LTSS Service Care Manager - Behavioral Health

Centene Corporation • TX

93d • $26 - $47

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. This position is hybrid/remote in Central Texas, seeking candidates in the Waco, TX area or surrounding counties. The position purpose is to develop, assess and coordinate holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes.

Requirements

• Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing.
• 2 – 4 years of related experience.
• Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience is required.

Nice To Haves

• 3+ years of case management, care coordination, discharge planning with adult populations (ages: 18 - 65).
• 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services.
• Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/detox recovery treatment, or state social services settings.

Responsibilities

• Evaluates member service needs and develops or contributes to development of care plans/service plans.
• Educates members, their families and caregivers on services and benefits available to meet member needs.
• Evaluates the needs of the most complex and high risk members with mental/behavioral health needs.
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies.
• Supports members with primarily mental/behavioral health needs.
• Performs frequent home and/or other site visits to assess member needs and collaborate with resources.
• Provides and/or facilitates education to long-term care members and their families/caregivers.
• Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities.
• Educates on and coordinates community resources, to include medical, behavioral and social services.
• Provides coordination of service authorization to members and care managers for various services.
• Ensures appropriate referrals based on individual member needs.
• Maintains accurate documentation and supports the integrity of care management activities.
• Works to ensure compliance with clinical guidelines as well as current state and federal guidelines.
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery.
• Performs other duties as assigned.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees