Care Manager (LPN/LVN ECC) - Lake County
About The Position
The Care Manager provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate integrated delivery of member care across the continuum. The role works to ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective care. The Care Manager assesses members, develops and monitors care plans, maintains a member caseload, and coordinates services and resources. The role may involve telephonic, face-to-face, or home visits, with estimated local travel of 25–40% depending on state or contractual requirements. The Care Manager also facilitates interdisciplinary collaboration and supports members in addressing barriers to care.
Requirements
- At least 2 years of health care experience, preferably in care management, or experience 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 in varied settings and adapt style when working with diverse populations, personalities, and personal situations.
- Ability to work independently with minimal supervision and demonstrate self-motivation.
- Ability to respond across communication channels and remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, including the ability to manage multiple projects and adapt to change.
- Excellent problem-solving and critical-thinking skills.
- Strong verbal and written communication skills.
- Proficiency with Microsoft Office 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 identify potential eligibility for care management or coordination based on assessment triggers.
- Develop and implement care plans with members, caregivers, physicians, other health care professionals, and the member’s support network.
- Conduct telephonic, face-to-face, or home visits as required.
- Monitor care plans, evaluate 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, 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.
- Undertake an estimated 25–40% local travel when required by state or contractual requirements.
Benefits
- Competitive benefits and compensation package.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
