LTSS Service Care Manager - Behavioral Health

Centene Corporation•Remote-KS, KS

22d•$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, develops or contributes to care plans and service plans, and educates members, families, and caregivers about available services and benefits. This team supports individuals in the SED waiver program. The role is field-based and requires approximately 50% travel, with flexibility to work remotely the remainder of the time. The schedule is Monday through Friday, with no weekends or holidays required. Candidates in southeastern Kansas are preferred, particularly those residing in Butler, Greenwood, Chase, Harvey, McPherson, or Marion counties. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate.

Requirements

Master's degree in Mental Health or Social Work, or graduation from an accredited School of Nursing.
Two to four years of related experience.
A state-contract-qualified Licensed Behavioral Health Professional or RN is required; examples include LMSW, LCSW, LMFT, LMHC, LPC, or an RN with behavioral health experience.
Approximately 50% travel for a field-based role.
Ability to work Monday through Friday; weekends and holidays are not required.

Nice To Haves

Candidates residing in southeastern Kansas are preferred, particularly in Butler, Greenwood, Chase, Harvey, McPherson, or Marion counties.

Responsibilities

Evaluate the needs of complex, high-risk members with mental or behavioral health needs and recommend plans of care that support the best outcomes.
Act as a liaison and advocate between members and their families, physicians, and facilities or agencies.
Support members with mental or behavioral health needs, including those with conditions or histories such as major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, or psychiatric inpatient admissions.
Perform frequent home or other site visits, once a month or more, 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, healthcare 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-call handling, 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 members and care managers based on service assessments and plans, including services such as 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 to members.
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 care quality and service delivery for long-term care members in a cost-effective manner.
Perform other duties as assigned.
Comply with all policies and standards.