Care Manager

Meridian; Illinois; On-site; USD 55,000 - 99,000; Full time

Job summary

Join a leading healthcare organization as a Care Manager in Illinois, focusing on mental and behavioral health care management. You will develop personalized care plans, coordinate with providers, and ensure members receive the necessary support while working with a comprehensive benefits package.

Benefits

Comprehensive benefits package

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work options

Qualifications

• 2 - 4 years of related experience required.
• Licensed Master's Behavioral Health Professional (LCSW, LMSW, etc.) needed.
• Applicant must reside in Illinois.

Responsibilities

• Develop care plans for members with mental health needs.
• Collaborate with community resources and monitor member status.
• Educate members on healthcare options and coordinate care.

Skills

Care coordination

Mental health knowledge

Behavioral health experience

Communication

Education

Master's degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Job description

Join to apply for the Care Manager role at Meridian of Illinois.

1 week ago Be among the first 25 applicants.

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.

Must Reside In IL Required

Applicants must reside in Illinois and live in one of the following counties: Bond, Clay, Clinton, Crawford, Effingham, Fayette, Jasper, Lawrence, Madison, Marion, Monroe, Randolph, Richland, St. Clair, or Washington.

Experience working with DCFS (Department of Children and Family Services) is helpful.

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.

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.
• For Illinois Youth Care plan only: Graduate degree and independently licensed behavioral health clinician (e.g., LCSW, LCPC, PsyD) in Illinois or Bachelor’s Degree and IL RN licensure.
• Must reside in IL 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. Total compensation may also include additional forms of incentives.

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.