Skip to Main Content
← Back to Jobs

Case Manager - Behavioral Health - Remote

Molina Healthcare Syracuse, NY
  • Expired: September 13, 2019. Applications are no longer accepted.

Job Description
New York Plan Specific. The contract with the New York plans requires for this role to be have what is listed below. This role cannot be staffed with a Registered Nurse.
* Minimum of Associates Degree or Advanced Degree in Behavioral Health field, example a LMHC or LMSW
* This license needs to be unrestricted license to practice independently in BH field.
* 3 years experience in MH or addictions setting.
* Experience in BH managed care or BH clinical setting.
* Knowledge and experience working with Health Homes recommended.
* CM must be in located in New York State.

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.
Knowledge/Skills/Abilities
Completes comprehensive 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 identified in 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 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/home and community to enhance the continuity of care for Molina members.
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.
25- 40% local travel required.
RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
RNs are assigned cases with members who have complex medical conditions and medication regimens
RNs conduct medication reconciliation when needed.
Job Description

New York Plan Specific. The contract with the New York plans requires for this role to be have what is listed below. This role cannot be staffed with a Registered Nurse.
* Minimum of Master Degree in Behavioral Health field, example a LMHC or LMSW
* This license needs to be unrestricted license to practice independently in BH field.
* 3 years' experience in BH or addictions setting.
* Experience in BH managed care or BH clinical setting.
* Knowledge and experience working with Health Homes recommended.
* Case Manager must be in licensed and located in New York State.
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.
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 specificregulations, or whether the Case Manager position is located within Molina's Central Programs unit.
Job Qualifications
Required Education
Master's Degree (preferably in psychology, social work or licensed mental health counselor)
Required Experience
1-3 years in case management, managed care or behavioral health settings.
Required License, Certification, Association
If licensed, 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 reliabletransportation.
Preferred Education
n/a
Preferred Experience
3-5 years in case management, managed care or behavioral health settings.
Preferred License, Certification, Association
Any of the 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), 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 joblisting.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity
Employer (EOE) M/F/D/V.
Job: **Healthcare Services*
Organization: **Health Plans*
Title: Case Manager - Behavioral Health - Remote
Location: NY-Syracuse-NYCLAY
Requisition ID: 1902433

Molina Healthcare

Address

Syracuse, NY
13203 USA