Care Manager

Care Manager page is loaded## Care Manager locations:
Remote-MItime type:
Full time posted on:
Posted Todayjob requisition :
1585444

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

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.
** Education/

Experience:

** Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.

** 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
* For Illinois Youth Care plan only:
Graduate degree and independently licensed behavioral health clinician (e.g. LCSW, LCPC, PsyD) in Illinois or Bachelor’s Degree and IL RN licensure. Must reside in IL required
* For NJ Health Plan Only:
Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required
* For Sunshine Health (FL) Only:
Employees supporting Florida's Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience. Employee must also hold a LCSW, LMHC or other Clinical Mental Health Professional license. May require up to 80% local travel. required

Pay Range: $55,100.00 - $99,000.00 per year 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…