Care Manager (Foster Care - must reside in Michigan)

Molina Healthcare; Oregon; Hybrid; USD 60.000 - 85.000; Vollzeit

Benefits dieser Stelle

Competitive benefits package

Zusammenfassung

Molina Healthcare, Inc. in Oregon seeks a Care Coordinator to support care management and coordinate services across medical, behavioral health, and social supports.

The role focuses on fostering youth and family engagement within the child welfare context to improve outcomes. You will perform assessments, develop care plans, conduct visits, monitor progress, and travel locally 25–40% as needed, with a preference for experience serving foster youth and families in a trauma-informed,

Qualifikationen

• At least 2 years experience in health care, care management, or related settings.
• Clinical licensure and/or certification required only if state contract requires it.
• Valid driver's license and reliable transportation for job-related travel.
• Knowledge of community resources and ability to engage diverse populations.
• Ability to work independently with minimal supervision.

Aufgaben

• Completes member assessments and determines care coordination eligibility.
• Develops care plans with member, caregiver, and health professionals.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents progress.
• Maintains ongoing member caseload and coordinates services across teams.
• Promotes integration of behavioral health, LTSS, and community resources.
• Facilitates ICT meetings and collaborates with care teams.
• Uses motivational interviewing to support change.
• Identifies barriers and assists members to address concerns.
• Engages with licensed care managers as needed.
• 25–40% local travel may be required.

Kenntnisse

Care coordination

Communication

Trauma-informed care

Time management

Independent work

Ausbildung

Bachelor's degree in health care

Tools

Microsoft Office

Electronic Health Records

Jobbeschreibung

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. The ideal candidate will have experience working directly with foster care youth, adolescents, and foster families, with a strong understanding of the unique challenges and support needs associated with the child welfare system. This role requires the ability to effectively engage youth, caregivers, and multidisciplinary partners while coordinating medical, behavioral health, and social services. Candidates should possess knowledge of Michigan Medicaid programs and resources, with experience serving members enrolled in the Molina Michigan Medicaid Health Plan strongly preferred. The successful candidate will demonstrate a commitment to trauma-informed, family-centered care and have the ability to advocate for and support foster youth in achieving positive health and life outcomes.

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).

Preferred Qualifications

• Demonstrated experience supporting foster care youth, foster families, kinship caregivers, and/or child welfare populations.
• Knowledge of the unique behavioral health, social, educational, and healthcare needs of youth in foster care.
• Experience coordinating services and collaborating with community agencies, child welfare organizations, providers, and family support systems.
• Familiarity with Michigan Medicaid benefits, care management programs, and community-based resources.
• Ability to build rapport and effectively engage adolescents, young adults, foster parents, caregivers, and multidisciplinary care teams.
• Strong understanding of trauma-informed care, family-centered practices, and care coordination principles.

Benefits

• Molina Healthcare offers a competitive benefits and compensation package.

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