Supervisor, Care Management - Behavioral Health

Centene

48d•$87,000 - $161,300•Hybrid

About The Position

You could be the one who changes everything for our 28 million members. 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. Position Purpose: 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.

Requirements

Requires a Master's degree or Graduate from an Accredited School of Nursing and 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

Responsibilities

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