Remote Care Manager for Mental Health & Addiction Support

Home State Health; Missouri; Remote; USD 56,000 - 101,000; Full time

Job summary

Centene in Missouri is seeking a Care Management professional focused on mental and behavioral health to develop, assess and facilitate complex care plans for members and families, delivering education and personalized support to improve outcomes.

The role allows remote work from within Missouri and requires a master's level BH credential or nursing degree with BH experience, plus 2–4 years of related practice. Monday–Friday 8am–5pm, with potential field visits as needed.

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.
• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

Responsibilities

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Care coordination

Education

Communication

Education

Master's degree in Behavioral Health or Social Work or Nursing

Job description

Centene in Missouri is seeking a Care Management professional focused on mental and behavioral health to develop, assess and facilitate complex care plans for members and families, delivering education and personalized support to improve outcomes.

The role allows remote work from within Missouri and requires a master's level BH credential or nursing degree with BH experience, plus 2–4 years of related practice. Monday–Friday 8am–5pm, with potential field visits as needed.