Care Manager - Multiple Openings in FL (BH, LPN, LVN)

Molina Healthcare•Long Beach, CA

3d•Hybrid

About The Position

Provides support for care management/care coordination activities and collaborates with a multidisciplinary team to coordinate the integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to the overarching strategy to provide quality and cost-effective member care. The role requires the candidate to reside in specific counties within Florida, detailed by regions A, C, D, E, F, G, and I, with specific counties listed for each region and emphasis on highest volumes in certain areas within those regions.

Requirements

At least 2 years of experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel requirements, unless otherwise required by law.
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and self-motivation.
Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Responsibilities

Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
Develops and implements a care plan in collaboration with the member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Conducts telephonic, face-to-face, or home visits as required.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains an ongoing member caseload for regular outreach and management.
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
Uses motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to the member to address concerns.
Collaborates with licensed care managers/leadership as needed or required.
Estimated 25-40% local travel may be required (based upon state/contractual requirements).