Guardianship Liaison

Centene Corporation•Remote-KY, KY

2d•$27 - $49•Hybrid

About The Position

The Guardianship Liaison supports members who are under state-appointed adult guardianship. This role serves as the primary liaison between the state guardianship department, the interdisciplinary care team, and service providers to ensure coordination and delivery of medically necessary services in alignment with the state-approved service plan. The Guardianship Liaison is responsible for facilitating enrollment into care management, integrating the state-approved service plan into the member's individualized care plan, and ensuring coordination of physical health, behavioral health, and health-related social needs (HRSN). This role supports continuity of care, regulatory compliance, and improved member outcomes through proactive engagement, collaboration, and care plan oversight.

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.
Licensed Master's Behavioral Health Professional (e.g., CSW, LCSW, LMSW, LPCC, LPC) or RN based on state contract requirements with behavioral health experience required.

Nice To Haves

Guardianship experience preferred.

Responsibilities

Conducts outreach to state-appointed guardians to obtain and review state-approved service plan, ensuring alignment with care management requirements and identification of member needs.
Functions as a liaison and advocate between the member, state guardian, providers, and community-based organizations to support coordination of services and access to care.
Completes comprehensive assessments and develops individualized, person-centered care plans that incorporate medical, behavioral health, and social determinants of health needs.
Collaborates with the interdisciplinary care team, including providers and community resources, to implement, monitor, and adjust care plans based on member needs and outcomes.
Facilitates care team meetings, as appropriate, to review progress toward goals, update care plans, and ensure alignment with the state-approved service plan.
Monitors care plan implementation and member progress, identifying barriers to care and coordinating interventions to support goal attainment.
Assists members and guardians with accessing benefits and community resources, particularly when existing benefits are exhausted or unavailable, to address unmet needs.
Monitors and evaluates care plan implementation, utilization, and member outcomes to ensure effective care management, support regulatory reporting, and drive quality improvement.
Collecting and documenting all member information to ensure compliance with current state, federal, and third party payer regulations and contractual requirements.
Performs other duties as assigned.
Complies with all policies and standards.