Care Manager (BH Licensed) - Reentry Program

Molina Healthcare•Louisville, KY

About The Position

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 Conduct in-person visits with incarcerated members to complete health assessments and develop person-centered care plans that support a safe and successful transition back into the community Collaborate closely with Department of Corrections and Reentry staff, as well as Parole and Probation partners, to coordinate services, remove barriers, and ensure a smooth continuity of care during the reentry process 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)

Requirements

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), 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
25-40% estimated local travel may be required (based upon state/contractual requirements)

Nice To Haves

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

Responsibilities

Completes comprehensive behavioral health assessments of members per regulated timelines
Conduct in-person visits with incarcerated members to complete health assessments and develop person-centered care plans
Collaborate closely with Department of Corrections and Reentry staff, as well as Parole and Probation partners, to coordinate services, remove barriers, and ensure a smooth continuity of care during the reentry process
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