Care Management Specialist - RN, LBSW, LLMSW, LMSW

Job Summary

As a Care Management Specialist, you will play a critical role in coordinating integrated member care across the healthcare continuum. You will collaborate with a multidisciplinary team to help members achieve their health goals while ensuring quality and cost-effective care.

Essential Job Duties

• Conduct assessments of members within regulated timelines to identify those who may benefit from care management.
• Develop and implement personalized care plans alongside members, caregivers, healthcare professionals, and support networks.
• Engage in telephonic, face-to-face, or home visits as necessary.
• Monitor care plans regularly to assess their effectiveness, document interventions, and adjust goals based on progress.
• Maintain a caseload, providing ongoing outreach and management to members.
• Promote the integration of services including behavioral health and community resources to enhance continuity of care.
• Lead interdisciplinary care team meetings and facilitate informal collaboration among team members.
• Utilize motivational interviewing techniques and clinical guideposts to engage and support members.
• Identify and address barriers to care through effective coordination and assistance.
• Collaborate with licensed care managers and leadership as needed.
• Be prepared for estimated local travel of 25-40%, depending on contractual obligations.

Required Qualifications

Preferred Qualifications

If you are a current Molina employee interested in this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. We are proud to be an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $24 - $46.81 / HOURLY. Actual compensation may vary based on geographic location, work experience, education, and skill level.