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

JOB DESCRIPTION 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. Essential Job Duties u2022 Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. u2022 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. u2022 Conducts telephonic, face-to-face or home visits as required. u2022 Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. u2022 Maintains ongoing member caseload for regular outreach and management. u2022 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. u2022 Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. u2022 Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. u2022 Assesses for barriers to care, provides care coordination and assistance to member to address concerns. u2022 Collaborates with licensed care managers/leadership as needed or required. u2022 25- 40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications u2022 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. u2022 Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. u2022 Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. u2022 Demonstrated knowledge of community resources. u2022 Ability to operate proactively and demonstrate detail-oriented work. u2022 Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. u2022 Ability to work independently, with minimal supervision and self-motivation. u2022 Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. u2022 Ability to develop and maintain professional relationships. u2022 Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. u2022 Excellent problem-solving and critical-thinking skills. u2022 Strong verbal and written communication skills. u2022 Microsoft Office suite/applicable software program(s) proficiency. u2022 In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). Preferred Qualifications 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 #PJHS #HTF Pay Range: $24 - $46.81 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Created: 2025-10-10