Care Manager (BH Licensed) - Must live in IA

Molina Healthcare, Inc.; Des Moines (IA); On-site; USD 55,000 - 85,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a dedicated health care professional to provide care management and coordination across multidisciplinary teams. You will collaborate with members, families, and clinicians to address needs and goals while ensuring quality and cost-effective outcomes.

The role involves developing individualized care plans, performing assessments, and conducting visits via telehealth, in-person, or home settings. Strong communication and clinical documentation are essential.

Qualifications

• 2+ years health care experience, preferably behavioral health.
• Active license as a Behavioral Health Clinician (LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD).
• Valid driver’s license and reliable transportation for local travel.
• Experience with persons with severe mental health concerns and substance use disorders.
• Proficiency with Microsoft Office and clinical software.
• Strong verbal and written communication skills.

Responsibilities

• Support care management/care coordination across multidisciplinary teams.
• Develop and implement care plans with member and care network.
• Conduct telephonic, in-person, or home visits as required.
• Monitor and adjust care plans based on progress and barriers.
• Maintain ongoing member caseload for outreach and management.
• Promote integration of behavioral health, LTSS, and community resources.
• Facilitate care team meetings and ICT collaboration.
• Use motivational interviewing and clinical guidelines to support change.
• Travel 25-40% as required by state/contractual needs.

Skills

Verbal communication

Written communication

Data entry

Microsoft Office

Travel readiness

Education

Licensed Behavioral Health Clinician

Doctorate in Psychology (PhD/PsyD)

Tools

Clinical platform software

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