LTSS Service Care Manager - LPC, LCSW, or LMFT

Centene Management Company•Tyler, TX

3d•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 services and benefits available to meet member needs. This hybrid behavioral health care manager position requires travel for member visits near Tyler, Lindale, Athens, Hawkins, Kilgore, Henderson, Longview, Jacksonville, Mabank, Palestine, Marshall, or Sulphur Springs, Texas. Mileage reimbursement is provided. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST, with no on-call, evening, weekend, or holiday work. The role serves long-term care members with complex and high-risk mental or behavioral health needs. It involves frequent home or other site visits, usually once a month or more, and coordination with members, families, physicians, facilities, agencies, providers, and community resources. The position also supports crisis-related activities, service authorization and referrals, accurate care-management documentation, and compliance with clinical, state, and federal guidelines. A master’s degree in Mental Health Counseling or Social Work, 2–4 years of related experience, and an unrestricted behavioral health professional license required by the applicable state contract are required. For Superior Health Plan, a Department of Family & Protective Services background check is required. The stated pay range is $27.02–$48.55 per hour; actual pay may vary based on job-related factors, and total compensation may include incentives. Centene describes its work as connecting people to care and improving health outcomes for individuals, families, and communities. It is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Requirements

Master’s degree in Mental Health Counseling or Social Work.
2–4 years of related experience.
Unrestricted behavioral health professional license required by applicable state contract requirements, such as LCSW, LMFT, LMHC, or LPC; license must be 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.
For Superior Health Plan, successful completion of a Department of Family & Protective Services background check is required.

Nice To Haves

Four or more years of case-management experience, preferably in child welfare, 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 working in a managed-care environment, particularly Federal or State Sponsored Government Programs.
Bilingual English/Spanish skills.
Experience with TruCare, Microsoft Outlook, M365 Copilot, Excel, PowerPoint, Word, or OneNote.

Responsibilities

Evaluate the needs of complex and high-risk members with mental or behavioral health needs and recommend a plan of care.
Act as a liaison and member advocate between members and their families, physicians, facilities, and agencies.
Support members with mental or behavioral health needs, including conditions such as 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, usually monthly or more often as required, 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, medications, 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, de-escalation practices, and medication monitoring.
Educate members about and coordinate medical, behavioral, and social community resources.
Coordinate service authorization for services such as meals, employment, housing, foster care, transportation, and activities of daily living.
Make appropriate referrals based on individual member needs and help identify 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.
Support 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.