Supervisor, Care Management (Social Worker)

Centene Corporation•Remote-IL, IL

2d•$87,000 - $161,300•Remote

About The Position

The Supervisor, Care Management oversees the care management team and coordination of behavioral health services for members, promoting quality and effective care management for mental and behavioral health needs. The role manages day-to-day escalations and care management issues involving members and providers. The ideal candidate is a licensed clinician experienced in supporting children in a behavioral health setting and has experience working with Care Coordination and Support Organizations (CCSOs), community organizations, and other stakeholders to coordinate comprehensive, member-centered care. Candidates must reside in Illinois and be able to travel up to 10% of the time. The remainder of the work is performed remotely from a home office. The position requires a master's degree or graduation from an accredited school of nursing, at least four years of related experience, and a qualifying behavioral health clinical license or RN credential with behavioral health experience. Centene describes its work as connecting people to care and improving health outcomes. The company offers a comprehensive benefits package, and pay is adjusted based on skills, experience, education, and other job-related factors.

Requirements

Master's degree or graduation from an accredited school of nursing.
At least 4 years of related experience.
Licensed Clinical Behavioral Health Professional or RN, as required by state contract requirements; examples include LCSW, LMSW, LMFT, LMHC, or RN with behavioral health experience.
Must reside in Illinois.
Must be able to travel up to 10% of the time.

Nice To Haves

Experience supporting children in a behavioral health setting.
Experience partnering with Care Coordination and Support Organizations (CCSOs), community organizations, and other stakeholders to coordinate comprehensive, member-centered care.
Strong relationship-building and collaboration skills.
Previous leadership experience.

Responsibilities

Monitor and review required care management documentation to maintain compliance with federal and state regulations and contractual agreements.
Assign caseloads to care management staff based on state requirements, staff experience, and member needs.
Work with senior management on escalated and complex behavioral health cases and guide junior team members in addressing member concerns.
Educate the care management team and provide resources on key initiatives and member outreach.
Evaluate team performance and provide feedback on performance, goals, and career milestones.
Coach and guide care management staff and providers to support high-quality care and provide information about service and care plan options, procedures, referrals, and healthcare benefits.
Regularly monitor and review reports to ensure quality and productivity metrics are met and case assignments are appropriate; conduct staff audits as needed.
Assist with onboarding, hiring, and training care management team members.
Perform other duties as assigned.
Comply with all policies and standards.