Care Manager (BH Licensed)

Molina Healthcare; Naples (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare, Inc. in Naples, Florida is seeking a licensed behavioral health clinician to support care management and coordination across the continuum.

You will work with a multidisciplinary team to help members progress toward outcomes and ensure high-quality, cost-effective care. Responsibilities include completing assessments, developing care plans with members and providers, conducting visits, monitoring progress, and promoting integration of services.

Qualifications

• Minimum 2 years healthcare experience, preferably in behavioral health.
• Active, unrestricted license in state of practice.
• Valid driver’s license, reliable transportation.
• Experience with severe mental health concerns and substance use disorders.
• Knowledge of whole person care, chronic conditions, and discharge planning.
• Data entry skills and experience using a clinical platform.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office.

Responsibilities

• Completes comprehensive behavioral health assessments per timelines and identifies who may qualify for care coordination/case management.
• Develops and implements care plans with member, caregiver, physician and other healthcare professionals and support network.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plans, documents interventions and goal achievement, and suggests changes.
• Maintains ongoing member caseload with regular outreach and management.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and informal ICT collaboration.
• Uses motivational interviewing to educate, support and motivate change.
• Assesses barriers to care and provides coordination to address concerns.
• May provide consultation to peers as needed.
• Travel 25-40% may be required.

Skills

Healthcare experience

Verbal and written communication

Microsoft Office proficiency

Education

Active behavioral health license (LCSW, LMSW, APSW, LPC, LPCC, LMFT, PhD/PsyD)

Tools

Clinical software platform

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.
• 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

• 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