Supervisor, Care Management Behavioral Health

Centene Corporation

3d•Hybrid

About The Position

Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Supervises day-to-day escalations and care management issues related to members or providers. Monitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements. Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs. Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns. Educates and provides resources for care management team on key initiatives and member outreach. Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones. Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits. Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis. Assists with onboarding, hiring, and training care management team members. Performs other duties as assigned. Complies with all policies and standards.

Requirements

Must reside in the state of Illinois.
LCSW, LCPC or RN licensure with SUD/Behavioral Health experience for the state of Illinois.
Strong SUD experience and understanding of the different levels of care for these members.
Minimum of 4 years of experience.
People leadership experience including with remote employees.
Master's degree or Graduate from an Accredited School of Nursing.
4+ years of related experience.
Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required.

Nice To Haves

CADC is highly preferred to support substance use behavioral health expansion.

Responsibilities

Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs.
Supervises day-to-day escalations and care management issues related to members or providers.
Monitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements.
Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs.
Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns.
Educates and provides resources for care management team on key initiatives and member outreach.
Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones.
Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits.
Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis.
Assists with onboarding, hiring, and training care management team members.
Performs other duties as assigned.
Complies with all policies and standards.