LTSS Service Care Manager - Behavioral Health

Centene Corporation•Remote-KS, KS

5d•$27 - $49•Hybrid

About The Position

This position supports the Population Health LTSS Care Management team, specifically the SED Waiver program. The role involves developing, assessing, and coordinating holistic care management activities, with a primary focus on supporting populations with significant mental/behavioral health needs to achieve quality, cost-effective healthcare outcomes. The Care Manager will evaluate member service needs, develop care plans, and educate members, families, and caregivers on available services and benefits. This is a field-based role requiring approximately 50% travel throughout Kansas, typically within a one-hour drive. The standard schedule is Monday through Friday from 8:00 a.m. to 5:00 p.m., with no weekend or holiday requirements. Candidates residing throughout Kansas are welcome, with a preference for those located in Northeast Kansas, particularly in or near Shawnee, Jackson, Nemaha, Brown, Atchison, and Jefferson counties.

Requirements

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., LMSW, LCSW, LMFT, LMHC, LPC and RN with BH experience required (For Sunflower plan only)

Nice To Haves

Candidates located in Northeast Kansas are preferred, particularly those residing in or near Shawnee, Jackson, Nemaha, Brown, Atchison, and Jefferson counties.

Responsibilities

Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes.
Evaluates member service needs and develops or contributes to development of care plans/service plans, and 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, and recommends a plan of care for the best outcome.
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies.
Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.
Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required.
Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc.
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 based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living).
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
Ensures identified services are accessible to members.
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
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 for long-term care members in a cost-effective manner.
Performs other duties as assigned.
Complies with all policies and standards.