Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.
Serves as liaison between plan and community Mental Health and Alcohol and Drug agencies/services to facilitate the care coordination process and to ensure the provision of Behavioral Health (BH) as a benefit of managed care.
Participates in community BH meetings that include the plan, County/Health Care Authority Services, county-based BH organizations, and others to ensure program integrity, and identify areas for development.
Ensures adherence of the terms of the MOUs between plan and community service organizations.
Serves as community liaison to BH advocacy groups, non-contracted community partners, service organizations, etc. specific to BH. Assists in community outreach activities to improve awareness of Molina Healthcare's involvement in BH service management and health promotion.
Assists with development and implementation of policies and procedures for referral process, care coordination, and other administrative and clinical processes as needed.
Develops and facilitates plan training on BH and community service organization/county agency training on Managed Care.
Collaborates with UM and CM Directors/Managers in coordinating clinical consultation of BH cases as part of the integrated care coordination team.Job Qualifications
Master's Degree in Social Work, Psychology, or other Behavioral Health field
Min. 3 years post-graduate social work/behavioral health experience in an outpatient or inpatient setting; behavioral health case management in a clinical or managed care setting; knowledge of county mental health systems and of substance abuse conditions and treatment modalities.
Required License, Certification, Association
Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC or state equivalent), Licensed Marriage and Family Therapist (LMFT), or Licensed Psychologist.
Must be Certified to practice in specific State
3-5 years post-graduate experience
Experience managing care in higher levels of BH treatment such as Intensive Outpatient or Partial Hospitalization Programs and inpatient acute psychiatry.
Extensive knowledge of county mental health/substance abuse systems and social support resources.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.