Psych RN, Care Manager

Centene Corporation•Dallas, TX

22h•Hybrid

About The Position

Centene is seeking a Psych RN, Care Manager to provide case management and service coordination to its 28 million members, specifically those living with mental illness and/or substance abuse disorders. The role is based in Dallas, TX, with a flexible work environment that combines working from home with in-person member visits. Mileage reimbursement is provided for travel. The position operates Monday - Friday, 8 am - 5 pm (CST), with no evenings, weekends, on-call shifts, or holidays. The purpose of this role is to develop, assess, and coordinate holistic care management activities, focusing on populations with significant mental/behavioral health needs to achieve quality, cost-effective healthcare outcomes. This includes evaluating member service needs, developing care plans, and educating members, their families, and caregivers on available services and benefits.

Requirements

Graduate from an Accredited School of Nursing
2 – 4 years of related behavioral health/psychiatric experience
RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required
Critical thinking skills and ability to use nursing judgement to assess member’s health risks to ensure member safety
Strong clinical documentation and time management skills
Flexibility, resilience, and excellent interpersonal communication skills for member advocacy
Reliable transportation is required

Nice To Haves

Clinical RN with 3+ years of psychological admissions/intakes, medication management for mental health/ physical health conditions, care coordination, and discharge planning with adult (ages:18 - 65)
3+ years of clinical RN experience supporting members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
Direct work experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members
Experience in FIELD-BASED roles or work in-patient behavioral health hospital, community health, home health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA)
Current or previous government-sponsored healthcare experience

Responsibilities

Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes.
Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.
Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc
Educates on and coordinates community resources, to include medical, behavioral and social services.
Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
Ensures identified services are accessible to members
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned
Complies with all policies and standards
Travel is required for In-Person member assessments