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Care Manager (Foster Care)

Centene Corporation

Oklahoma City (OK)

Hybrid

USD 54,000 - 98,000

Full time

2 days ago
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Job summary

A leading healthcare organization is seeking a Foster Care Manager to develop and facilitate complex care management activities for mental and behavioral health needs. This hybrid role requires collaboration with members, families, and care providers to ensure high-quality healthcare outcomes. The ideal candidate will have a Master's degree in Behavioral Health or Nursing, along with relevant experience and licensure. Competitive benefits and flexible work options are offered.

Benefits

Health Insurance
401K
Stock Purchase Plans
Tuition Reimbursement
Paid Time Off

Qualifications

  • 2-4 years of related experience required.
  • Licensed Behavioral Health Professional or RN required.

Responsibilities

  • Develops and facilitates care management activities for mental and behavioral health needs.
  • Coordinates between members, families, and care providers.
  • Monitors care plans and provides recommendations.

Skills

Care Coordination
Communication
Problem Solving

Education

Master's degree in Behavioral Health
Degree from an Accredited School of Nursing

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 hybrid remote role must reside in the state of Oklahoma. Some local travel may be required (less than 25% expected)

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 Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience required

Pay Range : $54,000.00 - $97,100.00 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, 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. Total compensation may also include additional forms of incentives.

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