Lead, HCS BH Access RN, BHSW or LCSW Remote with field travel in the NY, CT or NJ

Job Description

Job Description

Job Summary

Molina Healthcare Services (HCS) Behavioral Health Department 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 Behavioral Health staff work to ensure that members 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 support our Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for candidate with a RN, BHSW or LCSW licensure. Experience working with the Behavioral Health population is highly preferred. Strong organizational and time management skills. The candidate must have the ability to work in a high-volume environment to better serve our members. Bilingual candidates that speak Spanish or Chinese are encouraged to apply.

Monday through Friday 8:30am - 500PM along with on call shifts

Remote with occasional field travel in the Tri state area (NY, CT or NJ)

Knowledge/Skills/Abilities

Functions as a subject matter expert in the HCS-Behavioral Health Department. Responsibilities include member screening and outreach, collecting, interpreting, and utilizing data, operationalizing regulations, interface with County Behavioral Health Departments, Community agencies, Providers and other internal departments to facilitate BH access and share expertise. Collaboration across departments is integral to the role.

• Assists in training of all staff according to Department standards, policies, and procedures. Consults with the Management of HCS-Behavioral Health to devise and implement action as necessary to meet regulatory and best practice standards.
• Acts as a supportive resource to the HCS staff, facilitating HCS-Behavioral Health processes and communicating/coordinating HCS-Behavioral Health activities.
• Resolves barriers to behavioral health access through strategic collaboration.
• Assists Care Managers and may maintain a caseload for triage and service linkage.
• Collaborates with and keeps HCS-Behavioral Health Management apprised of system, and program needs.
• Generates reports and uses data in a meaningful way to promote adherence with Behavioral Health regulations and improve access to Behavioral Health services.
• As liaison to both internal and external customers on behalf of both Molina and the HCS-Behavioral Health areas, conducts self in a professional manner at all times. Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct.
• Attends/participates in departmental, company-wide, and external committees, task forces, or work groups, as assigned.

Job Qualifications

Required Education

• Any of the following:
  • Masters level Behavioral Health degree or Registered Nurse with Behavioral Health experience

Required Experience

2 years of hospital, medical clinic, or managed care experience

Required License, Certification, Association

If licensed, license must be active, unrestricted and in good standing.

Preferred Education

Master’s Degree in Behavioral Health

Preferred Experience

3-5 years clinical practice with a Behavioral Health entity or managed care

Preferred License, Certification, Association

Active and unrestricted, LCSW, LPC, LMFT, or State Registered Nursing (RN) license in good standing.

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.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $29.05 - $56.64 an hour*

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

Job Info

Job Identification: 2030384

Job Category: Clinical

Posting Date: 2025-02-26T21:29:20 00:00

Job Schedule: Full time

Salary : $29 - $57