Remote Care Manager (BH Licensed) - MUST LIVE IN TEXAS

Molina Healthcare

Texas, TX

Remote

Who this role is best for

Aimed at mid-level behavioral health professionals with experience in case management who prefer a remote work arrangement and are comfortable with telephonic communication and travel.

Best fit for

Candidates with experience in managed care organizations and behavioral health case management
— “Applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are preferred.”
Licensed clinicians with a focus on severe mental health conditions and substance use disorders
— “Applicants should have experience caring for people with serious emotional disturbances, or severe and persistent mental health conditions, including substance abuse disorders.”
Proficient in Microsoft Office and clinical documentation systems with a preference for whole person care principles
— “Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination.”

Things to consider

The role requires a balance between remote and in-person work, with potential for local travel
— “25-40% estimated local travel may be required (based upon state/contractual requirements).”

How to stand out

Highlight experience with telephonic care coordination and motivational interviewing techniques
— “Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.”
Emphasize your ability to document interventions and monitor care plans effectively
— “Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.”
Showcase your experience in integrating behavioral health and community resources
— “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.”
Demonstrate your experience with clinical documentation software and Microsoft Office tools
— “Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note as well as experience using a clinical documentation software program.”
Demonstrate your ability to manage complex cases and coordinate care across teams
— “Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum.”

Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

develop and implement care plans
conduct telephonic and face-to-face visits
monitor care plan effectiveness

Typical background

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

Skills & requirements

Required

Behavioral Health AssessmentsCare CoordinationCase ManagementClinical DocumentationTelephonic Support

Preferred

Motivational InterviewingClinical Guideposts

Stack & domain

Microsoft Office SuiteClinical Documentation SoftwareCommunicationLeadershipCertified Case Manager (ccm)HealthcareMental Health

About the role

Original posting from Molina Healthcare

JOB DESCRIPTION
Opportunity for a TX licensed Behavioral Health Professional (LPC, LMSW, or LCSW) to join Molina to work with our Medicaid members who have Behavioral Health needs that may include moderate to complex cases requiring care coordination. Applicants should have experience caring for people with serious emotional disturbances, or severe and persistent mental health conditions, including substance abuse disorders. Most of the responsibilities will be managed telephonically, but there may be rare instances where meeting with a member in person may be needed. We are accepting applications from qualified candidates who reside anywhere in Texas; applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are preferred. Hours are M – F, 8 AM – 5 PM in your time zone.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note as well as experience using a clinical documentation software program.
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.
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, 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 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 in behavioral health care management.
Field-based care management or home health experience.
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

Source: Molina Healthcare careers