Care Manager

Centene Corporation; New York (NY); On-site; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work

Job summary

Centene Corporation is seeking a field-based Care Manager to develop and coordinate complex care plans for members with mental health and substance use needs. The role emphasizes strong communication, assessment, and collaboration with families, caregivers, and community resources.

The position requires an active clinical license or master’s level BH credential and offers a comprehensive benefits package. Applicants should be prepared for a Monday–Friday schedule and in-home or telephonic

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work or a Nursing degree with BH experience.
• Experience in behavioral health care settings and with complex care management is preferred.
• Excellent communication, assessment, and documentation skills required.

Responsibilities

• Evaluates member needs via phone or in-home visits and develops care/service plans.
• Coordinates with family, caregivers, and providers to ensure timely access to services.
• Provides education to members and families on procedures, options, and benefits.
• Monitors outcomes and updates care plans based on changes in condition or needs.

Skills

Communication

Customer service

Assessment skills

Field-based

Education

Master's degree in Behavioral Health or Social Work

Tools

Electronic Health Records

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 field-based position, and applicants must reside in Oklahoma, Canadian, Cleveland, or Logan County, Oklahoma. 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 experience working with children, foster care, and/or the juvenile justice system. Candidates should also be computer savvy and possess excellent communication, customer service, and assessment skills. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.

Responsibilities

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 needsMay perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resourcesDevelops 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 disordersCoordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to membersMonitors 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 needsFacilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or servicesCollects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulatorsProvides 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 needsProvides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective mannerPerforms 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

About Centene

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.

Benefits

• 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.

Equal Opportunity & Diversity

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.

Criminal Record Consideration

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