LTSS Service Care Manager - Behavioral Health

Centene Corporation•Topeka, 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 and develops or contributes to care plans and service plans, and educates members, families, and caregivers about available services and benefits. This team supports individuals on the SED waiver program. The role is field-based and requires approximately 50% travel, with flexibility to work remotely the rest of the time. The schedule is Monday through Friday, with no weekends or holidays required. Candidates in northeast Kansas are preferred, particularly those in Nemaha, Brown, Doniphan, Jackson, Atchison, Jefferson, Shawnee, or Leavenworth counties. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate. The Care Manager works with members who have complex or high-risk mental and behavioral health needs, including conditions or histories such as major depression, bipolar disorder, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self-injurious behavior, or psychiatric inpatient admissions. The role involves frequent home or other site visits, generally once a month or more, to assess needs and collaborate with resources. The position also provides or facilitates education for long-term care members and their families or caregivers, coordinates medical, behavioral, and social community resources, and supports service authorizations based on assessments and service plans. The Care Manager helps ensure referrals are appropriate, services are accessible, documentation is accurate, and activities comply with clinical guidelines and current state and federal guidelines. The role provides feedback to leadership on opportunities to improve quality and cost-effective service delivery. Requires a master's degree in Mental Health or Social Work, or graduation from an accredited school of nursing, and 2–4 years of related experience. A state-contract-qualified Licensed Behavioral Health Professional or RN with behavioral health experience is required. Pay range is $27.02–$48.55 per hour. Centene describes its work as connecting people to care and supporting healthier lives. The company offers a comprehensive benefits package, including competitive pay, health insurance, a 401(k), stock purchase plans, tuition reimbursement, paid time off and holidays, and flexible work arrangements. Pay may vary based on skills, experience, education, job-related factors, and full-time or part-time status; total compensation may include incentives, and benefits may depend on program eligibility. Centene is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered under the applicable LA County Ordinance and California Fair Chance Act.

Requirements

Master's degree in Mental Health or Social Work, or graduation from an accredited school of nursing.
2–4 years of related experience.
Licensed Behavioral Health Professional or RN, as required by state contract; examples include LMSW, LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.
Ability to travel approximately 50% for a field-based role.

Nice To Haves

Northeast Kansas candidates are preferred, particularly those residing in Nemaha, Brown, Doniphan, Jackson, Atchison, Jefferson, Shawnee, or Leavenworth counties.

Responsibilities

Evaluate the needs of complex and high-risk members with mental and behavioral health needs and recommend plans of care.
Act as a liaison and member advocate among members and families, physicians, and facilities or agencies.
Support members with mental and behavioral health needs, including those with relevant diagnoses or histories.
Conduct frequent home or other site visits, generally once a month or more, to assess member needs and collaborate with 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, field safety and de-escalation, 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, foster care, 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 quality of care and cost-effective service delivery for long-term care members.
Perform other duties as assigned.
Comply with all policies and standards.