Care Manager (BH Licensed) - must be licensed in the state of NY

JOB DESCRIPTION Job Summary

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 progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

This role will support adults with complex behavioral health needs, including serious mental illness, substance use disorders, and co-occurring medical conditions. This role involves care coordination, community resource navigation, trauma-informed care, and addressing social determinants of health. Additionally, the role will involve closing preventive care gaps, improving treatment engagement, and developing integrated care plans that address both medical and behavioral health needs. Case management and managed care experience is preferred.

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 healthcare professionals 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 outreach and management.

• Promotes integration of services for members including behavioral health 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 related 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 related 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.

• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Case Manager (CCM).

• Experience working with adults with serious mental illness (SMI), substance use disorders (SUD), co-occurring behavioral and physical health conditions, and complex psychosocial needs.

• Knowledge of community-based behavioral health resources, housing programs, social services, and care coordination across multiple systems of care.

• Experience identifying and addressing gaps in preventive care, medication adherence, and behavioral health treatment engagement through proactive outreach and member-centered interventions.

• Understanding of trauma-informed care, motivational interviewing, recovery-oriented practices, and person-centered care planning.

• Ability to integrate medical, behavioral health, and social determinants of health considerations into comprehensive care plans.

• Familiarity with behavioral health clinical guidelines, health equity principles, crisis intervention, and risk assessment strategies.

• Case management, care management, and managed care experience is strongly preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $61.79 / HOURLY

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