Care Manager

RemoteWorker US; Saint Marks (FL); Remote; USD 55,000 - 99,000; Full time

Job summary

Une entreprise de soins de santé recherche un professionnel qualifié pour développer et coordonner la gestion des soins en santé mentale. Vous serez responsable d'évaluer les besoins des membres et de collaborer avec divers fournisseurs pour garantir un accès efficace aux soins. Ce poste requiert un master dans un domaine pertinent et une expérience en gestion de cas, avec une possibilité de travail local dans certaines régions de la Floride.

Benefits

Assurance santé

Plan 401K

Remboursement des frais de scolarité

Jours de congé payés

Qualifications

• Exigence de diplôme de niveau master en santé comportementale ou social.
• 2 à 4 ans d'expérience pertinente requise en gestion de cas.
• Certifications en santé comportementale nécessaires.

Responsibilities

• Développe des plans de soins personnalisés et évalue les besoins des membres.
• Coordonne les services nécessaires avec divers fournisseurs et spécialistes.
• Fournit une éducation aux membres et à leurs familles concernant les options de traitement.

Skills

Évaluation des besoins

Coordination des soins

Communication

Gestion des cas

Connaissance en santé mentale

Education

Master en santé comportementale ou travail social

Diplôme d'une école accréditée en soins infirmiers

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.

**Qualified candidates must be based in Lee, Collier, Hendry or Glades counties in the state of Florida. This position involves travel for fieldwork, including in-home visits.**

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 required

For Sunshine Health (FL) Only: Employees supporting Florida's Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience. May require up to 80% local travel 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