Care Manager (BH - Foster Care)

Centene Corporation; Missouri; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Remote work options

Flexible work schedule

Tuition reimbursement

Job summary

Centene Corporation is seeking a Behavioral Health Care Manager to develop and coordinate care plans for mental health and substance use needs. The role involves evaluating member needs, coordinating with providers, and educating families to improve outcomes.

The position requires a Master's in Behavioral Health or Social Work and a BH license (LCSW/LMSW/LMFT/LMHC/LPC) or RN with relevant experience. It offers flexible work options (remote/ hybrid/ field) and an annual pay range reflected below.

Qualifications

• 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.
• Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, or LPC) or RN per state contract requirements with BH experience.

Responsibilities

• Evaluates member needs via phone or in-home visits and facilitates care/service plans.
• Facilitates telephonic, digital, home or 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, resources, and care teams to ensure access to services.
• Monitors plans and outcomes, providing recommendations based on member needs.
• Drives care coordination and ensures timely access to care or services.
• Collects and maintains member data to comply with state/federal and payer regulations.
• Educates members and families on procedures, treatment options, and benefits.
• Provides leadership feedback to improve care delivery and cost-effectiveness.
• Performs other duties as assigned.

Skills

Care coordination

Patient education

Communication

Documentation

Education

Master's degree in Behavioral Health or Social Work

Job description

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.

**Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This position will work with children in the Foster Care system. The schedule is Monday - Friday, 8am - 5pm. An LCSW, LMSW, LMFT, LMHC, or LPC license is strongly preferred.**

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

• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

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