Care Manager (BH Licensed) (Hybrid in Lee County, FL)

Molina Healthcare•Fort Myers, FL

2h•$26 - $51•Hybrid

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 strives to ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective care. The Care Manager completes behavioral health assessments, develops and monitors care plans with members and their support networks, and maintains an ongoing caseload. The position coordinates behavioral health, long-term services and supports, and home and community resources. Telephonic, face-to-face, and home visits may be required, with estimated local travel of 25–40% based on state or 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 behavioral health license in the state of practice, if licensed. Listed eligible credentials include LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in Psychology, or an equivalent credential based on state contract, regulation, or licensing requirements.
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 care coordination or case management eligibility.
Develop and implement care plans collaboratively 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 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 member concerns.
Provide consultation, resources, and recommendations to peers as needed.
Travel locally as required; estimated travel is 25–40%, depending on state or contractual requirements.