Behavioral Health Care Manager (LCSW or LMHC)

Job Summary

The Behavioral Health Care Manager plays a crucial role in enhancing care management and coordination activities, working alongside a multidisciplinary team to ensure the integrated delivery of exceptional member care throughout the continuum. This position actively contributes to achieving desired health outcomes while supporting the overarching goal of providing high-quality, cost-effective care for our members.

In this role, you will focus on our Behavioral Health Care Management program, bringing your expertise in behavioral health conditions and substance use disorders to the forefront. You will have a solid understanding of available behavioral health services, resources, and community supports. Additionally, your skills in closing HEDIS and preventive care gaps through proactive outreach and coordination with members and providers will be highly valued. Experience in integrating both medical and behavioral health needs in care planning will further strengthen your contributions. You must also be well-versed in clinical guidelines, social determinants of health, and health equity principles. Prior experience in case management and managed care is strongly preferred.

This is a remote position based in New York, with a required New York LCSW or LMHC licensure.

Work schedule : Monday - Friday, 8 : 30 AM to 5 : 00 PM EST.

Essential Job Duties

• Conduct comprehensive behavioral health assessments for members within regulated timelines, identifying candidates for care coordination based on clinical judgment and changes in health or psychosocial wellness.
• Collaborate with members, caregivers, physicians, and healthcare professionals to develop and implement individualized care plans that address member needs and aspirations.
• Perform telephonic, in-person, or home visits as necessary.
• Continuously monitor care plans to assess effectiveness, document interventions and achievements, and recommend adjustments as needed.
• Maintain a regular caseload of members for ongoing outreach and management.
• Facilitate the integration of behavioral health services and community resources to ensure continuity of care.
• Lead interdisciplinary care team meetings and foster informal collaboration among team members.
• Utilize motivational interviewing techniques alongside Molina's clinical guidelines to educate, support, and encourage members through their care journey.
• Identify and address barriers to care, providing coordination and assistance for members as needed.
• Offer resources and recommendations to peers as required.
• Local travel (25-40%) may be necessary based on state or contractual obligations.

Required Qualifications

Preferred Qualifications

Molina Healthcare is dedicated to providing a competitive benefits and compensation package and is an Equal Opportunity Employer (EOE) M / F / D / V.