Care Manager

Molina Healthcare•Peoria, IL

10d•$25 - $49

About The Position

The Care Manager supports care management and care coordination activities and collaborates with a multidisciplinary team to coordinate integrated member care across the continuum. The role strives to ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective care. The position includes assessing members, developing and monitoring care plans, maintaining a member caseload, coordinating services and community resources, and facilitating interdisciplinary collaboration. Contacts may be conducted by telephone, face-to-face, or home visits. Local travel of approximately 25–40% may be required, depending on state and contractual requirements.

Requirements

At least 2 years of health care experience, preferably in care management or in a medical and/or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure and/or certification only when 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, unless otherwise required by law.
Demonstrated knowledge of community resources.
Ability to work proactively and with attention to detail.
Ability to work across varied settings and adapt to diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Ability to respond to communications and remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, ability to focus on multiple projects simultaneously, and adaptability to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.
A bachelor’s degree in a health care-related field may be required in some states, depending on state or contractual requirements.

Responsibilities

Complete member assessments within regulated timelines and determine potential eligibility for care coordination or care management based on assessment triggers.
Develop and implement care plans with members, caregivers, physicians, other appropriate health care professionals, and the member’s support network.
Conduct telephonic, face-to-face, or home visits as required.
Monitor care plans on an ongoing basis, evaluate effectiveness, document interventions and goal achievement, and recommend changes.
Maintain an ongoing member caseload for regular outreach and management.
Promote integration of behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitate interdisciplinary care team (ICT) meetings and informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and provide coordination and assistance to address member concerns.
Collaborate with licensed care managers and leadership as needed or required.