Care Manager at Centene Corporation Olympia, WA

Hong Kong Study Skills Research Institute; Olympia (WA); On-site; USD 55,100 - 99,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene Corporation in Olympia, WA is looking for a Care Manager to develop and facilitate complex care management activities for members primarily dealing with mental health and substance use disorders. The ideal candidate will have a Master's degree in Behavioral Health or Social Work and specific licenses as required by Washington state.

Responsibilities include evaluating member needs, coordinating care, and monitoring treatment outcomes. Centene offers competitive pay ranging from $55,100 to $99,000 along with a comprehensive benefits package that supports work-life flexibility.

Qualifications

• Licensed master's behavioral health professional or RN required based on state contract.
• 2 - 4 years of related experience preferred.
• Must reside in Washington State.

Responsibilities

• Develop and facilitate complex care management activities for members.
• Evaluate member needs via phone or in-home visits.
• Monitor care plans and member status for outcomes and changes.

Skills

Licensed Clinical Behavioral Health Professional or RN

Strong Behavior Health / Substance Abuse experience

Education

Master's degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Job description

Care Manager job at Centene Corporation. Olympia, WA. 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.

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

Ideal Candidate Experience

We are seeking a Licensed Clinical Behavioral Health Professional or RN to join our team! The ideal candidate will bring expertise in:

• Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC, and RN with BH experience
• Strong Behavior Health / Substance Abuse experience
• Must reside in WA State

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

$55,100.00 - $99,000.00 per year.

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 Employer

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.