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Case Manager - Behavioral Health

Molina Healthcare Tidewater, Virginia; Portsmouth Heights, Virginia; Suffolk, Virginia; Virginia Beach, Virginia; Chesapeake, Virginia; Norfolk, Virginia Job ID 2018316
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As a Case Manager, you will work 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.

  • Full Time
  • Level: Mid-Level
  • Travel: Yes

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Success Profile

What makes you a successful Case Manager at Molina Healthcare? Check out the traits we're looking for and see if you're the right fit.

  • Consultative
  • Patient
  • Analytical
  • Quick-Thinking
  • Compassionate
  • Problem-Solver

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I love working at a company that sees our members as people not numbers and allow employees to provide individual care to meet the member’s needs.

-Lori K. MS, BSW, CADC, Case Manager

If they feel someone cares about them, they are more likely to care for themselves, and their health, in return. Sometimes we have to be their only friend.

-Joanne J., Case Manager

A member’s care is enhanced when their care providers think deeply about their situation and then offer assistance and guidance.

-Brent A., Case Manager

Benefits

  • Insurance

    Medical · Dental · Vision
    Group & Voluntary Life Insurance
    Aflac · Pet Health · Identity Theft
    Auto & Home Insurance

  • Savings

    Flexible Spending Accounts
    401K · Roth 401K
    Employee Stock Purchase Plan

  • Career Growth

    Continuing Education Units
    Education Reimbursement

  • Time Off

    Paid Time Off
    Volunteer Time Off
    Company Holidays

  • Additional Perks

    Legal Assistance Plan
    Employee Assistance & Well Being Programs
    Employee Perks Platform
    Rideshare Portal

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Responsibilities

Job Description

Case Manager will work in remote and field setting supporting our Medicaid Behavioral Health Population with Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. 

Home office with internet connectivity of high speed required.

TRAVEL (25% or less) in the field to do member visits in the surrounding areas will be required:  Southside Hampton Roads (Tidewater Area) - Virginia Beach, Norfolk, Portsmouth, Chesapeake, Suffolk

Mileage will be reimbursed.

Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays.

Call Rotation one week a year. 

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.

Job Duties

• 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. 

  • Operates under productivity and outcome standards

• 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:

Graduate from an Accredited School of Nursing 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/KNOWLEDGE, SKILLS & ABILITIES:

  • 2+ years in case management, disease management, managed care or medical or behavioral health settings.
  • Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care
  • 2+ years with discharge planning coordination from different care settings
  • Excellent communication skills, both verbal and written.
  • Minimum of 1-3 years data entry skills and minimum 1+ years’ experience utilizing a clinical platform.  
  • Knowledge and experience with coordination specific to behavioral health “whole person” care principles
  • Knowledge and experience managing chronic health conditions.
  • Min 2+ years’ experience with Microsoft applications: PowerPoint, Excel, Word
  • 2+ years’ experience using a Clinical documentation software/platform

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

  • Master’s level behavioral health therapist, to include any of the following:

Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), LMFT

  • 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.

PREFERRED EXPERIENCE:

  • 3+ years in behavioral health case management, disease management, managed care settings.
  • Field-based case management or home health experience.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Certified Case Manager (CCM),

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

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 - $51.49 an hour*

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

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 01/23/2023

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