Pediatrics Care Manager LVN/LPN Hybrid in Brevard County

Molina Healthcare•Palm Bay, FL

1d•$24 - $47•Hybrid

About The Position

Provides support for care management and care coordination activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum. The role works to ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective care. The Care Manager assesses members, identifies those who may qualify for care coordination or care management, and develops and monitors care plans with members, caregivers, physicians, and other appropriate professionals. The role maintains an ongoing member caseload, coordinates access to behavioral health, long-term services and supports, and community resources, and facilitates interdisciplinary care team collaboration. Member outreach may be conducted by telephone, in person, or through home visits. Local travel of approximately 25–40% may be required, depending on state and contractual requirements.

Requirements

At least 2 years of experience in health care, preferably in care management or in a medical and/or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure and/or certification when 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, unless otherwise required by law.
Demonstrated knowledge of community resources.
Ability to work proactively and with attention to detail.
Ability to work in varied settings and adapt to diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Ability to respond effectively 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, including the ability to manage multiple projects and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office and applicable software programs.
A bachelor's degree in a health care-related field may be required in some states, depending on state or contractual requirements.

Nice To Haves

Experience in care management.
Experience in a medical and/or behavioral health setting.

Responsibilities

Complete member assessments within regulated timelines and identify members who may qualify for care coordination or care management based on assessment triggers.
Develop and implement care plans collaboratively with members, caregivers, physicians, other health care 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 recommend changes as appropriate.
Maintain an ongoing member caseload and provide 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 (ICT) 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 care coordination and assistance to address member concerns.
Collaborate with licensed care managers and leadership as needed or required.
Travel locally as required; estimated travel may be 25–40% based on state or contractual requirements.