Field Care Manager (Ogle/ Stephenson / Jo Davies Peoria)

Molina Healthcare; Polo (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in Illinois seeks a care management professional to support coordination across the continuum. You will complete member assessments, develop care plans with the team, and monitor progress toward outcomes while collaborating with providers and the member support network.

This role may involve telephonic, home visits, and local travel up to 40% as required by state contracts. Strong communication, organization, and knowledge of community resources are essential.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Clinical licensure/certification required only if state contract requires it.
• Valid driver's license, reliable transportation for travel.
• Knowledge of community resources.
• Ability to work proactively with attention to detail.
• Experience working with diverse populations and settings.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and applicable software.

Responsibilities

• Completes member assessments within regulated timelines and identifies care coordination eligibility.
• Develops and implements care plans with member, caregivers, physicians and team.
• Conducts telephonic, in-person or home visits as required.
• Monitors care plan effectiveness, documents interventions and goals.
• Maintains ongoing member caseload and outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and collaboration.
• Uses motivational interviewing and clinical guidelines to support change.
• Assesses barriers to care and provides coordination and assistance.
• Collaborates with licensed care managers as needed.
• Travel 25-40% as required by state contracts.

Skills

Care coordination

Communication skills

Time management

Microsoft Office

Detail-oriented

Problem solving

Travel willingness

Education

Bachelor's degree in health care

Tools

MS Office

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 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).

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

Pay Range: $25.2 - $49.15 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.