LTSS Service Care Manager - Behavioral Health

Centene Corporation • Spring, TX

4d • $27 - $49 • Hybrid

About The Position

Develops, assesses, and coordinates holistic care management activities, with a primary focus on supporting populations with significant mental and behavioral health needs to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to care plans and service plans, and educates members, families, and caregivers about services and benefits available to meet member needs.

This hybrid position combines in-person member engagement, including home visits, with work from home. The service delivery area is Spring, Texas, and surrounding counties; mileage reimbursement is provided for member assessment visits. The work schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST, with no on-call work, evenings, weekends, or holidays. Home visits may involve up to 75% monthly travel.

The role evaluates complex and high-risk members with mental or behavioral health needs, recommends care plans, and serves as a liaison and advocate among members, families, physicians, facilities, and agencies. It supports members with conditions or histories such as major depression, bipolar disorder, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, and psychiatric inpatient admissions. The position also provides or facilitates education, coordinates medical, behavioral, and social community resources and service authorizations, supports referrals and access to services, maintains documentation in an electronic care management system, and helps ensure compliance with clinical, state, and federal guidelines.

The position requires a master’s degree in Mental Health Counseling or Social Work, 2–4 years of related experience, and an active, unrestricted behavioral health professional license required by the applicable state contract. For Superior Health Plan, a Department of Family & Protective Services background check is required.

Requirements

• Master’s degree in Mental Health Counseling or Social Work.
• 2–4 years of related experience.
• Active, unrestricted behavioral health professional license required by applicable state contract requirements (for example, LCSW, LMFT, LMHC, or LPC), licensed in the applicable state.
• Strong clinical documentation, problem-solving, communication, attention-to-detail, organizational, and time-management skills.
• Ability to adapt to changing business needs with openness, flexibility, and professionalism.
• Proficient technology skills and direct experience with web-based applications and case management systems.
• Ability to work independently with minimal supervision.
• Willingness to conduct frequent field visits; home visits may involve up to 75% monthly travel.

Nice To Haves

• 4 or more years of case management experience, preferably in child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care, inpatient treatment facilities, schools, or local or state mental health or behavioral health agencies serving youth.
• Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.
• Experience managing high-volume caseloads.
• Field-based experience.
• Experience in a managed care environment, including federally or state-sponsored government programs.
• Bilingual English/Spanish skills.
• Experience with TruCare, Microsoft Office applications, Outlook, M365 Copilot, Excel, PowerPoint, Word, or OneNote.

Responsibilities

• Evaluate the needs of complex and high-risk members with mental and behavioral health needs and recommend a plan of care.
• Act as a liaison and member advocate among members, families, physicians, facilities, and agencies.
• Support members with significant mental and behavioral health needs, including members with specified conditions or histories.
• Conduct frequent home or other site visits to assess member needs and collaborate with resources, as required.
• Provide or facilitate education for long-term care members and their families or caregivers on preventive care, procedures, provider instructions, treatment options, referrals, prescribed 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 for services based on assessments and service plans, including meals, employment, housing, foster care, transportation, and activities of daily living.
• Make appropriate referrals based on member needs and support identification of 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 quality of care and service delivery cost-effectively.
• Perform other duties as assigned and comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k)
• Stock purchase plans
• Tuition reimbursement
• Paid time off
• Holidays
• Flexible approach to work, including remote, hybrid, field, or office work schedules
• Potential additional forms of incentives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level