LTSS Service Care Manager - Behavioral Health

Centene Corporation • Remote-KS, KS

1d • $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 field-based role supports individuals in the SED waiver program and involves approximately 50% travel, with flexibility to work remotely for 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 Johnson, Wyandotte, or Leavenworth counties. Necessary computer equipment is provided, and mileage is reimbursed at the current IRS rate.

The role evaluates the needs of complex, high-risk members with mental or behavioral health needs; advocates and coordinates among members, families, physicians, facilities, agencies, and community resources; and facilitates education, referrals, and access to services. It also includes frequent home or other site visits, care-management documentation, and ensuring compliance with clinical guidelines and applicable state and federal requirements.

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-required licensed behavioral health professional credential or RN license; examples include LMSW, LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.

Nice To Haves

• Candidates in northeast Kansas are preferred, particularly those residing in Johnson, Wyandotte, or Leavenworth counties.

Responsibilities

• Evaluate the needs of complex, high-risk members with mental or behavioral health needs and recommend plans of care to support the best outcomes.
• Act as a liaison and member advocate among members and their families, physicians, facilities, and agencies.
• Support members with mental or behavioral health needs, including conditions such as depression, bipolar disorder, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self-injurious behavior, and psychiatric inpatient admissions.
• Conduct frequent home or other site visits, generally 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 about 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 community medical, behavioral, and social services and coordinate service authorizations based on assessments and service 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 the identification of providers, specialists, and community resources; help ensure 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 about opportunities to improve quality of care and service delivery for long-term care members cost-effectively.
• Perform other duties as assigned.
• Comply with all policies and standards.

Benefits

• Competitive pay.
• Health insurance.
• 401(k) plan.
• Stock purchase plans.
• Tuition reimbursement.
• Paid time off and holidays.
• Flexible approach to work, with remote, hybrid, field, or office work schedules.
• Computer equipment provided.
• Mileage reimbursement at the current IRS rate.

What This Job Offers

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