Care Manager (BH)

Centene Corporation; Kansas; Hybrid; USD 60,000 - 82,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedule (remote/ hybrid

Job summary

Centene Corporation is seeking a care management professional to support primarily behavioral health needs for members, including education for families and personalized care planning. The role involves up to 75% local travel, remote work from home for the remainder, and a Monday–Friday schedule.

The position requires a Master’s degree in Behavioral Health or Social Work, or a Nursing degree, plus 2–4 years of related experience.

Qualifications

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

Responsibilities

• Evaluates member needs by phone or in-home visits to determine resources and creates care/service plans.
• Performs telephonic, digital, home, and 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 members/families, resources, and care teams to ensure services are accessible.
• Monitors and adjusts care plans based on treatment side effects, symptoms, and outcomes.
• Facilitates care coordination to ensure timely access to care or services.
• Documents and maintains member information to comply with state, federal, and payer regulations.
• Educates members and families on procedures, treatments, and benefits; supports behavioral health needs.
• Provides feedback to leadership to improve care delivery cost-effectively.
• Performs other duties and complies with policies.

Skills

Care management

Behavioral health

Member education

Travel readiness

Education

Master's degree in Behavioral Health or Social Work

Nursing degree (RN)

Job description

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

We are currently offering a $2,500 sign-on bonus for this position. This role supports foster care members and applicants must live in one of the following counties: Reno, Stafford, Rice, or Barton. The position requires up to 75% local travel and applicants are able to work remotely from their home the remaining time. The work schedule is Monday – Friday. We provide all necessary computer equipment and reimburse mileage at the current IRS rate.

• 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

About Centene

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.

• 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

Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Equal Opportunity

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.