Care Manager - Mental Health, Psychiatric RN at Centene

You are a Registered Nurse or Nurse Practitioner with two to four years of experience in behavioral or psychiatric health. You hold an active nursing license an

Work type: remote

Salary: $27 – $49/hr

Type: Full-time

Summary

You are a Registered Nurse or Nurse Practitioner with two to four years of experience in behavioral or psychiatric health. You hold an active nursing license and are comfortable conducting regular, mandatory in-person home visits in the Hidalgo County area. **What makes it worth a look...** Centene pays between $27.02 and $48.55 per hour for this role. While it is a hybrid position that requires local field travel in the McAllen, Edinburg, or Harlingen areas, you get mileage reimbursement and a comprehensive benefits package including 401K and tuition reimbursement. **You might be a good fit if you...** * Possess an active RN or NP license in Texas or a compact state. * Have direct experience with mental health conditions like schizophrenia or bipolar disorder. * Are comfortable performing monthly site visits and home assessments. * Have a background in case management, discharge planning, or social services.

Job Description

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.

Mental Health/Psychiatric RN experience is requiredProvide case management and service coordinationWork in Hidalgo County, TX near McAllen, Edinburg, or Harlingen, TX areaMonday - Friday: 8 am - 5 pm (CST)Hybrid - Work from home and engage via in-person member visitsPosition Purpose: 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

Education/Experience:Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/psychiatric experience.

License/Certification:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required or

NP - Nurse Practitioner - Current State's Nurse Licensure required

Preferred Experience:

•   3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65)
•   2+ years of 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) is preferred.

NOTE: Mileage reimbursement is provided for travel.Pay Range: $27.02 - $48.55 per hour

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.

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