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Care Manager

Centene Corporation

Arkansas

Remote

USD 55,000 - 99,000

Full time

Yesterday
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Job summary

Centene Corporation seeks a Care Manager to develop and facilitate care management for mental and behavioral health members. This remote role requires behavioral health experience and a master's degree or equivalent nursing background, focusing on personalized care plans and member coordination.

Benefits

Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible work schedules

Qualifications

  • Requires Master's degree or accredited nursing degree.
  • 2-4 years of related experience required.
  • Licensure as a Licensed Master's Behavioral Health Professional or RN needed.

Responsibilities

  • Develops and facilitates care management activities for mental and behavioral health.
  • Evaluates member needs and coordinates care plans.
  • Provides education to members and monitors care outcomes.

Skills

Behavioral Health Experience
Care Coordination
Mental Health Knowledge

Education

Master's degree in Behavioral Health or Social Work
Degree from an Accredited School of Nursing

Job description

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

This is a remote role. Candidate must have BH experience and reside is CST time zone.

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.

  • 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 $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

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

Seniority level
  • Seniority level
    Not Applicable
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Health Care Provider
  • Industries
    Hospitals and Health Care and Insurance

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