LTSS Service Care Manager - Behavioral Health

Centene Corporation; Kansas City (MO); Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote,hyb

Job summary

Centene Corporation is seeking a Behavioral Health Care Manager to support individuals on the SED waiver, focusing on care planning, education, and advocacy. This role includes home visits and collaboration with families, providers and facilities to coordinate services and achieve quality outcomes.

The position requires a Master’s degree in Mental Health or Social Work (or a nursing degree) and 2–4 years of related experience, with about 50% travel and flexible remote options.

Qualifications

• Master's degree in mental health or social work.
• Nursing degree from an accredited school may apply.
• 2–4 years of related experience in care management or behavioral health.

Responsibilities

• Evaluate needs of high-risk members and recommend care plans.
• Act as liaison between member, family, physicians and facilities.
• Support mental/behavioral health needs and crisis handling.
• Perform monthly or more frequent home/site visits.
• Educate members and families on care, treatments and benefits.
• Coordinate community resources and service authorization.
• Identify providers and ensure access to services.
• Maintain accurate documentation in the care management system.
• Provide feedback to leadership to improve quality and cost-effectiveness.
• Perform other duties as assigned and comply with policies.

Skills

Care management

Behavioral health

Member advocacy

Education delivery

Field work

Documentation

Education

Master's degree in Mental Health or Social Work

Nursing degree from accredited program

Tools

EHR / electronic care management system

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.

Key Details

This team supports individuals on the SED waiver program. This is a field-based role requiring approximately 50% travel with the flexibility to work remotely the remaining time. The work schedule is Monday – Friday and does not require any weekends or holidays. NE Kansas candidates are preferred, particularly those residing in Nemaha, Brown, Doniphan, Jackson, Atchison, Jefferson, Shawnee, or Leavenworth counties. We provide all necessary computer equipment and we reimburse mileage at the current IRS rate.

Key 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 experience.

License/Certification

~ Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LMSW, LCSW, LMFT, LMHC, LPC and RN with BH experience required

Pay Range

Pay Range: $27.02 - $48.55 per hour

About Centene

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

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

Equal Opportunity Employment

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.

Background Check

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act