Care Manager - (RN, BH Licensed LCSW, LMHC, LMFT, LMSW) Multiple Openings in FL

Molina Talent Acquisition; Florida; Sur place; USD 52 000 - 76 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a Care Management Specialist to support care coordination across the care continuum. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes and to develop integrated care plans.

The role requires assessments, plan development, and travel to member sites as needed. Excellent communication and organizational skills are essential.

Qualifications

• Experience in health care, preferably care management or related setting.
• Knowledge of community resources and coordinating services.
• Ability to work independently and manage multiple projects.

Responsabilités

• Completes assessments of members per regulated timelines and determines eligibility for care coordination.
• Develops and implements care plans in collaboration with member, family, physician and care team.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plans, documents interventions and notes progress toward goals.
• Maintains ongoing member caseload and conducts regular outreach.
• Promotes integration of services across behavioral health, LTSS, and home/community supports.
• Facilitates interdisciplinary care team meetings and collaboration.
• Educates and motivates members using motivational interviewing and clinical guidelines.
• Assesses barriers to care and provides coordination assistance.
• Collaborates with licensed care managers as needed.
• 25-40% local travel may be required.

Connaissances

Care coordination

Communication

Microsoft Office

Outils

Driver's license

Description du poste

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 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).

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