Remote Behavioral Health Care Manager

Fidelis Care - New Jersey; New Jersey; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible remote/hybrid/field or office

Job summary

Centene, a national health care company, is seeking a remote Care Management Specialist focused on behavioral health for members in New Jersey. The role requires residing in Essex or Morris County or nearby border counties and involves up to 50% local travel, with an active New Jersey license required.

Responsibilities include evaluating member needs via phone or in-person visits, developing care plans, coordinating with providers and community resources, monitoring outcomes, and educating

Qualifications

• Requires Master’s degree in Behavioral Health or Social Work or Nursing degree.
• Licensed Master Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience.
• For NJ Health Plan Only: Requires a Master’s degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required

Responsibilities

• Evaluates member needs via phone or in-home visits and develops care plans/service plans.
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs.
• Develops ongoing care plans and coordinates with providers, specialists, and community resources.
• Coordinates between member/family/caregivers and care team to ensure services are accessible.
• Monitors care plans and outcomes and provides recommendations based on member needs.
• Facilitates care coordination to ensure timely access to services.
• Collects and maintains member information to ensure regulatory compliance.
• Provides education to members and families on procedures, options, and benefits.
• Provides feedback to leadership on opportunities to improve care and quality delivery.
• Performs other duties as assigned.

Skills

Care coordination

Behavioral health

Telephonic outreach

Communication

Education

Master's degree in Behavioral Health or Social Work

Nursing degree (RN) with BH experience

Job description

Centene, a national health care company, is seeking a remote Care Management Specialist focused on behavioral health for members in New Jersey. The role requires residing in Essex or Morris County or nearby border counties and involves up to 50% local travel, with an active New Jersey license required.

Responsibilities include evaluating member needs via phone or in-person visits, developing care plans, coordinating with providers and community resources, monitoring outcomes, and educating