Care Manager (BH Licensed) - Must live in IA

Molina Healthcare•Des Moines, IA
•$25 - $51

About The Position

Provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate integrated member care across the continuum. The Care Manager strives to ensure members progress toward desired outcomes and contributes to the overall strategy of providing quality, cost-effective care. The position involves maintaining an ongoing member caseload and may require an estimated 25–40% local travel, based on state and contractual requirements. The employee must live in Iowa.

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 clinician license in the state of practice, if licensed. Listed credentials include LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in psychology, or an equivalent credential as permitted by state contract, regulation, or state licensing-board 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 prior experience using a clinical platform.
  • Excellent verbal and written communication skills.
  • Proficiency with Microsoft Office suite or applicable software programs.
  • Must live in Iowa.

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 use clinical judgment, changes in health or psychosocial wellness, and assessment triggers to identify members who may qualify for care coordination or case management.
  • Develop and implement care plans collaboratively with members, caregivers, physicians, other appropriate healthcare professionals, and members’ support networks.
  • Conduct telephonic, face-to-face, or home visits as required.
  • Monitor care plans on an ongoing basis, evaluate their effectiveness, document interventions and goal achievement, and recommend changes as appropriate.
  • Maintain an ongoing member caseload and conduct regular outreach and management.
  • Promote integration of behavioral health services, 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 members’ concerns.
  • Provide consultation, resources, and recommendations to peers as needed.
  • Travel locally an estimated 25–40% of the time when required by state or contractual requirements.

Benefits

  • Competitive benefits and compensation package.
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