Care Manager - (LPN/LVN) Flagler County

Molina Healthcare•Palm Coast, FL
•$24 - $47

About The Position

The Care Manager provides support for care management and care coordination activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum. The role helps ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective care. The position includes assessing members, developing and monitoring care plans, maintaining an ongoing caseload, coordinating services and resources, facilitating interdisciplinary collaboration, and supporting members in addressing barriers to care. Contacts may be conducted by telephone, face-to-face, or home visits. An estimated 25–40% local travel may be required, depending on state and contractual requirements.

Requirements

  • At least 2 years of experience in health care, preferably in care management or 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 adjust approach when working with diverse populations, personalities, and personal situations.
  • Ability to work independently with minimal supervision and 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 suite and applicable software programs.
  • In some states, a bachelor's degree in a health care-related field may be required, depending on state or contractual requirements.

Responsibilities

  • Complete member assessments within regulated timelines and identify potential eligibility for care coordination or care management based on assessment triggers.
  • Develop and implement care plans with members, caregivers, physicians, other appropriate health care professionals, and members’ 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 suggest 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 care coordination and assistance to address member concerns.
  • Collaborate with licensed care managers and leadership as needed or required.
  • 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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