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

Molina Healthcare; Miami Beach (FL); On-site; USD 33,000 - 65,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare seeks a Florida-licensed behavioral health professional (LCSW, LMHC, or LMFT) with Medicaid experience to lead care coordination and transitions across inpatient, outpatient, and community settings.

The role requires strong collaboration with multidisciplinary teams, crisis intervention, discharge planning, and connecting members to behavioral health resources to improve outcomes and reduce readmissions; approx 10% local travel is expected.

Qualifications

• 2+ years in health care, care management, or behavioral health setting.
• Licensed clinician required per state contract or regulation.
• Valid driver's license and reliable transportation for local travel.
• Knowledge of community resources and care coordination.
• Ability to work independently and handle multiple priorities.

Responsibilities

• Complete member assessments within regulatory timelines.
• Develop and implement care plans with stakeholders.
• Conduct telephonic, in-person, or home visits.
• Monitor care plan progress and adjust interventions.
• Maintain an ongoing member caseload and outreach.
• Promote integration of behavioral health and community resources.
• Facilitate ICT meetings and collaboration.
• Utilize motivational interviewing techniques.
• Identify and address barriers to care.

Skills

Care coordination

Discharge planning

Crisis intervention

Member advocacy

Communication skills

Time management

Independence

Attention to detail

Proactive work style

Education

Florida licensure (LCSW/LMHC/LMFT)

Bachelor's degree in healthcare 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.
• Assess 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.