Foster Care, Care Manager

Centene Corporation; Chicago, East Randolph (IL, NY); Remote; USD 55,000 - 99,000; Full time

Job summary

An established industry player is seeking a dedicated professional to transform healthcare for its members. In this remote role, you will develop and facilitate complex care management activities, focusing on mental and behavioral health needs. Your expertise will help create personalized care plans and educate members and families about available resources. This dynamic position requires collaboration with various stakeholders to ensure high-quality, cost-effective healthcare outcomes. Join a team committed to enhancing community health and making a positive impact on the lives of individuals and families.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work.
• 2-4 years of related experience in case management and mental health.

Responsibilities

• Develops and facilitates care management activities for mental health needs.
• Coordinates care plans and collaborates with community resources.
• Monitors member status and provides recommendations for care.

Skills

Care Coordination

Mental Health Assessment

Behavioral Health Knowledge

Case Management

Communication Skills

Education

Master's degree in Behavioral Health or Social Work

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.

NOTE: Remote telephonic role with occasional local travel (up to 10%). Must reside in one of the following zip codes: 60601, 60602, 60603, 60604, 60605, 60606, 60607, 60608, 606010, 60611, 60612, 60613, 60614, 60618, 60622, 60624, 60625, 60626, 60631, 60634, 60639, 60640, 60641, 60642, 60644, 60645, 60646, 60647, 60651, 60654, 60656, 60657, 60659, 60660, 60661, 60666, 60668, 60670, 60673, 60674, 60675, 60677, 60678, 60680, 60681, 60682, 60684, 60685, 60687, 60688, 60690, 60691, 60693, 60694, 60699, 60701. Preference for individuals that have past experience working with child welfare or youth foster care or post adoption families as well as case management.

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.
• For Illinois Youth Care Contract: Master’s degree in social sciences, social work, or related field required.

Additional Details:

• Line of Business: Illinois Health Plan
• Department: MED-Medical Management (Case Management)
• Caseload: Youth Care/Foster Care (ages 0-21)
• Territory: Illinois Statewide Telephonically + up to 10% travel in Chicago

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

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.