Case Manager - Community Aged Care

Centene Corporation; Kansas City (MO); Hybrid; USD 70,000 - 95,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Centene Corporation is seeking a care management professional to support behavioral health and substance use disorder needs. The role involves evaluating members via phone or in-home visits, developing personalized care plans, and coordinating with providers and resources to improve outcomes.

The position supports remote work with up to 75% local travel and a Monday–Friday schedule. Sign-on bonus of $2,500 is offered.

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work or a Nursing degree with BH experience.

Responsibilities

• Evaluate member needs via phone or in-home visits to develop care plans for behavioral health and substance use needs.
• Perform telephonic, digital, home, and other site visits to assess needs and coordinate resources.
• Develop ongoing care plans for high-acuity members and identify providers and community resources.
• Coordinate between member/family, community resources, and care providers to ensure access to services.
• Monitor care plans and outcomes; update plans based on treatment changes.
• Facilitate care coordination to ensure timely access to needed care.
• Collect and maintain member information to ensure regulatory compliance.
• Educate members and families on procedures, options, benefits, and referrals.
• Provide leadership with feedback to improve care and delivery, and perform other duties as assigned.

Education

Master's degree in Behavioral Health or Social Work

Nursing degree (Accredited School)

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 needsMay perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resourcesDevelops 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 disordersCoordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to membersMonitors 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 needsFacilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or servicesCollects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulatorsProvides 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 needsProvides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective mannerPerforms 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

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.

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, 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.