Lead Care Manager

Centene; United States; Remoto; USD 87.000 - 161.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

401K

Tuition reimbursement

Paid time off

Descrizione del lavoro

Centene is seeking a Lead Care Manager to oversee behavioral health care plans and management activities, ensuring quality and cost-effective care for members. This remote role requires NC residency and a strong background in behavioral health and care management.

The position offers full-time day shifts with about 10% travel, competitive pay ($87,000–$161,300/year), and comprehensive benefits including health insurance, 401K, and tuition reimbursement.

Competenze

• Master's degree in Behavioral Health or Social Work, or a degree from an accredited School of Nursing is required.
• 5–7 years of related experience.
• Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN depending on state contract requirements with BH experience.

Mansioni

• Oversee and review ongoing care plans/service plans, including behavioral health and social determinant needs.
• Perform telephonic, digital, home, and/or other site visits outreach to assess member needs.
• Provide guidance on developing care plans and triaging issues to appropriate behavioral healthcare providers.
• Monitor the most complex care plans and/or member status and outcomes for treatment changes.
• Review member data to identify health risks and/or care gaps.
• Partner and collaborate with healthcare providers regarding complex cases.
• Collect, document, and maintain member information and care management activities.
• Provide training and education to care management team and providers.
• Monitor management policies and procedures within the care management team.
• Work with senior management on escalated and complex care cases.

Conoscenze

Behavioral health

Care management

Formazione

Master's in Behavioral Health or Social Work

Nursing degree

Descrizione del lavoro

About This Role

The Lead Care Manager oversees care plans and management activities focused on behavioral health needs, ensuring quality and cost-effective healthcare for members. This role is ideal for individuals with extensive experience in behavioral health and care management.

Highlights

• Pay: $87,000 - $161,300/year
• Location: Remote, NC
• Residency: Candidates must reside in North Carolina
• Schedule: Full Time, Day shift
• Travel: Approximately 10% travel may be required

What You'll Do

• Oversee and review ongoing care plans/service plans, including behavioral health and social determinant needs.
• Perform telephonic, digital, home, and/or other site visits outreach to assess member needs.
• Provide insight and guidance on developing care plans and triaging issues to appropriate behavioral healthcare providers.
• Monitor the most complex care plans and/or member status and outcomes for changes in treatment.
• Review member data to identify health risks and/or care gaps.
• Partner and collaborate with healthcare providers regarding complex cases.
• Collect, document, and maintain member information and care management activities.
• Provide training and education to care management team and providers.
• Monitor management policies and procedures within the care management team.
• Work with senior management on escalated and complex care cases.

Requirements

Education

• Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing required.

Experience

• 5 - 7 years of related experience required.

Licenses & Certifications

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

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges and a dedicated team.