Care Manager (BH Licensed) - Must reside in WI

Molina Healthcare Inc; Madison (WI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare Inc. seeks a compassionate Care Management/Care Coordination professional for delivering integrated member care. You will collaborate with a multidisciplinary team to promote quality, cost-effective outcomes across the continuum.

The role emphasizes assessments, care planning, and coordinating services for members with behavioral health needs, with travel up to 40% depending on state requirements.

Qualifications

• At least 2 years health care experience, preferably in behavioral health.
• Licensed behavioral health clinician (LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD/PsyD or equivalent).
• Valid/ unrestricted driver's license and auto insurance; travel may be required.
• Experience with severe mental health concerns and substance use disorders.
• Knowledge of whole person care, chronic conditions, and discharge planning.
• Data entry on clinical platforms; strong communication skills.
• Proficiency with Microsoft Office.

Responsibilities

• Completes comprehensive behavioral health assessments and identifies candidates for care coordination.
• Develops and implements care plans with member, family, and healthcare team.
• Conducts telephonic, in-person, or home visits as needed.
• Monitors care plan progress, documents interventions, and suggests changes.
• Maintains ongoing member caseload with regular outreach.
• Promotes integration of services across behavioral health and LTSS.
• Facilitates interdisciplinary care team meetings.
• Educates and motivates members using motivational interviewing.
• Assesses barriers to care and provides coordination assistance.
• May provide consultation to peers.
• 25-40% local travel may be required.

Skills

Verbal communication

Written communication

Data entry

MS Office

Education

LCSW

LMSW

APSW

CHES

LPC

LPCC

LMFT

PhD/PsyD or equivalent

Tools

Microsoft Office

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.
• 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 offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.