Case Manager (BH) LMHC, LMSW, or LCSW Remote based in New York

Molina Healthcare; Long Beach (CA); Remote; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare provider is seeking a qualified Case Manager for their Complex Adult Behavioral Health Care Management program. The ideal candidate will have a background in behavioral health and case management, with a focus on supporting adults with complex needs. Responsibilities include conducting assessments, developing care plans, and collaborating with healthcare professionals to ensure quality care. This remote position requires a valid behavioral health license and offers competitive compensation and benefits.

Benefits

Competitive benefits and compensation package

Qualifications

• 2+ years in case management or behavioral health settings.
• Experience with severe mental health concerns and substance use disorder.
• Minimum 1-3 years data entry skills.

Responsibilities

• Completes clinical assessments of members and develops case management plans.
• Conducts telephonic and face-to-face visits as required.
• Maintains ongoing member case load for regular outreach.

Skills

Communication

Data Entry

Behavioral Health

Case Management

Education

Bachelor's Degree in Social Science

Master's Degree in Social Science

Tools

Microsoft PowerPoint

Microsoft Excel

Microsoft Word

Clinical Documentation Software

Job description

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.

This position will be supporting our Complex Adult Behavioral Health Care Management program. We are seeking a candidate with a New York LMHC, LMSW, or LCSW licensure. We are looking for candidates with experience and expertise in adult behavioral healthcare and substance use. Candidates should have knowledge of available BH services/resources and community resources for adults. Case management and managed care experience is strongly preferred. Further details to be discussed during our interview process.

Work hours: Monday - Friday 8:30am - 5:00pm EST

Remote position, must reside in New York

Job Duties

•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
•Local travel of up to 40% may be required, 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 QUALIFICATIONS:

•Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's Degree (in a social science, psychology, gerontology, public health or social work or related field).
•Must have active behavioral health license
•2+ years in case management, disease management, or medical or behavioral health settings.
•Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care
•2+ years with discharge planning coordination from different care settings
•Excellent communication skills, both verbal and written.
•Minimum of 1-3 years data entry skills and minimum 1+ years’ experience utilizing a clinical platform.
•Knowledge and experience with coordination specific to behavioral health “whole person” care principles
•Knowledge and experience managing chronic health conditions.
•Min 2+ years’ experience with Microsoft applications: PowerPoint, Excel, Word
•2+ years’ experience using a Clinical documentation software/platform
•Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

PREFERRED QUALIFICATIONS:

•Master’s Degree in a social science, psychology, gerontology, public health, social work, or related field.
•Master’s level behavioral health therapist, to include any of the following: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), or LMFT
•3+ years in behavioral health case management, disease management, managed care settings.
•Field-based case management or home health experience.
•Certified Case Manager (CCM)

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.