Care Manager - Multiple Openings in FL (RN, LBSW, ...

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.    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.  • 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.  • 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).   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 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 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.  • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.  • 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).   Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS #81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-09-23