Care Manager

Centene Corporation; Georgia; Hybrid; USD 70,000 - 90,000; 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 with remote/hybrid/field

Job summary

Centene Corporation is seeking a remote Care Manager in Georgia focused on mental health and substance use care coordination. The role requires an active RN license or a Licensed Master’s Behavioral Health Professional credential and 2–4 years of related experience.

The ideal candidate will have strong telephonic communication, coordination skills, and the ability to assess member needs and develop comprehensive care plans, while complying with regulatory requirements.

Qualifications

• Master's degree in Behavioral Health or Social Work or nursing degree required
• Active RN license or Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, or LPC) per state contract
• 2–4 years of related experience
• Must reside in Georgia and hold Georgia license/credential

Responsibilities

• Evaluate member needs by phone or home visits and develop care/service plans.
• Conduct telephonic, digital, home outreach to assess needs.
• Develop care plans for high-acuity members and coordinate providers.
• Coordinate between member, family, resources, and care team to ensure services are accessible.
• Monitor care plans and outcomes; adjust as needed.
• Facilitate care coordination to ensure timely access to services.
• Collect and maintain member information per regulations.
• Educate members and families on procedures and benefits.
• Provide leadership with feedback to improve care and cost-effectiveness.
• Perform other duties; comply with policies.

Skills

Time management

Assessment skills

Telephonic experience

Communication skills

Customer service

Behavioral health knowledge

Organizational skills

Computer skills

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 is a remote position, but applicants must reside in Georgia. Candidates must hold an active RN license or a Licensed Master’s Behavioral Health Professional credential, such as LCSW, LMSW, LMFT, LMHC, or LPC. The ideal candidate will have strong time management and assessment skills, telephonic experience, excellent communication and customer service skills, behavioral health knowledge, strong organizational skills, and be comfortable working with computers.

• 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.

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

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.

• 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

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