LTSS Service Care Manager - Behavioral Health

Centene Corporation•Corsicana, TX

8d•$27 - $49•Hybrid

About The Position

Develops, assesses, and coordinates holistic care management activities, primarily supporting populations with significant mental and behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs, develops or contributes to care and service plans, and educates members, families, and caregivers about services and benefits available to meet member needs. This role serves adult members with complex mental and behavioral health needs in Navarro County and surrounding areas near Corsicana, Ennis, Brandon, Chatfield, Kerens, Dawson, Frost, Blooming Grove, Athens, Hillsboro, Malakoff, Midlothian, Powell, Palmer, Purdon, Rice, Richland, Whitney, and Waxahachie, Texas. Member visits require travel, for which mileage is reimbursed. The position allows work from home and self-scheduling of member visits. The stated schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST, with no evenings, weekends, holidays, or on-call shifts. Requires a master's degree in mental health or social work, or graduation from an accredited school of nursing, along with 2–4 years of related experience. A required license or certification is LCSW, LMFT, LMHC, LPC, or RN with direct behavioral health experience, according to state contract requirements.

Requirements

Master's degree in mental health or social work, or graduation from an accredited school of nursing.
2–4 years of related experience.
LCSW, LMFT, LMHC, LPC, or RN with direct behavioral health experience, as required by state contract requirements.
Behavioral health or psychiatric experience working with adults.
Strong clinical documentation and problem-solving skills.
Strong communication, organizational, and time-management skills.
Proficiency with Microsoft Office applications, including MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, and Teams.
Ability to travel for member visits.

Nice To Haves

Three or more years of post-graduate direct clinical behavioral health experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, or discharge planning.
Direct experience as a community- or field-based Case Manager or Care Coordinator.
Three or more years assessing adult members with complex mental health or Serious and Persistent Mental Illness (SPMI) conditions in inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state mental health authorities.
Working knowledge of Medicaid, STAR Plus, Medicaid Waiver, or other state and government-sponsored program guidelines.
Openness, adaptability, and flexibility for business changes.

Responsibilities

Evaluate the needs of complex, high-risk members with mental and behavioral health needs and recommend a plan of care.
Act as liaison and member advocate among members and their families, physicians, and facilities or agencies.
Support members with mental and behavioral health needs, including conditions such as major depression, bipolar disorder, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, or psychiatric inpatient admissions.
Conduct frequent home or other site visits, once a month or more, to assess member needs and coordinate resources.
Provide or facilitate education for long-term care members and their families or caregivers on preventive care, procedures, provider instructions, treatment options, referrals, medication regimens, and healthcare benefits.
Provide subject matter expertise and operational support for mental and behavioral health activities, including crisis calls, mental health first aid training, field safety and de-escalation practices, and medication monitoring.
Educate members about and coordinate medical, behavioral, and social community resources.
Coordinate service authorizations based on assessments and service plans for services such as meals, employment, housing, transportation, and activities of daily living.
Make appropriate referrals based on member needs and help identify providers, specialists, and community resources; ensure identified services are accessible.
Maintain accurate documentation in the electronic care management system and support the integrity of care management activities.
Help ensure compliance with clinical guidelines and current state and federal guidelines.
Provide leadership with feedback on opportunities to improve the quality and cost-effectiveness of care and service delivery for long-term care members.
Perform other duties as assigned and comply with all policies and standards.
Travel to conduct member visits.