Care Manager

Centene Corporation; Tallahassee (FL); Remote; 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

Flexible work arrangements (remote/hyb

Job summary

Centene Corporation is seeking a Remote Behavioral Health Care Manager based in Florida to support complex care management for mental health and substance use needs. The role requires an active Florida license and a Master’s degree in Behavioral Health, Social Work, or Nursing, with 2–4 years of related experience.

You will assess needs via phone or in-home visits, coordinate with families and providers, and develop ongoing care plans while ensuring regulatory compliance and patient education.

Qualifications

• Master's degree in Behavioral Health or Social Work or Nursing with 2–4 years related experience.
• Licensed Master Behavioral Health Professional or RN per state contract requirements with BH experience; pediatric care experience preferred.

Responsibilities

• Develops, assesses, and facilitates complex care management activities for mental and behavioral health needs to provide high quality, cost-effective outcomes.
• Evaluates member needs via phone or in-home visits and recommends care plans or service plans.
• Coordinates between member/family, caregivers, community resources, and care team to ensure services are accessible.
• Monitors care plans and member status; provides recommendations based on treatment changes.
• Collects, documents, and maintains member information to ensure regulatory compliance.
• Provides education to members and families on procedures, treatment options, referrals, and benefits.

Skills

Medicaid experience

Pediatric experience

In-home visit capability

Care coordination

Education

Master's degree in Behavioral Health or Social Work or Nursing

2–4 years related experience

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 position is remote/work from home and qualified applicants must reside in the state of Florida and hold and active Florida licensure as listed below. The work schedule is Monday-Friday 8am - 5pm eastern time zone. Strongly preferred: Medicaid experience with Foster Care or adoptions and minimum of 1 year pediatric experience. 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 Developing 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; one year of related professional pediatric care experience.

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

• 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 History Consideration

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