LTSS Service Care Manager - Behavioral Health
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 and develops or contributes to care plans and service plans. Educates members, their families, and caregivers about services and benefits available to meet member needs. 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 remaining time. The schedule is Monday through Friday, with no weekends or holidays required. Candidates in northeast Kansas are preferred, particularly those residing 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 position evaluates complex, high-risk members with mental or behavioral health needs and recommends plans of care. It serves as a liaison and advocate between members and their families, physicians, and facilities or agencies; coordinates referrals, services, and community resources; and provides education and subject matter expertise related to behavioral health care. The role maintains accurate electronic care management documentation and works to ensure compliance with clinical, state, and federal guidelines. 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-appropriate licensed behavioral health professional credential or RN license with behavioral health experience is required, such as LMSW, LCSW, LMFT, LMHC, LPC, or RN. Pay range: $27.02–$48.55 per hour. Actual pay may vary based on skills, experience, education, and other job-related factors, including full-time or part-time status. Total compensation may include incentives, and benefits may depend on program eligibility. Centene offers competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off and holidays, and flexible work arrangements. Centene is an equal opportunity employer.
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 field-based work.
- Behavioral health experience is required for RN candidates.
Nice To Haves
- Northeast Kansas candidates are preferred, particularly residents of Nemaha, Brown, Doniphan, Jackson, Atchison, Jefferson, Shawnee, or Leavenworth counties.
Responsibilities
- Evaluate the needs of complex and high-risk members with mental or 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 or behavioral health needs, including conditions such as major depression, bipolar disorders, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self-injurious behavior, and psychiatric inpatient admissions.
- Conduct 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, 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 community medical, behavioral, and social services.
- Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living.
- Ensure appropriate referrals based on individual member needs and support identification of providers, specialists, and community resources.
- Ensure identified services are accessible to members.
- Maintain accurate documentation and support the integrity of care management activities in the electronic care management system.
- Work to 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 for long-term care members in a cost-effective manner.
- Perform other duties as assigned and comply with all policies and standards.
Benefits
- Competitive pay
- Health insurance
- 401(k) plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible work arrangements, including remote, hybrid, field, or office schedules
- Mileage reimbursement at the current IRS rate
- Necessary computer equipment provided
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
