LTSS Service Care Manager - Behavioral Health

Centene; United States; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off + holidays

Flexible work arrangement

Job summary

Centene is seeking a field-based Care Manager to support populations with significant mental/behavioral health needs. The role involves evaluating high-risk members, coordinating care plans, and educating members and families about available services and benefits.

This position requires approximately 50% travel and the flexibility to work remotely the remaining time. Strong collaboration with physicians, care managers, and community resources is essential to deliver high-quality, cost-effective

Qualifications

• Requires a Master’s degree in Mental Health or Social Work or Nursing degree with relevant experience.
• Strong ability to coordinate care and educate members and families.
• Experience working with behavioral health populations is preferred.

Responsibilities

• Evaluate complex, high-risk members and develop plans of care.
• Act as liaison between member/family, physician, and facilities.
• Conduct frequent home visits to assess needs and coordinate resources.
• Educate members and families on services, treatments, and benefits.
• Coordinate access to community resources and service authorizations.
• Maintain accurate documentation in the electronic care management system.

Skills

Care coordination

Mental health expertise

Communication

Education

Master’s degree in Mental Health or Social Work

Nursing degree

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 Johnson, Wyandotte, or Leavenworth counties. We provide all necessary computer equipment, and we reimburse mileage at the current IRS rate.

• 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

$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

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.

Equal Opportunity Employer

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.

EEO Statement

Qualified applicants with arrest or conviction records will be considered in