Care Manager

Centene Corp.; Fort Wayne (IN); Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corp. in Fort Wayne, IN is seeking a Care Manager to develop, assess, and facilitate complex care management for members with mental and behavioral health needs.

The role blends in-person visits with remote care management, operating Monday–Friday, 8:00 a.m.–5:00 p.m., with no weekend coverage. The position requires a Master’s degree in Behavioral Health or Social Work, or a Nursing degree, plus 2–4 years of related experience.

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.

Responsibilities

• Develops, assesses, and facilitates complex care management activities for mental and behavioral health needs.
• Evaluates member needs via phone or in-home visits and coordinates care plans.
• Coordinates between members, families, community resources, and care provider teams to ensure timely access to services.
• Collects and maintains member information to ensure regulatory compliance.

Education

Master's in Behavioral Health

Nursing degree

Job description

## Care ManagerApplylocations: Remote-INtime type: Full timeposted on: Posted Yesterdayjob requisition id: 1649682You 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.* # **Location: Fort Wayne, Indiana – Allen County / Northeast Indiana*** **Team:** Behavioral Health Care Management* **Work Arrangement: Field-based role with a combination of in-person visits and remote/phone-based care management.*** **Schedule:** Monday–Friday, 8:00 a.m.–5:00 p.m.* **Weekend/Holiday Coverage:** None required.**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 requiredPay Range: $56,200.00 - $101,000.00 per yearCentene 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.