Supervisor, Care Management at Centene

Ideal for a licensed behavioral health professional or RN who has at least four years of experience and holds a Master’s degree or graduated from an accredited

Work type: remote

Location: Remote-MO

Salary: $87,000 – $161,300/yr

Type: Full-time

Summary

Ideal for a licensed behavioral health professional or RN who has at least four years of experience and holds a Master’s degree or graduated from an accredited nursing school. You must be prepared to supervise a care management team while maintaining compliance with state and federal regulations. **What makes it worth a look...** Centene offers a salary between $87,000 and $161,300 per year for this fully remote role, though you are required to reside in the state of Missouri. You will also receive comprehensive benefits including a 401K, stock purchase plans, and tuition reimbursement. **You might be a good fit if you...** * Hold an active license such as LCSW, LMSW, LMFT, LMHC, or RN * Possess specific professional experience in behavioral health * Can manage staff performance and ensure productivity metrics are met * Have experience with clinical care coordination and member escalations

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 THE STATE OF MISSOURIMUST HAVE BEHAVIORAL HEALTH EXPERIENCEPosition 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.

• 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.

License/Certification:

• Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN 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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