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

Molina Healthcare; New York (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Case Manager (BH) with a valid New York license to support their Complex Adult Behavioral Health Care Management program. The role involves assessing, planning, and coordinating integrated care for high-need members. Candidates should have experience in behavioral healthcare, excellent communication skills, and a commitment to promoting service integration. This remote position requires local residency in New York and offers competitive benefits.

Benefits

Competitive Benefits

Qualifications

• 2+ years in case management or behavioral health settings.
• Active behavioral health license required.
• Experience with severe mental health and substance use disorders.

Responsibilities

• Complete clinical assessments to determine case management eligibility.
• Develop and implement case management plans with members and healthcare professionals.
• Monitor care plans and evaluate effectiveness.

Skills

Communication

Motivational Interviewing

Data Entry

Education

Social Science Degree

Master’s Degree in Social Sciences

Tools

Microsoft Office

Clinical Documentation Software

Job description

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

Join to apply for the Case Manager (BH) LMHC, LMSW, or LCSW Remote based in New York role at Molina Healthcare.

Job Summary

Molina Healthcare Services (HCS) collaborates with members, providers, and multidisciplinary teams to assess, plan, and coordinate integrated care across behavioral health and long-term care for members with high-need potential. Our staff ensure patients progress toward desired outcomes with quality, medically appropriate, and cost-effective care based on illness severity and service site.

Job Description

This position supports our Complex Adult Behavioral Health Care Management program. Candidates must have a New York LMHC, LMSW, or LCSW license, with experience in adult behavioral healthcare and substance use. Knowledge of BH services/resources and community resources for adults is required. Case management and managed care experience are strongly preferred. Details will be discussed during the interview.

Work hours: Monday - Friday, 8:30am - 5:00pm EST. Remote position; residence in New York required.

Job Duties

• Complete clinical assessments within regulated timelines to determine case management eligibility based on clinical judgment, health changes, psychosocial wellness, and assessment triggers.
• Develop and implement case management plans collaboratively with members, caregivers, physicians, and healthcare professionals to meet member needs and goals.
• Conduct telephonic, face-to-face, or home visits as needed.
• Monitor care plans regularly, evaluate effectiveness, document interventions, and suggest adjustments.
• Maintain an ongoing member caseload for outreach and management.
• Promote service integration, including behavioral health and long-term supports, to enhance care continuity.
• Implement specific Molina wellness programs, e.g., asthma and depression management.
• Facilitate interdisciplinary team meetings and collaboration.
• Use motivational interviewing and clinical guideposts to educate, support, and motivate members.
• Assess barriers to care and provide coordination and assistance.
• Collaborate with RN case managers/supervisors as needed.
• Provide consultation and resources to peers in behavioral health and social sciences.
• Travel up to 40% locally, depending on member needs and regulations.

Qualifications

Required:

• Graduate from an accredited school with a nursing (LVN/LPN) or social science degree (psychology, gerontology, public health, social work, or related).
• Active behavioral health license.
• 2+ years in case management, disease management, or behavioral/medical health settings.
• Experience working with severe mental health and substance use disorders, including foster care.
• Discharge planning experience from various care settings.
• Excellent verbal and written communication skills.
• 1-3 years data entry and 1+ years using clinical platforms.
• Knowledge of behavioral health 'whole person' care principles and managing chronic conditions.
• Proficiency with Microsoft Office (PowerPoint, Excel, Word).
• Experience with clinical documentation software/platforms.
• Valid driver’s license with a good record and reliable transportation.

Preferred:

• Master’s degree in social sciences or related fields.
• Behavioral health therapist credentials (LCSW, APSW, CHEP, LPC/LPCC, LMFT).
• 3+ years in behavioral health case management, managed care, or disease management.
• Field-based or home health experience.
• Certified Case Manager (CCM).

Interested employees should apply via the intranet. Molina offers competitive benefits. Equal Opportunity Employer. Pay range: $24 - $46.81/hour.