Behavioral Health Care Manager

Centene Management Company LLC; Kentucky; Hybrid; USD 60,000 - 85,000; Full time

Job summary

Centene Management Company LLC is seeking a fully remote Case Manager specialized in behavioral health for Kentucky. You will assess needs, develop care plans, and coordinate with providers to deliver high-quality outcomes.

Requirements include a Master's in Behavioral Health or Social Work or a Nursing degree, plus active Kentucky licensure (LCSW/LPCC preferred) and 2–4 years of related experience in case management for mental health and substance use disorders.

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work or a Nursing degree and 2-4 years of related experience.
• Active independent Kentucky licensure (LCSW/LPCC preferred) and experience with case management in behavioral health.

Responsibilities

• Develops and coordinates complex care plans for behavioral health needs.
• assesses member needs via phone or home visits and coordinates services.
• Provides education to members and families on treatment options and resources.
• Ensures compliance with state, federal, and payer regulations.

Skills

Case management

Behavioral health

Telephonic outreach

Education & coaching

Education

Master's degree 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.

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 H to Adult;**