Care Manager

Centene Corporation

1d•Remote

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Program/Team : YouthCare Schedule : Monday–Friday, 8:00 a.m.–5:00 p.m. No weekend or holiday coverage indicated Work Location / Remote Requirements Approximately 75% remote Candidate must reside in Illinois within one of the following counties: McHenry, Lake, Cook, Kane, or DuPage Must be able to work in the Central Standard Time (CST) time zone Must be able to complete occasional in-person member visits Support youth involved with the Department of Child and Family Services (DCFS) by completing required assessments, creating individualized plans of care, and coordinating services with an interdisciplinary care team (ICT). Manage a caseload of approximately 60–70 youth, using clinical judgment and strong problem-solving skills to identify needs and remove barriers to care. Connect members to health plan benefits and community resources to stabilize immediate concerns and strengthen long-term health and wellness outcomes. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder. 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.

Requirements

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.
For Illinois Youth Care plan only: Graduate degree and independently licensed behavioral health clinician (e.g. LCSW, LCPC, PsyD) in Illinois or Bachelor’s Degree and IL RN licensure.
Must reside in IL required
Candidate must reside in Illinois within one of the following counties: McHenry, Lake, Cook, Kane, or DuPage
Must be able to work in the Central Standard Time (CST) time zone
Must be able to complete occasional in-person member visits

Responsibilities

Support youth involved with the Department of Child and Family Services (DCFS) by completing required assessments, creating individualized plans of care, and coordinating services with an interdisciplinary care team (ICT).
Manage a caseload of approximately 60–70 youth, using clinical judgment and strong problem-solving skills to identify needs and remove barriers to care.
Connect members to health plan benefits and community resources to stabilize immediate concerns and strengthen long-term health and wellness outcomes.
Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.
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.