LPC, LCSW, or Behavioral Health RN Care Manager

Centene Corp.; Lubbock (TX); On-site; USD 37,000 - 67,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off

Job summary

Centene Corp. is seeking a Behavioral Health LTSS Service Care Manager (LPC, LCSW, or BH RN) to coordinate care for child and adolescent members across Texas service areas. Travel is required to Amarillo, Lubbock, Canyon, Plainview, Hereford, or Levelland with mileage reimbursement.

Monday–Friday, 8:00 AM–5:00 PM CST. Licensure per state contract, with strong documentation and collaboration with medical and behavioral health providers.

Qualifications

• Requires a Master's degree in Mental Health or Social Work or graduate from an accredited School of Nursing.

Responsibilities

• Evaluates needs of the most complex and high-risk members with mental/behavioral health needs and recommends a plan of care for best outcomes.
• Acts as liaison between member/family, physician, and facilities/agencies.
• Conducts frequent home/site visits to assess needs and collaborate with resources.
• Educates long-term care members and families on preventive care, instructions, treatment options and benefits.
• Provides coordination of service authorization for various services (meals, housing, transportation).

Skills

Communication

Problem-solving

Attention to detail

Time management

Organizational skills

Bilingual English/Spanish

Education

Master's degree in Mental Health or Social Work

Graduate from Accredited School of Nursing

Tools

MS Office Suite

Video conferencing (MS Teams, Zoom)

Job description

Position Purpose

Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Travel is required to Amarillo, TX, Lubbock, TX, Canyon, TX, Plainview, TX, Hereford, TX, or Levelland, TX.

Key Details

Behavioral Health LTSS Service Care Manager - LPC, LCSW, travels in the Service Delivery Areas listed below for child and adolescent members visits to conduct Behavioral Health assessments and provides care coordination from home. Mileage is reimbursed for travel. NOTE: Candidates need to accommodate our Child/Adolescent members' school schedules, when needed. Licensure: LCSW, LPC, or direct Behavioral Health RN experience is required upon application submission. Monday–Friday schedule from 8:00 AM–5:00 PM (CST)

Responsibilities

• Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
• Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
• Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
• Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
• Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc
• Educates on and coordinates community resources, to include medical, behavioral and social services.
• Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
• Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
• Ensures identified services are accessible to members
• Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
• Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care 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 Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.

Preferred Experience

5+ years of Behavioral Health Case Management experience with child and adolescent members, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs or MHAs. Direct experience as a Field-based Case Manager or Social Worker is strongly preferred. Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients. Experience managing high volume caseloads. Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required. Ability to adapt to changing business needs with openness, flexibility, and professionalism. Proficient technology skills and direct experience working Microsoft Office Suite and Video Conferencing Applications – (MS Outlook, Word, M365 Copilot, Excel, PowerPoint, OneNote, Teams and ZOOM etc.) Must be able to work independently with minimal supervision. Experience working with government and state sponsored programs (i.e. STAR Kids, CHIP, Medicaid, or MDCP). Bilingual English/Spanish skills are a plus but not required.

License / Certification

Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, or RN with BH experience) is required.

Pay Range

$27.02 - $48.55 per hour

About the Company

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.

Benefits

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.

Additional Benefits

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.

Equal Opportunity Statement

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