Care Manager (Behavioral Health)

Centene Corporation; Phoenix (AZ); Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible remote/hybrid/office work

Job summary

Centene Corporation is seeking a remote-based Care Manager in Arizona to develop and oversee complex care plans for members with mental and behavioral health needs. The role emphasizes education, coordination with providers, and data-driven care planning to achieve cost-effective outcomes.

The position requires a Master's degree in Behavioral Health, Social Work, or Nursing and 2–4 years of related experience, with AZ residency for contract requirements.

Qualifications

• Requires Master's degree in Behavioral Health or Social Work or Nursing and 2–4 years related experience.
• Licensed Behavioral Health Professional or RN may be required for AZ Health Plan with BH experience.
• Must reside in Arizona.

Responsibilities

• Develops, assesses, and facilitates care management for mental/behavioral health needs.
• Evaluates member needs and develops care/service plans for best outcomes.
• Performs telephonic, digital, in-home visits to assess needs and coordinate resources.
• Identifies providers and community resources for care and ensures accessibility.
• Monitors plans and outcomes, adjusting care as needed and reporting changes.
• Facilitates coordination between members, families, and care teams.
• Documents member information to comply with state, federal, and payer regulations.
• Educates members and families on procedures, options, and benefits.
• Provides feedback to leadership to improve care delivery cost-effectively.
• Performs other duties as assigned and complies with policies.

Skills

Care coordination

Patient education

Telephonic outreach

Behavioral health knowledge

Education

Master's degree in Behavioral Health or Social Work or Nursing

Job description

Business Area:

Clinical & Care Management

Job Type:

Full time

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.

Location: Position is remote. Must live in Arizona.

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.

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:

• For AZ Health Plan Only: Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC, LAC) or RN based on state contract requirements with BH experience. Must reside in Arizona. required

Location: Position is remote. Must live in Arizona.

Pay Range: $56,200.00 - $101,000.00 per year

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