Remote Care Management Leader, Behavioral Health

Centene Corporation; Columbus (OH); Remote; USD 103,000 - 191,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/onsite work SHe

Job summary

Centene Corporation is seeking a remote Manager, Care Management to lead the care management team focused on behavioral health within the Buckeye Medicaid plan. You will oversee clinician performance, escalation handling, and ensure regulatory compliance across federal and state requirements.

The role requires Ohio residency and an active clinical license, with leadership background in behavioral health, managed care, case management or community mental health.

Qualifications

• Requires a Master's degree in Nursing or related field and 5+ years of related experience.
• Must reside in Ohio and hold an active clinical license in the state.
• Leadership experience with a strong background in behavioral health, managed care, case management or community mental health centers.

Responsibilities

• Oversees and reviews care management documentation to ensure compliance with federal and state regulations and contracts.
• Develops and oversees care management policies and procedures.
• Directs daily activities of care management staff and approves caseloads according to state requirements and member needs.
• Manages escalated and complex care cases and provides guidance to staff.
• Manages resolutions of complaints and assists in audits and evaluations related to care programs.
• Develops, implements, and oversees care management programs to facilitate appropriate services and resources.
• Sets goals for the team to achieve cost-effective healthcare results.
• Coordinates with senior management to provide updates on team goals and performance.
• Provides feedback to improve member and provider experience and high-quality care.
• Educates and supports care management staff on initiatives and member outreach.

Skills

Leadership

Behavioral health

Managed care

Case management

Utilization review

Communication

Education

Master's degree in Nursing or related field

Job description

Centene Corporation is seeking a remote Manager, Care Management to lead the care management team focused on behavioral health within the Buckeye Medicaid plan. You will oversee clinician performance, escalation handling, and ensure regulatory compliance across federal and state requirements.

The role requires Ohio residency and an active clinical license, with leadership background in behavioral health, managed care, case management or community mental health.