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

Molina Healthcare•Long Beach, TX

2d•Remote

About The Position

Molina Healthcare is seeking a Texas-licensed behavioral health professional to support Medicaid members with behavioral health needs, including moderate to complex cases that may require care coordination. The role collaborates with a multidisciplinary team to coordinate integrated care across the continuum, support member progress toward desired outcomes, and contribute to quality, cost-effective care. Most work is conducted by phone, though in-person meetings may occasionally be needed. Qualified applicants may reside anywhere in Texas. The schedule is Monday through Friday, 8 a.m. to 5 p.m. in the employee’s time zone. Local travel may be required, estimated at 25–40% depending on state and contractual requirements.

Requirements

At least 2 years of healthcare experience, preferably in behavioral health, or an equivalent combination of relevant education and experience.
An active, unrestricted behavioral health license in the state of practice, or an accepted credential such as LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in psychology, or an equivalent credential allowed by state contract, regulation, or licensing requirements.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for work-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 in whole-person care principles, chronic health conditions, and discharge planning coordination.
Data-entry skills and prior experience using a clinical platform.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office and applicable software, including experience with clinical documentation software; proficiency with Outlook, Excel, Teams, and OneNote is emphasized in the posting.

Nice To Haves

Certified Case Manager (CCM).
Experience in behavioral health care management.
Field-based care management or home health experience.
Previous experience as a case manager within a managed care organization.

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.
Manage an ongoing member caseload and conduct regular outreach.
Promote integration of behavioral health, long-term services and supports, and home and community resources to enhance continuity of care.
Facilitate interdisciplinary care team meetings and informal collaboration among the team.
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.