Care Manager - Behavioral Health
Centene Corporation•Remote-MO, MO
•$56,200 - $101,000•Remote
About The Position
The Care Manager develops, assesses, and facilitates complex care management activities for members with primarily mental and behavioral health needs, with the goal of achieving high-quality, cost-effective healthcare outcomes. The role creates personalized care plans and provides education to members and their families related to mental health and substance use disorders. This team supports Missouri Medicaid members with behavioral and physical health needs from birth to age 65. The role may involve telephonic, digital, in-home, or other site-based outreach and visits. The work schedule is Monday through Friday, 8 a.m. to 5 p.m. Applicants may work remotely from anywhere in Missouri.
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) or RN, based on state contract requirements.
- Behavioral health experience is required for RN applicants.
Responsibilities
- Evaluate member needs by phone or through in-home visits, assess available resources, and recommend or facilitate care 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 and their families or caregivers, community resources, and care provider teams to ensure identified services are accessible.
- Monitor care plans, member status, and outcomes for changes in treatment side effects, complications, and clinical symptoms, and recommend care-plan updates based on identified needs.
- Facilitate care coordination and collaborate with providers or specialists to ensure timely access to needed care and services.
- Collect, document, and maintain member information and care management activities to comply with current state, federal, and third-party payer regulations.
- Educate members and their families about procedures, provider instructions, treatment options, referrals, and healthcare benefits, including behavioral health and social determinant needs.
- Provide leadership with feedback on opportunities to improve care and quality delivery cost-effectively.
- Perform other duties as assigned.
- Comply with all policies and standards.
Benefits
- Competitive pay
- Health insurance
- 401(k)
- Stock purchase plans
- Tuition reimbursement
- Paid time off and holidays
- Flexible approach to work, including remote, hybrid, field, or office work schedules
