Care Manager, Behavioral Health

Centene Management Company•Hutchinson, KS

5d•Hybrid

About The Position

Develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs. The role supports high-quality, cost-effective healthcare outcomes through personalized care plans and education for members and their families related to mental health and substance use disorders. This position supports foster care members. Applicants must live in Reno, Stafford, Rice, or Barton counties. The role requires up to 75% local travel, with the remaining time worked remotely from home. The schedule is Monday through Friday. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate. Centene describes its work as connecting people to care and supporting individuals, families, and communities. The company offers competitive pay and a comprehensive benefits package. Pay is adjusted based on job-related factors, and total compensation may include additional incentives. Benefits may depend on program eligibility.

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, or LPC), or RN based on state contract requirements, with behavioral health experience.
Must live in Reno, Stafford, Rice, or Barton county.
Able to meet the position's local travel requirement of up to 75%.

Responsibilities

Evaluate member needs through phone or in-home visits, consider available resources, and recommend or facilitate care plans or service plans for the best outcome, including behavioral health and social determinant needs.
Conduct telephonic, digital, home, or other site-visit outreach to assess member needs and collaborate with resources.
Develop ongoing care plans for members with high acuity and identify providers, specialists, and community resources needed for care, including mental health and substance use disorder services.
Coordinate among members, families or caregivers, community resources, and care provider teams to ensure identified services are accessible.
Monitor care plans, service plans, member status, and outcomes for changes in treatment side effects, complications, or clinical symptoms, and recommend care plan changes based on identified needs.
Facilitate care coordination and collaborate with providers or specialists to ensure timely access to needed care or services.
Collect, document, and maintain member information and care management activities to ensure compliance with state, federal, and third-party payer regulators.
Educate members and families about procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, including behavioral health and social determinant needs.
Provide leadership with feedback on opportunities to improve and enhance cost-effective care and quality delivery for members.
Perform other duties as assigned.
Comply with all policies and standards.