Care Manager (BH Licensed) ) - Polk County, FL

Molina Healthcare•Bartow, FL

6h•$26 - $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 role focuses on helping members progress toward desired outcomes and supporting the delivery of quality, cost-effective care. The Care Manager completes behavioral health assessments, develops and monitors care plans with members and their support networks, maintains an ongoing caseload, and coordinates behavioral health, long-term services and supports, and community resources. Member outreach may take place by telephone, face-to-face, or home visit. The position may require an estimated 25–40% local travel, 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.
Active, unrestricted state-of-practice license, if licensed, as one of the specified behavioral health clinicians: 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 prior experience using a clinical platform.
Excellent verbal and written communication skills.
Proficiency with Microsoft Office suite 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 use clinical judgment, changes in health or psychosocial wellness, and assessment triggers to determine potential eligibility for care coordination or case management.
Develop and implement care plans with members, caregivers, physicians, other appropriate healthcare professionals, and member support networks to address member needs and goals.
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 change during member contacts.
Assess barriers to care and provide care coordination and assistance to address member concerns.
Provide consultation, resources, and recommendations to peers as needed.
Undertake local travel as required; estimated travel is 25–40%, depending on state and contractual requirements.