LTSS Service Care Manager - LPC, LCSW, or LMFT

Centene Management Company LLC

Texas

Hybrid

USD 37,000 - 67,000

Full time

3 days ago
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Benefits offered by this job

Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible work arrangements

Job summary

Centene is seeking a Hybrid Behavioral Health Care Manager to evaluate and coordinate care for members with significant mental/behavioral health needs in Texas. You will conduct home and field visits, develop care plans, educate families, and collaborate with providers to ensure access to services.

Requires an unrestricted behavioral health license and a master’s degree in Mental Health Counseling or Social Work, with 2–4 years of related experience; travel is required.

Qualifications

  • Requires a master’s degree in Mental Health Counseling or Social Work.
  • Unrestricted behavioral health license as LCSW/LMFT/LMHC/LPC for the applicable state.
  • 2–4 years of related experience in behavioral health or care management.

Responsibilities

  • Evaluate needs of high-risk members with mental/behavioral health needs and develop care plans.
  • Act as liaison between member/family, physician, and facilities.
  • Conduct frequent home or site visits to assess needs and coordinate resources.
  • Educate members and families on preventive care, treatment options and benefits.
  • Ensure documentation and adherence to clinical guidelines and state/federal requirements.

Skills

Clinical assessment
Care coordination
Field visits
Communication
Documentation

Education

Master’s degree in Mental Health Counseling or Social Work

Tools

TruCare
Microsoft Office
Outlook
Excel
PowerPoint
Word
OneNote

Job description

Position Purpose

Develops, assess 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 is a Hybrid Behavioral Health Care Manager position that requires travel for member visits near Tyler, TX, Lindale, TX, Athens, TX, Hawkins, TX, Kilgore, TX, Henderson, TX, Longview, TX, Jacksonville, TX, Mabank, TX, Palestine, TX, Marshall, TX, or Sulphur Springs, TX. Mileage reimbursement is provided for travel.

Required

An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, or LPC) is required for the applicable state upon application submission.

Work Schedule

Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends, or Holidays.

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 Counseling or Social Work and 2 – 4 years of related experience.

License / Certification

An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state.

Preferred Experience
  • 4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in‑patient treatment facilities, schools, or local or state MHA/BHAs for youth
  • Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients
  • Experience managing high volume caseloads
  • Field-based experience strongly preferred
  • 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 within web‑based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc)
  • Must be able to work independently with minimal supervision
  • Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)
  • Bilingual English/Spanish skills are a plus but not required
NOTE

For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.

Pay Range

$27.02 - $48.55 per hour

Company Overview

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.

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

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