Supervisor, Care Management

Centene Corporation

1d • $87,000 - $161,300 • Remote

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. Supervises day-to-day escalations and care management issues related to members or providers. This is a remote position with quarterly in person engagement at the Newark DE location. Must reside in DE, PA, NJ or MD. 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

• 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
• This is a remote position with quarterly in person engagement at the Newark DE location. Must reside in DE, PA, NJ or MD.

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.

Benefits

• Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager