Remote Care Manager (BH Licensed) - MUST LIVE IN TEXAS

Molina Healthcare; Clifton (TX); Hybrid; USD 54,000 - 78,000; Full time

Job summary

Molina Healthcare seeks a TX licensed Behavioral Health Professional (LPC, LMSW, or LCSW) to support Medicaid members with behavioral health needs, often through telephonic care coordination. Travel may be required occasionally for in-person meetings.

The role emphasizes collaboration with a multidisciplinary team to coordinate care across services, with experience in serious emotional disturbances or substance use disorders preferred.

Qualifications

• 2+ years healthcare experience, Behavioral Health preferred.
• Active and unrestricted license in state of practice.
• Valid driver's license and reliable transportation for travel.
• Experience with severe mental health concerns and substance use disorders.
• Experience with care coordination and clinical platforms.
• Excellent verbal and written communication; MS Office proficiency.

Responsibilities

• Performs comprehensive behavioral health assessments per timelines.
• Develops and implements care plans with member, caregiver, physician and team.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plans, documents interventions and outcomes.
• Maintains ongoing member caseload with regular outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings.
• Uses motivational interviewing and Molina guides to educate and motivate change.
• Assesses barriers to care and provides coordination assistance.
• May provide consultation to peers as needed.
• 25-40% local travel may be required.

Skills

MS Office

Communication

Care coordination

Documentation software

Education

LCSW or LMSW or LPC/LPCC

CCM certification (preferred)

Tools

Clinical documentation software

Outlook

Excel

Teams

OneNote

Job description

Opportunity for a TX licensed Behavioral Health Professional (LPC, LMSW, or LCSW) to join Molina to work with our Medicaid members who have Behavioral Health needs that may include moderate to complex cases requiring care coordination. Applicants should have experience caring for people with serious emotional disturbances, or severe and persistent mental health conditions, including substance abuse disorders. Most of the responsibilities will be managed telephonically, but there may be rare instances where meeting with a member in person may be needed. We are accepting applications from qualified candidates who reside anywhere in Texas; applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are preferred. Hours are M – F, 8 AM – 5 PM in your time zone.

Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note as well as experience using a clinical documentation software program.

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 comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare 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 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.
• May provide consultation, resources and recommendations to peers as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience.
• Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care.
• Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination.
• Data entry skills and previous experience utilizing a clinical platform.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Case Manager (CCM).
• Experience in behavioral health care management.
• Field-based care management or home health experience.

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V