Care Manager (Pediatrics) CALIFORNIA

Molina Healthcare; Los Angeles (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

Molina Healthcare is seeking a Case Manager to coordinate care for members with high needs. The role entails completing clinical assessments, developing care plans, and collaborating with healthcare professionals. Ideal candidates will have experience in case management and hold relevant academic qualifications, with Spanish bilingualism preferred.

Qualifications

• 1-3 years in case management, disease management, managed care, or medical/behavioral health settings.
• Licensed, active, unrestricted license in good standing as applicable.
• Valid driver’s license with good driving record.

Responsibilities

• Conduct clinical assessments and develop case management plans.
• Monitor care plans for effectiveness and document interventions.
• Facilitate interdisciplinary care team meetings.

Skills

Clinical assessments

Care coordination

Motivational interviewing

Bilingual Spanish

Education

Bachelor's or Master's Degree in social science, psychology, gerontology, public health or social work

Completion of an accredited LVN or LPN Program

Masters Degree preferred

Job description

**California residency required. REMOTE in San Diego County/ Riverside county / San Bernardino County

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.
• May implement specific Molina wellness programs i.e. asthma and depression disease management.
• 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.
• Collaborates with RN case managers/supervisors as needed or required
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
• Minimal travel may be required in the future. depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina’s Central Programs unit.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Any of the following:

Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related

REQUIRED EXPERIENCE:

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

If license required for the job, license must be active, unrestricted and in good standing.

Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

PREFERRED EXPERIENCE:

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Prior working experience with Pediatric Case Management, any Regional Center (RC), CCS (California Children Services, ABA (applied behavior analysis), BHT (Behavioral Health Therapy, IHSS (In home support services), APS / CPS (adult/ child protective services), care plan development experience

Bilingual Spanish

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Any of the following:

Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

Masters Degree preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $27.61 - $53.83 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.