Case Manager LMSW, LCSW or LMHC Remote in New York

Molina Healthcare-posted about 1 year ago
$49,920 - $116,834/Yr
Full-time
Remote • New York, NY
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The Case Manager position at Molina Healthcare Services (HCS) focuses on coordinating integrated care for members with high needs, particularly within the Emergency Department Diversion (EDD) program. The role involves assessing members' needs, developing care plans, and collaborating with healthcare professionals to ensure quality and cost-effective care. This remote position requires candidates to reside in New York and offers a structured work schedule from Monday to Friday, 8:30 AM to 5:00 PM EST.

  • Completes clinical assessments of members to determine eligibility for case management.
  • Develops and implements case management plans in collaboration with members and healthcare professionals.
  • Conducts telephonic, face-to-face, or home visits as required.
  • Monitors 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 collaborations.
  • Uses motivational interviewing to educate and support members during contacts.
  • Assesses barriers to care and provides coordination and assistance to members.
  • Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree in a relevant field.
  • 1-3 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
  • Active, unrestricted license in good standing (if required).
  • Valid driver's license with a good driving record.
  • 3-5 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
  • Licensure as a Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), or similar.
  • Competitive benefits and compensation package.
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