- Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
- Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
- Conducts telephonic, facetoface or home visits as required.
- Performs ongoing monitoring of care plan 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, longterm services and supports (LTSS), and home and community resources to enhance continuity of care.
- Facilitates interdisciplinary care team (ICT) 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 licensed care managers/leadership as needed or required.
- 50% estimated local travel may be required (based upon state/contractual requirements).
- At least 1 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
- Must be a licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD), or Licensed Social Worker (LSW).
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Demonstrated knowledge of community resources.
- Ability to operate proactively and demonstrate detailoriented work.
- Ability to work within a variety of settings and adjust style as needed working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and selfmotivation.
- Ability to demonstrate responsiveness in all forms of communication, and remain calm in highpressure situations.
- Ability to develop and maintain professional relationships.
- Excellent timemanagement and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problemsolving and criticalthinking skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
- In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
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Care Manager - Toledo - Molina Healthcare Careers
Description
JOB DESCRIPTION
You could be just the right applicant for this job Read all associated information and make sure to apply.
Job Summary
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum.
Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Candidates must live in one of these counties:
Delaware, Franklin, Madison, Pickaway, Union
Butler, Hamilton, Warren, Clinton, Clermont
Essential Job Duties
To all current Molina employees:
If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. xhmxlyz Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
#PJHS3
#LI-AC1
#HTF
Pay Range:
$24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Care Manager
Molina Healthcare Careers- Toledo
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Care Manager
Only for registered members Toledo, Ohio, United States
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Care Manager
Only for registered members Toledo, OH
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Care Manager
Only for registered members Toledo
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Care Manager
Only for registered members Toledo
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Care Manager PASSPORT
Only for registered members Toledo, OH,
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Care Manager, LTSS
Only for registered members Toledo, OH
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Care Manager, LTSS
Only for registered members Toledo
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Care Manager PASSPORT
Only for registered members Toledo
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Sr. Manager, Clinical Care
Only for registered members Toledo, OH
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Experience of Care, Program Manager
Only for registered members Toledo, OH
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Experience of Care, Program Manager
Only for registered members Toledo, OH
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Experience of Care, Program Manager
Only for registered members Toledo, OH
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Experience of Care, Program Manager
Only for registered members Toledo, OH
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Home Care Account Manager
Only for registered members Toledo, OH
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Territory Manager – Critical Care
Only for registered members Toledo, OH
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Experience of Care, Program Manager
Only for registered members Toledo
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Experience of Care, Program Manager
Only for registered members Toledo
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Experience of Care, Program Manager
Only for registered members Toledo
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Experience of Care, Program Manager
Only for registered members Toledo