Behavioral Health Care Manager

Centene Corporation; Kentucky; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote/hyb

Job summary

Centene Corp seeks a Behavioral Health Case Manager for a fully remote position serving Kentucky members. You will develop and assess complex care plans for mental health and substance use needs, coordinating with families and providers to ensure timely, effective care.

Preferred candidates hold a KY license (LCSW/LMSW/LMFT/LMHC or RN with BH experience) with 2–4 years in case management and a Master’s degree in Behavioral Health, Social Work, or a nursing degree.

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work or a degree from an Accredited School of Nursing.
• 2–4 years of related experience in case management or mental health services.
• Active Kentucky licensure (LCSW/LPCC or RN with BH experience) per state contract.

Responsibilities

• Evaluates member needs and develops/co-facilitates care plans for behavioral health and related social determinants.
• Coordinates between member, family/caregivers, and providers to ensure access to services.
• Monitors care plans and outcomes, adjusting as needed for changes in treatment or symptoms.
• Provides education to members and families on procedures, options, and benefits.
• Complies with current policies, standards, and regulatory requirements.

Skills

Case management

Behavioral health

Care coordination

Patient education

Education

Master's in Behavioral Health or Social Work

Nursing degree (Accredited School of Nursing)

Job description

Position Purpose

Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

Key Details

This fully remote role involves completing case management related tasks for members receiving complex behavioral health services in the state of Kentucky. The schedule is Monday through Friday, 8-5 PM eastern. Preference will be given to applicants who (1) reside in Kentucky or its bordering states Ohio, Indiana, West Virginia, or Tennessee, (2) have an Active independent Kentucky licensure (especially an LCSW or LPCC) as well as (3) experience with case management and mental health services including serious mental illness (SMI) or substance use disorder.

Responsibilities

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.

License/Certification

• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

Pay Range

Pay Range: $56,200.00 - $101,000.00 per year

About Centene

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Equal Opportunity Statement

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Additional Considerations

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act