Remote Case Manager - Community Behavioral Health

Centene Corporation; Kansas; Hybrid; USD 52,000 - 78,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation is hiring for a care management role focused on mental health and substance use disorders. The position supports members through in-home and remote interactions, developing and adjusting care plans, coordinating with providers and community resources, and educating families on treatment options and benefits.

The role requires a Master’s degree in Behavioral Health or Social Work (or nursing) with BH experience, and licensure as a related professional.

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.

Education

Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing

Job description

Centene Corporation is hiring for a care management role focused on mental health and substance use disorders. The position supports members through in-home and remote interactions, developing and adjusting care plans, coordinating with providers and community resources, and educating families on treatment options and benefits.

The role requires a Master’s degree in Behavioral Health or Social Work (or nursing) with BH experience, and licensure as a related professional.