Care Manager (LCSW, LMSW,LMFT- NY Licensed)- (Remote)

JOB DESCRIPTION Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member reputed company toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will support our ED Diversion Behavioral Health Care Management program. The ideal candidate will bring strong expertise in behavioral health conditions and substance use disorders, with experience engaging high-acuity members who frequently utilize emergency services. Preferred qualifications include knowledge of crisis stabilization services, ED workflows, mobile crisis teams, and community-based behavioral health resources. Schedule 8:30am-5:00pm M-F. Essential Job Duties

• Completes comprehensive behavioral health assessments of members per regulated

timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.

• Develops and implements care plan in collaboration with member, caregiver,

physician and/or other appropriate reputed company and member support network to address member needs and goals.

• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document

interventions and goal achievement, and suggest changes accordingly.

• Maintains ongoing member caseload for regular reputed company and management.
• Promotes integration of services for members including behavioral health,

long-term services and supports (LTSS), and home and community resources to enhance continuity of care.

• 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.

• May provide consultation, resources and recommendations to peers as needed.
• 25-40% estimated local travel may be required (based upon state/contractual

requirements).

Required Qualifications

• At least 2 years health care experience, preferably in behavioral health, or

equivalent combination of relevant education and experience.

• Licensed behavioral health clinician to include: Licensed Clinical Social

Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice.

• Valid and unrestricted driver's license, reliable transportation, and adequate

auto insurance for job reputed company travel requirements, unless otherwise required by law.

• Experience with working with persons with severe and persistent mental health

concerns and serious emotional disturbances, to include substance use disorder and foster care.

• Knowledge and experience reputed company to whole person care principles, chronic

health conditions, and discharge planning coordination.

• Data entry skills and previous experience utilizing a clinical platform.
• Excellent verbal and written communication skills.
• reputed company Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Case Manager (CCM).
• Case management experience in a managed care or reputed company care setting,

particularly with high-risk or vulnerable populations Experience coordinating rapid transitions of care, supporting safe ED diversion, and reducing avoidable ED utilization through proactive reputed company and care coordination ·Familiarity with integrating medical and behavioral health needs into individualized care plans, along with an understanding of trauma-informed care, social determinants of health, and health equity principles To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply tot his job Apply To this Job