What are the responsibilities and job description for the Case Manager - Behavioral Health position at Molina Healthcare?
Job Description
For this position we are seeking a Licensed Clinical Social Worker who lives in Connecticut and must be licensed for the state of Connecticut.
LCSW Case Manager residing in the state of CT, will work in remote setting supporting our Medicare, Marketplace and DSNP Population in the state of CT. You will complete telephonic phone assessments, create care plans, education / connect members to resources. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns / health needs. 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.
Schedule : Monday thru Friday 8 : 00AM to 5 : 00PM EST. - (Must be able to work one day a week from 11 : 30 AM to 8 PM EST. (No weekends or Holidays)
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 QUALIFICATIONS :
PREFERRED QUALIFICATIONS :
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 : $26.41 - $51.49 / HOURLY
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 : 02 / 23 / 2025
Salary : $26 - $51
