Care Manager (Behavioral Health)
About The Position
Centene is seeking a Care Manager to focus on the mental and behavioral health needs of its members. This role involves developing, assessing, and facilitating complex care management activities to ensure high-quality, cost-effective healthcare outcomes. The Care Manager will create personalized care plans and provide education to members and their families regarding mental health and substance use disorders. The position requires evaluating member needs, recommending and facilitating care plans, and collaborating with various resources to achieve the best outcomes. This is a remote position, and the candidate must reside in Arizona.
Requirements
- Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
- 2 – 4 years of related experience
- Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC, LAC) or RN based on state contract requirements with BH experience.
- Must reside in Arizona.
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.
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off
- holidays
- a flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
