licensed Behavioral Health Professional to support Medicaid behavioral health needs. Responsibilities include conducting assessments, developing care plans, and maintaining a member caseload. Candidates must have at least 2 years of relevant experience and an active license in their state. This position is primarily remote, with some local travel required.

Benefits

Competitive benefits package

Flexible work schedule

Professional development opportunities

Qualifications

• At least 2 years of healthcare experience, preferably in behavioral health.
• Licensed behavioral health clinician with active unrestricted license.
• Experience working with severe mental health concerns.

Responsibilities

• Complete behavioral health assessments of members.
• Develop and implement care plans with healthcare professionals.
• Maintain ongoing caseload for outreach and management.

Skills

Behavioral health experience

Communication skills

Data entry skills

Education

Licensed Clinical Social Worker (LCSW)

Licensed Professional Counselor (LPC)

Doctor of Psychology (PhD or PsyD)

Tools

Microsoft Office suite

Clinical platform

Job description

Overview

For this position we are seeking a Licensed Behavioral Health Professional who must live and have a current active unrestricted license in the state of KY.

Case Manager will work remotely supporting Medicaid Behavioral health population. 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.

Home office with internet connectivity of high speed required.

Schedule: Monday thru Friday 8:00AM to 5:00PM

(Will be required to go into KY office for team meetings and training events based on needs of the business)

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.

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).

Job Qualifications

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), 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.

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.