Care Manager - Must live in UT

• 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, face-to-face 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, long-term 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. 
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 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.

• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.

• 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 detail-oriented 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 self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

• Excellent problem-solving and critical-thinking 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).

 

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. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V