Care Manager (BH Licensed) - Must live in IA

Molina Healthcare; Sioux Center (IA); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Molina Healthcare in Sioux Center, IA is seeking a behavioral health care coordinator to support care management activities. You will collaborate with a multidisciplinary team to coordinate integrated member care and ensure progress toward health outcomes.

The role emphasizes developing care plans, monitoring progress, and promoting service integration across behavioral health, LTSS, and community resources. A clinical license and travel readiness are essential.

Formación

• LCSW/LMSW/LPCC/LMFT or equivalent license; state-specific requirements.
• Minimum 2 years health care experience, preferably in behavioral health.
• Valid driver's license with reliable transportation for travel.
• Experience with severe mental illness, substance use disorders, or foster care.
• Knowledge of whole person care principles and discharge planning coordination.
• Proficiency with data entry on clinical platforms and standard office software.

Responsabilidades

• Completes comprehensive behavioral health assessments and determines care coordination eligibility.
• Develops and implements collaborative care plans with members and healthcare professionals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Maintains ongoing member caseload for outreach and management.
• Promotes integration of behavioral health services with LTSS and home/community resources.
• Facilitates interdisciplinary care team meetings and ICT collaboration.
• Assesses barriers to care and assists members to address concerns.
• Travel may be required 25-40% depending on state contracts.

Conocimientos

Care coordination

Clinical judgment

Interdisciplinary collaboration

Member-centered care

Educación

Licensed clinical social worker (LCSW) or equivalent

Herramientas

Electronic health records (EHR)

MS Office

Descripción del empleo

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.
• 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.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience.

• 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. 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.
• 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.