LPC, LCSW, or Behavioral Health RN Care Manager

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

Job summary

Centene is seeking a Behavioral Health LTSS Service Care Manager (LPC/LCSW) to support child/adolescent members, coordinating care and education across services. Travel is required across Amarillo, Lubbock, Canyon, Plainview, Hereford, and Levelland, with mileage reimbursement.

Schedule is Monday–Friday, 8:00 AM–5:00 PM CST. Requires a Master’s in Mental Health or Social Work or Nursing with BH experience and licensure (LCSW/LPC/RN BH).

Qualifications

• Requires a Master's degree in Mental Health or Social Work or Nursing with 2-4 years behavioral health experience.
• LCSW, LPC, or BH RN experience required upon application submission.
• 5+ years Behavioral Health Case Management preferred for child/adolescent members.
• Experience collaborating with medical/behavioral health providers and community resources.

Responsibilities

• Evaluates complex/high-risk members and develops a plan of care.
• Acts as liaison between member/family, physician, and facilities.
• Supports mental/behavioral health needs and coordinates services.
• Performs home or site visits monthly or more to assess needs.
• Educates members and families on care options, treatments, and benefits.
• Coordinates access to community resources and services.
• Maintains accurate documentation in the care management system.
• Ensures compliance with clinical guidelines and state/federal rules.

Skills

Communication

Time management

Problem solving

Clinical documentation

Education

Master's degree in Mental Health or Social Work

Nursing degree with BH experience

Tools

MS Office Suite

Video conferencing apps

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.

Schedule

Monday-Friday schedule from 8:00 AM-5:00 PM (CST)

• 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

At Centene