Care Manager - Hudson and/or Union County

Centene; United States; Remote; USD 55,000 - 99,000; Full time

Job summary

An established industry player is seeking a Care Manager to enhance healthcare outcomes for members with mental and behavioral health needs. This role involves creating personalized care plans, conducting assessments via phone and home visits, and collaborating with various resources to ensure members receive comprehensive care. The ideal candidate will have a Master's degree in a relevant field and experience in care coordination. Join a forward-thinking company that values flexibility and offers a competitive benefits package, including health insurance, 401K, and tuition reimbursement.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• Master's degree in Behavioral Health or Social Work required.
• 2-4 years of related experience in care management.

Responsibilities

• Develops and facilitates complex care management activities.
• Coordinates care plans and monitors member status.

Skills

Care Coordination

Mental Health Assessment

Behavioral Health Knowledge

Communication Skills

Problem Solving

Education

Master's in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Job description

Care Manager - Hudson and/or Union County

Pay: Competitive

Location: Remote

Employment type: Full-Time

Job Description

• Req#: 1567456

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.

Must reside in Hudson and/or Union County to travel for home visits within these regions. Travel up to 75% required.

Position Purpose: Develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs to provide high quality, cost-effective healthcare outcomes. This includes creating personalized care plans and providing 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 available resources, and recommends and/or facilitates the care plan/service plan for the best outcome, including behavioral health and social determinant needs.
• Performs telephonic, digital, home, and/or other site visits to assess member needs and collaborates with resources.
• Develops ongoing care plans for members with high acuity and identifies providers, specialists, and community resources needed for care, including mental health and substance use disorders.
• Coordinates between the member, family/caregivers, community resources, and care providers to ensure services are accessible.
• Monitors care plans and member status, providing recommendations based on changes in treatment, side effects, complications, and clinical symptoms.
• Facilitates care coordination and collaborates with providers and specialists for timely access to care and services.
• Collects, documents, and maintains member information and care activities to ensure compliance with regulations.
• Provides education to members and families on procedures, instructions, treatment options, referrals, and benefits, including behavioral health and social needs.
• Offers feedback to leadership to improve care quality and delivery cost-effectively.
• Performs other duties as assigned and complies with policies and standards.

Education/Experience: Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing, with 2–4 years of related experience.

License/Certification:

• Licensed Behavioral Health Professional or RN, e.g., LCSW, LMSW, LMFT, LMHC, LPC, or RN with BH experience, based on state requirements.
• For NJ Health Plan: Master's in Behavioral Health or Social Work, with Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW).

Pay Range: $55,100.00 - $99,000.00 per year.

Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements (remote, hybrid, field, or office schedules). Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered per LA County Ordinance and the California Fair Chance Act.

About the company

Centene Corporation is a publicly traded managed care company based in St.