Care Manager (Remote) Roswell, NM

About the role

The Medicaid Care Manager will support members to manage their health conditions through a combination of phone calls and in-person meetings. The position requires excellent computer skills and attention to detail to multitask between different systems, communicate with members, and document accurate contact notes.

Responsibilities

• Completes assessments of members per regulated timelines and determines eligibility for care coordination/care management based on identified triggers.
• Develops and implements care plans in collaboration with members, caregivers, physicians, and other health care professionals.
• Conducts telephonic, face-to-face, or home visits as necessary to monitor and evaluate the effectiveness of the care plan.
• Maintains and manages a caseload for regular outreach and care coordination.
• Promotes integration of services for members including behavioral health, LTSS, and home and community resources.
• Facilitates interdisciplinary care team meetings and informal collaborations.
• Uses motivational interviewing and Molina clinical guideposts to educate, support, and motivate members to make changes.
• Assesses barriers to care and provides assistance to members to address these concerns.
• Collaborates with licensed care managers and leadership as needed.

Requirements

• At least 2 years of experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting.
• Demonstrated knowledge of community resources.
• Ability to work independently, with minimal supervision, and self-motivate.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously.
• Strong verbal and written communication skills.
• Microsoft Office suite and applicable software proficiency.

Qualifications

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel requirements.
• Bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Skills

• Excellent computer skills.
• Attention to detail.
• Proactive problem-solving and critical thinking.
• Effective communication skills.
• Ability to work independently and with minimal supervision.
• Ability to work in a variety of settings and adjust style as needed.

Benefits

• Mileage reimbursement for local travel.

Pay

$24 - $46.81 / HOUR

Schedule

Monday through Friday, 8 AM to 5 PM Mountain Time (No weekends, no nights, no holidays). Alternative work schedules are available after 6 months: 4 10-hour shifts or four 9-hour shifts and a half-day shift.