LPC, LCSW, or Behavioral Health RN Care Manager

Centene Corporation•Lubbock, TX

17h•$27 - $49

About The Position

Develops, assesses, and coordinates holistic care management activities, with a primary focus on supporting populations with significant mental and behavioral health needs to enable quality, cost-effective healthcare outcomes. Evaluates member service needs; develops or contributes to care plans and service plans; and educates members, families, and caregivers about available services and benefits. This Behavioral Health LTSS Service Care Manager position supports child and adolescent members through behavioral health assessments and care coordination from home. The role involves travel to Amarillo, Lubbock, Canyon, Plainview, Hereford, or Levelland, Texas, with mileage reimbursed. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST. Candidates must be able to accommodate members’ school schedules when needed. The role requires a master’s degree in Mental Health or Social Work, or graduation from an accredited school of nursing, and 2–4 years of related behavioral health or mental health experience. An LCSW, LPC, or direct Behavioral Health RN experience is required upon application submission; licensure or certification must meet state contract requirements. The position includes frequent home or other site visits, at least monthly or more often as needed.

Requirements

Master’s degree in Mental Health or Social Work, or graduation from an accredited school of nursing.
2–4 years of related behavioral health or mental health experience.
An LCSW, LPC, or direct Behavioral Health RN experience is required upon application submission; a licensed behavioral health professional or RN meeting state contract requirements is required.
Ability to accommodate child and adolescent members’ school schedules when needed.
Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time-management skills.
Ability to adapt to changing business needs with openness, flexibility, and professionalism.
Proficient technology skills and direct experience with Microsoft Office Suite and video-conferencing applications, such as Outlook, Word, M365 Copilot, Excel, PowerPoint, OneNote, Teams, and Zoom.
Ability to work independently with minimal supervision.

Nice To Haves

Five or more years of behavioral health case management experience with child and adolescent members, preferably in inpatient psychiatric hospitals, community-based counseling programs, school or college settings, residential treatment centers, or local or state LIDDAs or MHAs.
Direct experience as a field-based case manager or social worker.
Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.
Experience managing high-volume caseloads.
Experience with government and state-sponsored programs, such as STAR Kids, CHIP, Medicaid, or MDCP.
Bilingual English/Spanish skills.

Responsibilities

Evaluate the needs of complex, high-risk members with mental or behavioral health needs and recommend plans of care.
Act as a liaison and member advocate among members and families, physicians, and facilities or agencies.
Support members with significant mental or behavioral health needs, including conditions such as depression, bipolar disorder, schizophrenia, PTSD, substance use disorder, and self-injurious behavior.
Conduct frequent home or other site visits to assess member needs and collaborate with resources.
Provide or facilitate education for long-term care members and their families or caregivers on preventive care, procedures, provider instructions, treatment options, referrals, medication regimens, and healthcare benefits.
Provide subject matter expertise and operational support for behavioral health activities, including crisis calls, mental health first aid, field safety and de-escalation, and medication monitoring.
Educate members about and coordinate medical, behavioral, and social community resources.
Coordinate service authorizations based on member assessments and care plans, including services such as meals, employment, housing, foster care, transportation, and activities of daily living.
Make appropriate referrals based on individual needs; help identify providers, specialists, and community resources; and ensure services are accessible.
Maintain accurate documentation in the electronic care management system and support the integrity of care management activities.
Support compliance with clinical guidelines and current state and federal guidelines.
Provide leadership with feedback on opportunities to improve quality of care and service delivery for long-term care members cost-effectively.
Perform other duties as assigned.
Comply with all policies and standards.