Care Manager (Pediatrics) CALIFORNIA

Molina Healthcare; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

Molina Healthcare seeks a Care Manager (Pediatrics) for a vital role in facilitating integrated care delivery. Candidates should have experience in case management, including clinical assessments and the ability to coordinate across multiple services. The position offers a competitive hourly wage and opportunities for growth within a leading healthcare provider in California.

Benefits

Competitive benefits package

Equal Opportunity Employment

Qualifications

• 1-3 years in case management or similar settings.
• California residency required for remote work.
• Bilingual Spanish preferred.

Responsibilities

• Completes clinical assessments and develops care plans.
• Facilitates interdisciplinary care team meetings.
• Promotes integration of behavioral health services.

Skills

Clinical assessments

Care coordination

Motivational interviewing

Behavioral health integration

Education

Bachelor's or Master's Degree in social science

Completion of an accredited LVN or LPN Program

Job description

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• 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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