Case Manager - Behavioral Health: Clark County NEVADA

Molina Healthcare • Las Vegas, NV

393d • $52,416 - $102,232

About The Position

The Case Manager - Behavioral Health position at Molina Healthcare involves working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate integrated care delivery, particularly focusing on behavioral health and long-term care for high-need members. The role emphasizes ensuring quality care that is medically appropriate and cost-effective, while also promoting the integration of services to enhance continuity of care.

Requirements

• Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree in a relevant field.
• 2+ years in case management, disease management, or behavioral health settings.
• Experience working with persons with severe mental health concerns and substance use disorders.
• Excellent verbal and written communication skills.
• Minimum of 1-3 years data entry skills and experience utilizing a clinical platform.
• Knowledge of behavioral health care principles and managing chronic health conditions.
• 2+ years' experience with Microsoft applications: PowerPoint, Excel, Word.

Nice To Haves

• 3+ years in behavioral health case management or managed care settings.
• Field-based case management or home health experience.

Responsibilities

• Completes clinical assessments of members per regulated timelines to determine eligibility for case management.
• Develops and implements a case management plan in collaboration with members, caregivers, and healthcare professionals.
• Conducts telephonic, face-to-face, or home visits as required.
• Performs ongoing monitoring of care plans to evaluate effectiveness and suggest changes as needed.
• Maintains an ongoing member case load for regular outreach and management.
• Promotes integration of services for members, including behavioral health care and long-term services.
• Facilitates interdisciplinary care team meetings and informal collaboration.
• Uses motivational interviewing to educate and support members during contacts.
• Assesses barriers to care and provides coordination and assistance to members.

Benefits

• Health insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Associate degree