Care Manager (BH Licensed) (must reside in Michigan)

Molina Healthcare•Long Beach, MI

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 strategy of providing quality, cost-effective care. This position supports Molina’s Michigan Health plan and Medicaid line of business; the candidate must reside in Michigan. The Care Manager conducts comprehensive behavioral health assessments, develops and monitors individualized care plans, maintains an ongoing member caseload, and coordinates behavioral health, long-term services and supports, and community resources. Member contact may be 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.
An eligible behavioral health credential, such as LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in psychology, or an equivalent credential based on state contract, regulation, or state board licensing requirements. If licensed, the license must be active and unrestricted in the state of practice.
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 and applicable software programs.
Must reside in Michigan.

Nice To Haves

Experience in behavioral health care management.
Familiarity with Michigan's behavioral health population.
Field-based care management or home health experience.

Responsibilities

Complete comprehensive behavioral health assessments within regulated timelines and use clinical judgment, changes in member health or psychosocial wellness, and assessment triggers to determine eligibility for care coordination or case management.
Develop and implement care plans in collaboration with members, caregivers, physicians, other appropriate 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 coordination and assistance to help members address concerns.
Provide consultation, resources, and recommendations to peers as needed.