REMOTE- RN's

4 weeks ago

Mcallen TX, United States Centene Corporation Full time

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Superior Health Plan STAR + Plus is seeking LPC, LCSW, LMFT, or RN applicants. Monday - Friday: 8 am - 5 pm (CST)
Perform care management duties for adult members with serious and persistent mental illness (SPMI) including assessing, planning and coordinating all aspects of physical and behavioral health services across the continuum of care to promote quality, cost effective care. Individuals assigned to the Complex Care Behavioral Health Care Manager are more likely than others to experience a behavioral health crisis, requiring crisis call management. Crisis call management involves determining member risk level and need of additional supports up to and including requesting a welfare check by local law enforcement.
Bi-annually assess the member’s current health status to include physical and behavioral health needs. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
Utilize assessment skills and discretionary judgment to develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member’s needs and promote desired outcomes.
Coordinate services between Primary Care Physician (PCP), specialist including behavioral health providers and non-clinical staff as necessary to meet the complete medical, behavioral, and socio-economical needs of members.
Monitor referrals made to community based organizations, medical care and other services to support the member’s overall plan of care.
Travel for field visits is required
Education/Experience: Master’s degree in relevant field (e.g. social work, counseling, psychology) or RN with psychiatric experience. Minimum of 3 years of experience in direct behavioral health/ psychiatric experience, case management and/or service coordination. Knowledge of utilization principles and healthcare managed care.
Licensed Clinical Social Worker (LCSW) , Licensed Professional Counselor (LPC ), Licensed Marriage & Family Therapist ( LMFT ), Licensed Psychologist ( PsyD) or Registered Nurse (RN) license. 3+ years of experience working directly with adults members with behavioral health conditions or special needs.
~3+ years of experience coordinating community mental health or social services for families within in-patient/out-patient facilities, community-based or state Mental Health Authorities (MHA), or school-based or residential settings.
~ Experience in field-based case management roles
~ Experience in patient advocacy, service coordination, and familiarity with community and mental health resources.
~ Must be able to work independently with minimal supervision.
~ Bilingual – Spanish and English is a PLUS, but not required.
~ Master’s level un-restricted licensed behavioral health clinician; LCSW or LPC

68 per hour
Monday - Friday: 8 am - 5 pm (CST) (No Evenings, NO weekends, NO On Call, NO Holidays)
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. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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