Care Manager (BH Licensed)

Molina Healthcare; United States; Sur place; USD 70 000 - 95 000; Plein temps

Résumé du poste

Molina Healthcare, Inc. is seeking a Care Coordination/Case Management professional to support behavioral health care delivery. You will collaborate with a multidisciplinary team to coordinate integrated member care across the continuum and strive to ensure progress toward outcomes.

Essential duties include conducting assessments, developing care plans, performing visits, monitoring progress, and promoting service integration. Role requires 25–40% local travel and strong communication skills.

Qualifications

• 2+ years health care experience, preferably in behavioral health.
• Active licensed behavioral health clinician (LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD/PsyD) per state requirements.
• Valid driver's license and reliable transportation for travel.
• Experience with severe mental health concerns and SED, including substance use and foster care.
• Knowledge of whole person care, chronic conditions, and discharge planning.
• Data entry on a clinical platform.
• Excellent verbal and written communication.
• MS Office or equivalent proficiency.

Responsabilités

• Completes comprehensive behavioral health assessments per regulated timelines and determines eligibility for care coordination/case management.
• Develops and implements care plans with member, care network and professionals to address needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plan to evaluate effectiveness, documents interventions and goals.
• Maintains ongoing member caseload for outreach and management.
• Promotes integration of services across behavioral health, LTSS, home and community resources.
• Facilitates interdisciplinary care team meetings and ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to support change.
• Assesses barriers to care and provides coordination and assistance.
• May provide consultation and recommendations to peers.
• Local travel 25-40% may be required.

Connaissances

Communication skills

MS Office

Data entry

Motivational interviewing

Travel readiness

Formation

Behavioral health license

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.

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