Care Manager (Behavioral Health)

Health Net; California; Hybride; USD 37 000 - 67 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules (remote,Hybrid

Office or field work options

Résumé du poste

Centene is seeking a California‑licensed behavioral health professional to develop and coordinate complex care management for members with mental health and substance use needs. The role requires a California license and master’s level education, with 2–4 years of related experience, and offers flexible work options.

The position focuses on evaluating needs, creating care plans, coordinating with care teams, and educating members and families to improve outcomes while complying with regulatory

Qualifications

• California licensed master's behavioral health professional required.
• Master's degree in Behavioral Health or Social Work or a degree from an accredited school of nursing with BH experience.
• 2–4 years of related experience.

Responsabilités

• Evaluates member needs via phone or in‑home visits and facilitates care plans or service plans.
• Performs telephonic, digital, home or other site visits to assess needs and coordinate resources.
• Develops ongoing care plans for high-acuity members and identifies providers and community resources.
• Coordinates between member/family and care team to ensure services are accessible.
• Monitors care plans and outcomes, noting changes in symptoms or treatment side effects.
• Facilitates care coordination with providers to ensure timely access to needed care.
• Collects and maintains member information to comply with state, federal, and payer rules.
• Provides education to members and families about procedures, options, referrals, and benefits.
• Provides feedback to leadership on opportunities to improve care and delivery in a cost‑effective manner.
• Performs other duties as assigned and complies with policies.

Formation

Master's degree in Behavioral Health / Social Work / Nursing (BH)

Description du poste

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:

California Licensed Master's Behavioral Health Professional required. California residency preferred; must work PST hours.

• 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
• Must be licensed in California.

Pay Range: $27.02 - $48.55 per hour

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.

Centene offers a comprehensive benefits package including:

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

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