Care Manager - Behavioral Health

Centene Corp.

Missouri

Teletrabalho

USD 56 000 - 101 000

Tempo integral

Há 3 dias
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Resumo da oferta

Centene seeks a Care Manager - Behavioral Health to develop and coordinate complex care plans for Medicaid members across Missouri. The role is remote from anywhere in Missouri, with a Monday–Friday schedule and a focus on mental health and substance use care.

Requirements include a Master’s in Behavioral Health or Social Work, plus 2–4 years of related experience and a licensed BH professional or RN per state contract. Pay range is provided in the posting.

Qualificações

  • Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing with 2–4 years of related experience.
  • Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC) or RN per state contract requirements.

Responsabilidades

  • Evaluates member needs via phone or in-home visits to facilitate care plans.
  • Develops ongoing care plans and identifies providers and community resources.
  • Coordinates between member/family and care teams to ensure access to services.
  • Monitors care plans and outcomes; suggests adjustments as needed.
  • Educates members and families on procedures, referrals, and benefits.

Conhecimentos

Care management
Behavioral health
Assessment skills
Education outreach

Formação académica

Master's degree in Behavioral Health
MSW or nursing degree

Ferramentas

RN
LCSW/LMSW/LMFT/LMHC

Descrição da oferta de emprego

Care Manager - Behavioral Health### Care Manager - Behavioral HealthApply: Remote-MO: Full time: Posted Today: 1671635**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:** Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports Medicaid members with behavioral and physical health needs from birth to 65. The work schedule is Monday – Friday, 8am – 5pm.* 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 requiredPay Range: $56,200.00 - $101,000.00 per year **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, 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.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
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