Field Care Manager (Warren MI)- RN, LBSW, LLMSW,LMSW

JOB

DESCRIPTION

Job

Summary

This is a

field based position located in Warren , Michigan. Candidates must

live in the city of Warren, or within 20 miles of this

location.

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.

KNOWLEDGE / SKILLS / ABILITIES

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.

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 :

Any of the following :

Bachelor's or

Master's Degree (preferably in a social science, psychology,

gerontology, public health or social work or related

REQUIRED

EXPERIENCE : 1-3 years in case

management, disease management, managed care or medical or

behavioral health settings.

REQUIRED LICENSE, CERTIFICATION,

ASSOCIATION : If license required

for the job, 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 : 1-3 years in case

management, disease management, managed care or medical or

behavioral health settings.

PREFERRED LICENSE, CERTIFICATION,

ASSOCIATION : If license required

following :

Licensed Clinical Social Worker

(LCSW), Advanced Practice Social Worker (APSW), Certified Case

Manager (CCM), Certified in Health Education and Promotion (CHEP),

Licensed Professional Counselor (LPC / LPCC), Respiratory Therapist,

or Licensed Marriage and Family Therapist (LMFT).

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.

#PJHS3

Pay Range : $24 - $46.81 / HOURLY

• Actual compensation may vary from posting based on

geographic location, work experience, education and / or skill

level.