Care Manager (BH Licensed) - Miami-Dade/Florida Keys

Molina Healthcare; Miami, Northern (FL, KY); Hybrid; USD 33,000 - 65,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Florida is seeking a licensed behavioral health professional (LCSW, LMHC, or LMFT) to lead care coordination for members with complex behavioral health needs within Medicaid. You will work across inpatient, outpatient, and community settings to ensure smooth transitions of care.

The role emphasizes collaboration, crisis intervention, discharge planning, and connecting members to community resources, with about 10% local travel.

Qualifications

• Requires Florida licensure in one of the following: LCSW, LMHC, or LMFT.
• Minimum 2 years healthcare experience, preferably in care management or behavioral health.
• Valid driver's license and ability to travel locally (approximately 10%).
• Knowledge of community resources and transition of care.
• Ability to work independently with minimal supervision.

Responsibilities

• Completes assessments of members per regulated timelines and determines eligibility for care coordination.
• Develops and implements care plans with member and care network to address needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors and documents progress toward goals and adjusts interventions accordingly.
• Maintains ongoing member caseload and outreach.
• Promotes integration of behavioral health with LTSS and community resources.
• Facilitates ICT meetings and collaboration.
• Uses motivational interviewing and Molina clinical guideposts.
• Assesses barriers to care and provides assistance to members.
• Collaborates with licensed care managers as needed.
• Approximately 10% local travel for member visits and coordination.

Skills

Care coordination

Case management

Crisis intervention

Motivational interviewing

Communication skills

Documentation

Education

Bachelor's degree in healthcare or related field

Tools

Microsoft Office

Job description

JOB DESCRIPTION

Seeking a Florida-licensed behavioral health professional, with one of the following licenses LCSW, LMHC, or LMFT, with experience managing complex behavioral health populations within the Medicaid environment. The ideal candidate will have a strong background in case management and care coordination for members with serious mental illness (SMI) and substance use disorder (SUD), ensuring seamless transitions of care across inpatient, outpatient, and community-based settings.

This role requires expertise in multidisciplinary collaboration, member advocacy, crisis intervention, discharge planning, and connecting members to appropriate behavioral health and community resources to improve outcomes and reduce readmissions. The position includes approximately 10% local travel for member visits, provider collaboration, and care coordination activities.

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 assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care 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 (ICT) 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.
• Collaborates with licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.