Care Manager (Behavioral Health)

Centene Corporation; New York (NY); A distancia; USD 56.000 - 101.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Holidays

Descripción de la vacante

Centene Corporation seeks a remote Care Manager to develop and facilitate complex behavioral health care plans for members with mental health and substance use needs in New Jersey. The role requires state licensure and a master's degree, with strong coordination across families, providers, and community resources.

The position includes up to 50% travel to serve Essex and Morris counties, with standard business hours and remote work options.

Formación

• Master's degree in Behavioral Health or Social Work
• Degree from an Accredited School of Nursing is acceptable
• 2–4 years of related experience

Responsabilidades

• Assess member needs by phone or in-home visits and develop care plans.
• Coordinate between member/family and providers to ensure access to services.
• Provide education to members and families on procedures and benefits.
• Monitor care plans and adjust based on outcomes.
• Perform outreach via telephonic, digital, home or site visits.
• Ensure compliance with state, federal, and payer regulations.

Descripción del empleo

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 is a remote position serving members in Essex and Morris Counties, New Jersey, with up to 50% local travel required. Candidates must reside in Essex or Morris County, or in a nearby bordering county, and the closest company office is located in Iselin, NJ. The schedule is Monday through Friday, 9:00 AM to 5:00 PM. An active New Jersey license is required for this role.

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 needsMay perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resourcesDevelops 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 disordersCoordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to membersMonitors 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 needsFacilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or servicesCollects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulatorsProvides 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 needsProvides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective mannerPerforms 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 requiredFor NJ Health Plan Only: Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required

Pay 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