Care Manager (Foster Care)

Molina Healthcare•Long Beach, IA

1d•Onsite

About The Position

This position provides support for care management/care coordination activities and collaborates with a multidisciplinary team to coordinate integrated delivery of member care across the continuum. The role strives to ensure member progress toward desired outcomes and contributes to the overarching strategy to provide quality and cost-effective member care. Key responsibilities include completing member assessments per regulated timelines to determine eligibility for care coordination, developing and implementing care plans in collaboration with members, caregivers, physicians, and other healthcare professionals, and conducting telephonic, face-to-face, or home visits as required. The Care Manager performs ongoing monitoring of care plans to evaluate effectiveness, documents interventions and goal achievement, and suggests changes. They maintain an ongoing member caseload for regular outreach and management, promote the integration of services including behavioral health and community resources, and facilitate interdisciplinary care team (ICT) meetings and collaboration. The role utilizes motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts, assesses for barriers to care, and provides assistance to address concerns. Collaboration with licensed care managers/leadership is also required as needed. Estimated local travel of 25-40% may be necessary based on state/contractual requirements.

Requirements

At least 2 years 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, business operating model, 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).

Nice To Haves

Experience with foster care and/or PMIC placements preferred.

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 care plan in collaboration with 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 care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member caseload for regular outreach and management.
Promotes integration of services for members including behavioral health, 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 member to address concerns.
Collaborates with licensed care managers/leadership as needed or required.