On-Site Behavioral Health Care Manager

Centene Corporation-posted 2 months ago
$73,800 - $132,700/Yr
Full-time
5,001-10,000 employees
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Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Centene is hiring a On-Site Behavioral Health Care Manager in Waukegan, Illinois. Are you a Licensed Clinician with a passion for care coordination and improving patient transitions? Our Illinois Health Plan is hiring a On-Site Behavioral Health Care Manager to work on-site at a hospital in the Waukegan area.

  • Assesses, plans and implements all aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality, cost effective care.
  • Completes pre-admission and post-discharge medication reconciliation.
  • Works with the care management and coordination teams to identify complex care transition support services.
  • Evaluates the needs of the member by completing clinical post-discharge assessments for members transitioning from healthcare facilities.
  • Evaluates medication and performs reconciliation between pre-admit and post-discharge medications.
  • Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs.
  • Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions.
  • Facilitates transition into care management service for member based on acuity level.
  • Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve overall member quality of care.
  • Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio-economic needs of members.
  • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources.
  • Serves as a subject matter expert to staff for clinical and non-clinical questions or issues related to post hospital outreach for members.
  • May precept new hires and support building core skills and providing guidance through the onboarding process.
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
  • Provides feedback to leadership on opportunities to improve and enhance care and quality of delivery for members in a cost-effective manner.
  • Performs other duties as assigned.
  • Licensed Clinician (LCSW or LSW) in the State of Illinois.
  • Experience in case management and/or utilization management.
  • Background in an inpatient hospital setting.
  • Strong understanding of care transitions, discharge planning, and community resources.
  • Excellent communication and collaboration skills.
  • Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 4 – 6 years of related experience.
  • License/Certification: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required.
  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
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