Care Manager

centene; Town of Florida (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

Flexible work schedules

Job summary

Centene is seeking a Care Manager to develop, assess, and facilitate complex care management activities for members with mental and behavioral health needs, delivering high-quality, cost-effective outcomes.

This full-time remote role requires a Master’s in Behavioral Health or related field, 2-4 years of experience (Medicaid/pediatric preferred), and licensure options (LCSW, LMSW, LMFT, LMHC, LPC, or RN). You will coordinate care, educate families, and ensure timely access to services.

Qualifications

• Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing.
• 2 - 4 years of related experience, with a preference for Medicaid experience and pediatric care.
• Licenses required: LCSW, LMSW, LMFT, LMHC, LPC, or RN based on state contract requirements with behavioral health experience.

Responsibilities

• Evaluate member needs via phone or in-home visits and recommend/facilitate care plans.
• Perform telephonic, digital, home, and/or other site visits outreach to assess member needs.
• Develop ongoing care plans for members with high acuity and identify necessary providers and resources.
• Coordinate between members, families, community resources, and care provider teams.
• Monitor care plans and member status for changes in treatment and provide recommendations.
• Facilitate care coordination and collaborate with providers to ensure timely access to services.
• Collect, document, and maintain member information to ensure compliance with regulations.
• Provide education to members and families on procedures, treatment options, and healthcare benefits.
• Provide feedback to leadership on opportunities to improve care delivery.
• Perform other duties as assigned and comply with all policies and standards.

Education

Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing

Job description

About This Role

The Care Manager develops, assesses, and facilitates complex care management activities primarily for members with mental and behavioral health needs, aiming to provide high-quality, cost-effective healthcare outcomes.

Highlights

• Pay: $56,200 - $101,000/year
• Location: Remote, FL
• Schedule: Full Time, Monday-Friday, 8am - 5pm ET
• Residency: Must reside in Florida

What You'll Do

• Evaluate member needs via phone or in-home visits and recommend/facilitate care plans.
• Perform telephonic, digital, home, and/or other site visits outreach to assess member needs.
• Develop ongoing care plans for members with high acuity and identify necessary providers and resources.
• Coordinate between members, families, community resources, and care provider teams.
• Monitor care plans and member status for changes in treatment and provide recommendations.
• Facilitate care coordination and collaborate with providers to ensure timely access to services.
• Collect, document, and maintain member information to ensure compliance with regulations.
• Provide education to members and families on procedures, treatment options, and healthcare benefits.
• Provide feedback to leadership on opportunities to improve care delivery.
• Perform other duties as assigned and comply with all policies and standards.

Requirements

Education

• Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing

Experience

• 2 - 4 years of related experience, with a preference for Medicaid experience and pediatric care

Licenses & Certifications

• One of the following licenses required: LCSW, LMSW, LMFT, LMHC, LPC, or RN based on state contract requirements with behavioral health experience

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges and a dedicated team.