Care Manager (BH Licensed) (Miami, FL)
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, maintains an ongoing member caseload, and coordinates services across behavioral health, long-term services and supports, and home and community resources. The position may involve telephonic, face-to-face, and home visits, with an estimated 25–40% local travel 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 clinician license in the state of practice, if licensed; eligible credentials include LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD or PsyD in Psychology, or an equivalent credential as permitted by state contract, regulation, or licensing mandate.
- 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 member health or psychosocial wellness, and assessment triggers to determine potential 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, evaluate effectiveness, document interventions and goal achievement, and suggest 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 ICT 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 address member concerns.
- Provide consultation, resources, and recommendations to peers as needed.
- Undertake an estimated 25–40% local travel as required by state or contractual requirements.
Benefits
- Competitive benefits and compensation package.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
