LTSS Service Care Manager - Behavioral Health

Superior HealthPlan; San Antonio (TX); Hybrid; USD 37,000 - 67,000; Full time

Job summary

Centene in the San Antonio area is seeking a Behavioral Health Care Manager to assess and coordinate holistic care management for members with significant mental health needs. The role is hybrid, with in-person assessments and regular home visits to evaluate needs and coordinate services.

You will educate members and families on available services, collaborate with physicians and care facilities, and ensure documentation aligns with clinical guidelines.

Qualifications

• Master's degree in Mental Health or Social Work or Nursing is required.
• Licensure as LCSW, LMFT, LMHC, LPC or RN with Behavioral Health experience is required.
• 2–4 years of related experience in behavioral health settings is required.

Responsibilities

• Evaluate the needs of the most complex and high risk members with behavioral health needs and develop a plan of care.
• Act as liaison and advocate between member/family, physician, and facilities/agencies.
• Provide education to members and families on services, benefits, and treatment options.
• Perform frequent home visits and/or site visits (monthly or more) to assess needs and coordinate resources.
• Coordinate community resources and service authorization for services (meals, housing, transportation, etc.).
• Maintain accurate documentation in the electronic care management system and ensure compliance with guidelines.

Skills

Behavioral health expertise

Education

Master's degree in Mental Health or Social Work

Graduate from Accredited School of Nursing

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

Hybrid role with in person assessments. Candidates for this role must have a LPC, LCSW, LMFT and experience in Behavioral Health. The service delivery area is the San Antonio area.

• 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., LCSW, LMFT, LMHC, LPC and RN with BH experience required required

Pay Range: $27.02 - $48.55 per hour

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.

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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