Care Manager

Managed Health Services (MHS); Indiana (PA); Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene is seeking a Behavioral Health Care Manager to support 28 million members with a field-based role in Fort Wayne, IN. This position blends in-person visits and remote care management, with a Monday–Friday 8:00 a.m.–5:00 p.m. schedule.

Responsibilities include evaluating member needs, developing care plans, coordinating with providers, and educating families on treatment options and benefits. Strong BH/SSW or nursing background and licensure required.

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work, or a Nursing degree.
• 2–4 years of related experience.
• Licensed Master’s Behavioral Health Professional or RN per state contract requirements.

Responsibilities

• Evaluates member needs via phone or in-home visits and facilitates care plans.
• May conduct telephonic, digital, home or other outreach to assess needs.
• Develops ongoing care plans for high-acuity members and coordinates with providers.

Skills

Care management

Telephonic outreach

Member education

Documentation

Education

Master's degree in Behavioral Health or Social Work

Nursing degree from Accredited School

Tools

Electronic Health Records (EHR)

Job description

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.

• 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:

• 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: $56,200.00 - $101,000.00 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