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 health or psychiatric settings. You hold a current state lic

Work type: hybrid

Location: Harlingen-Texas(78553) | Harlingen-Texas(78552) | Harlingen-Texas(78550) | Mcallen-Texas(78504) | Edinburg-Texas(78541) | Edinburg-Texas(78539) | Harlingen-Texas(78551) | Edinburg-Texas(78542) | Mcallen-Texas(78501)

Salary: $36 – $65/hr

Type: Full-time

Summary

You are a Registered Nurse or Nurse Practitioner with two to four years of experience in behavioral health or psychiatric settings. You hold a current state license and are comfortable performing frequent, field-based site visits. **What makes it worth a look...** Centene offers a pay range of $36.21 to $65.09 per hour for this hybrid role based in the McAllen, Edinburg, or Harlingen, Texas area. You will work a standard Monday through Friday schedule with no nights, weekends, or on-call shifts, and you receive mileage reimbursement for your required travel. **You might be a good fit if you...** * Possess an active RN or NP license for the state of Texas. * Have direct clinical experience managing complex mental health conditions like schizophrenia or bipolar disorder. * Are comfortable navigating electronic care management systems for clinical documentation. * Maintain reliable transportation for mandatory monthly home or site visits.

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.
 

Hybrid Work Location: McAllen, Edinburg, or Harlingen, TX areaWork from home and engage via IN-PERSON member visitsMental Health/Psychiatric RN experience. Provide case management and service coordination to members living with mental illness and/or substance abuse disorders.Monday - Friday: 8 am - 5 pm (CST).  NO Evenings, NO Weekends, NO On-Call shifts, NO Holidays.Position 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

License/Certification:

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


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

• Clinical RN with 3+ years of psychological admissions/intakes, medication management for mental health/ physical health conditions, care coordination, and discharge planning with adult (ages:18 - 65)


• 3+ years of clinical RN experience supporting 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


• Direct work 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.


• Current or previous government-sponsored healthcare experience preferred


• Critical thinking skills and ability to use nursing judgement to assess member’s health risks to ensure member safety


• Strong clinical documentation and time management skills


• Flexibility, resilience, and excellent interpersonal communication skills for member advocacy


• Reliable transportation is required

Pay Range: $36.21 - $65.09 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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