Molina Healthcare
BH Care Manager LMFT, LCSW or LMHC Remote based in New York
Molina Healthcare, New York, New York, us, 10261
Job Summary
The Care Manager (BH) provides support for care management/care coordination activities and collaborates with the multidisciplinary team to coordinate integrated delivery of member care across the continuum. The role strives to ensure member progress toward desired outcomes and contributes to the overarching strategy to provide quality and cost-effective member care.
The Care Manager will be supporting our New York HARP Adult Behavioral Health program. Candidates with a New York LMFT, LCSW or LMHC licensure and previous case/care management or managed care experience, particularly within adult behavioral healthcare and substance use, are highly preferred. Further details will be discussed during the interview process.
Remote position, must reside in New York; preferably Syracuse, Bronx, New York City.
Work schedule: Monday - Friday 8:30 AM to 5:00 PM EST.
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 plans in collaboration with member, caregiver, physician, and 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 plans 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 members to address concerns.
May provide consultation, resources, and recommendations to peers as needed.
25-40% estimated local travel may be required based on state/contractual requirements.
Required Qualifications
At least 2 years of healthcare experience, preferably in behavioral health, or an equivalent combination of relevant education and experience.
Licensed behavioral health clinician, including LCSW, APSW, CHES, LPC, LPCC, LMFT, Doctor of Psychology (PhD or PsyD) or equivalency, with an active, unrestricted license in the state of practice.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel requirements.
Experience working with persons with severe and persistent mental health concerns and serious emotional disturbances, including 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.
Proficiency with Microsoft Office suite and applicable software programs.
Preferred Qualifications
Certified Case Manager (CCM).
Experience in behavioral health care management.
Field‑based care management or home health experience.
Pay Range: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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The Care Manager will be supporting our New York HARP Adult Behavioral Health program. Candidates with a New York LMFT, LCSW or LMHC licensure and previous case/care management or managed care experience, particularly within adult behavioral healthcare and substance use, are highly preferred. Further details will be discussed during the interview process.
Remote position, must reside in New York; preferably Syracuse, Bronx, New York City.
Work schedule: Monday - Friday 8:30 AM to 5:00 PM EST.
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 plans in collaboration with member, caregiver, physician, and 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 plans 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 members to address concerns.
May provide consultation, resources, and recommendations to peers as needed.
25-40% estimated local travel may be required based on state/contractual requirements.
Required Qualifications
At least 2 years of healthcare experience, preferably in behavioral health, or an equivalent combination of relevant education and experience.
Licensed behavioral health clinician, including LCSW, APSW, CHES, LPC, LPCC, LMFT, Doctor of Psychology (PhD or PsyD) or equivalency, with an active, unrestricted license in the state of practice.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel requirements.
Experience working with persons with severe and persistent mental health concerns and serious emotional disturbances, including 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.
Proficiency with Microsoft Office suite and applicable software programs.
Preferred Qualifications
Certified Case Manager (CCM).
Experience in behavioral health care management.
Field‑based care management or home health experience.
Pay Range: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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