Care Manager (BH Licensed) - Leon County, FL

Molina Healthcare•Pensacola, FL

7h•$26 - $51

About The Position

Provides support for care management and care coordination activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum. The role works to ensure members progress toward desired outcomes and contributes to the overall strategy of delivering quality, cost-effective care. The Care Manager completes behavioral health assessments, develops and monitors care plans with members and their support networks, and provides ongoing outreach and coordination. The position may involve telephonic, face-to-face, or home visits and an estimated 25–40% local travel based on state or contractual requirements.

Requirements

At least 2 years of healthcare experience, preferably in behavioral health, or an equivalent combination of relevant education and experience.
Active, unrestricted behavioral health clinician license in the state of practice, where licensed. Listed credentials include LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in Psychology, or an equivalent credential based on state contract, regulation, or licensing mandate.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Experience working with people with severe and persistent mental health concerns and serious emotional disturbances, including 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 using a clinical platform.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office or applicable software programs.

Nice To Haves

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

Responsibilities

Complete comprehensive behavioral health assessments within regulated timelines and determine eligibility for care coordination or case management based on clinical judgment, changes in health or psychosocial wellness, and assessment triggers.
Develop and implement care plans in collaboration with members, caregivers, physicians, other healthcare professionals, and member support networks.
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 as appropriate.
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 meetings and informal interdisciplinary care team collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and provide care coordination and assistance to address member concerns.
Provide consultation, resources, and recommendations to peers as needed.
Travel locally an estimated 25–40% of the time, based on state or contractual requirements.