Care Manager (BH Licensed) LCSW, LMHC, LMFT, LMSW

Molina Healthcare Careers; Miami (FL); On-site; USD 36,000 - 58,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional in the Miami area to advance integrated member care. You will assess behavioral health needs, develop care plans with multidisciplinary teams and conduct visits as needed.

You will monitor progress, coordinate services, and engage in care transitions, while working with the member and care network to achieve outcomes. Local travel is a normal aspect of the role.

Qualifications

• At least 2 years health care experience, preferably in behavioral health.
• Licensed behavioral health clinician to include: LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD, active and unrestricted license.
• Valid drivers license and reliable transportation for travel requirements.
• Experience with severe mental health concerns and substance use disorders.
• Knowledge of whole person care principles, chronic health conditions, and discharge planning coordination.
• Data entry skills and experience using a clinical platform.
• Excellent verbal and written communication skills.
• Microsoft Office proficiency.

Responsibilities

• Completes comprehensive behavioral health assessments of members per regulated timelines and determines eligibility for care coordination/case management.
• Develops and implements care plans in collaboration with the member and healthcare professionals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plans and documents interventions and goal achievement.
• Maintains ongoing member caseload for outreach and management.
• Promotes integration of services to enhance continuity of care.
• Facilitates interdisciplinary care team meetings and ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Assesses barriers to care and provides coordination to address concerns.
• May provide consultation and resources to peers as needed.
• Travel 25-40% may be required.

Skills

Communication

Data entry

Microsoft Office

Collaboration

Clinical software

Education

Licensed clinician

Tools

Clinical platform

Job description

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, 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.

Pay Range: $26 - $42 / HOURLY. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.