LTSS Service Care Manager - Behavioral Health

Centene Corporation • TX

81d • $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. The position involves developing, assessing, and coordinating holistic care management activities, with a primary focus on populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. The role requires evaluating member service needs, developing care plans, and educating members and their families on available services and benefits.

Requirements

• Must be licensed as a LCSW, LPC, or RN with Psychiatric In-patient experience.
• 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.

Nice To Haves

• 3+ years of behavioral health case management, care coordination, discharge planning with adult populations (ages: 18 - 65).
• 2+ years of experience coordinating and managing healthcare/behavioral health services.
• Experience in FIELD-BASED Social Worker or Case Managers role in-patient or out-patient behavioral health hospital.

Responsibilities

• 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 major depression, bipolar disorders, schizophrenia, and substance use disorder.
• 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 on preventive care and treatment options.
• Provides subject matter expertise and operational support for mental and behavioral health-focused activities.
• Educates on and coordinates community resources, including medical, behavioral, and social services.
• Ensures appropriate referrals based on individual member needs and supports the identification of providers and community resources.
• 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.

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

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