Care Manager (RN or LSW) Remote in Detroit Michigan Area

Molina Healthcare • Sterling Heights, MI, USA • 1d ago

Job Description:

Provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate the integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to the overarching strategy to provide quality, cost-effective member care.

Essential Job Duties:

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 plans in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals and the member's support network to address 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 an ongoing member caseload for regular outreach and management.
Promotes integration of services for members, including behavioral health, support, 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

Required Qualifications:

A minimum of 2 years of experience in health care, preferably in home care, care management, or a medical and/or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure as a Registered Nurse or a licensed Social Worker (LSW, LMSW, LCSW) in Michigan is required.
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 proactively and demonstrate attention to detail.
Ability to work within a variety of settings, adjusting style as needed when working with diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate 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, with the ability to manage multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Proficiency in Microsoft Office Suite and other applicable software programs.