Case Manager - Behavioral Health

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

This position will be supporting our Washington State Behavioral Health Plan program. We are seeking candidates with previous experience in Case Management, navigating the BH system of care and working in community outreach/homeless programs. Bilingual candidates that speak Spanish are encouraged to apply to support our diverse communities.

Work hours: Monday- Friday 8:00am- 5:00pm PST

Knowledge/Skills/Abilities

• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face, or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long-term services and supports to enhance the continuity of care for Molina members.
• May implement specific Molina wellness programs i.e., asthma and depression disease management.
• Facilitates interdisciplinary care team 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 RN case managers/supervisors as needed or required.
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources, and recommendations to peers as needed.
• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina’s Central Programs unit.

Job Qualifications

Required Education:

• Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related field).

Required Experience:

• 1-3 years in case management, disease management, managed care, or medical or behavioral health settings.

Required License, Certification, Association:

• If license required for the job, license must be active, unrestricted, and in good standing.
• Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.

State Specific Requirements:

• Roles serving Family Care and Family Care Partnership in the State of Wisconsin are required to have a Bachelor's Degree and a minimum of one year of professional experience.

Preferred Experience:

• 3-5 years in case management, disease management, managed care, or medical or behavioral health settings.

Preferred License, Certification, Association:

• Any of the following: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

Pay Range: $24 - $53.83 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.