Care Manager at Centene

**Who this is for** This role is for a dedicated and experienced Care Manager looking to make a significant impact on the lives of members, particularly those i

Work type: remote

Location: Remote-MO

Salary: $56,200 – $101,000/yr

Type: Full-time

Summary

**Who this is for** This role is for a dedicated and experienced Care Manager looking to make a significant impact on the lives of members, particularly those in adolescent foster care with mental and behavioral health needs. If you are passionate about improving healthcare outcomes and supporting vulnerable populations, this fully remote opportunity within Centene could be your next step. **Key highlights** As a Care Manager, you will develop and implement personalized care plans, assess member needs, and coordinate with various resources to ensure optimal care. This position is fully remote but requires residency in Missouri, focusing on members with mental and behavioral health needs. **You might be a good fit if you...** - Possess a Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing, with 2-4 years of related experience. - Hold a Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN license with BH experience. - Are skilled in assessing member needs, developing care plans, and coordinating with providers and community resources. - Can effectively communicate healthcare information and educate members and their families.

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.
 

POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF MISSOURIPOSITION WILL WORK WITH ADOLESCENT FOSTER CARE POPULATION Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs


• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources


• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders


• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members


• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs


• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services


• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators


• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs


• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner


• Performs other duties as assigned.


• Complies with all policies and standards.

License/Certification:

• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

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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