Care Manager

4 weeks ago


Austin, Texas, United States Centene Corporation Full time

Job Summary:

Centene Corporation is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members.

Key Responsibilities:

  • Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members.
  • 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.
  • 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.
  • 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.
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.

Requirements:

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

Benefits:

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. Total compensation may also include additional forms of incentives.

Equal Opportunity Employer:

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act



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