Care Manager

1 week ago

Mirando City, Texas, United States Superior HealthPlan Full time
Job Title: LTSS Service Care Manager

Join our team of dedicated professionals who are passionate about delivering exceptional care to our members. As a LTSS Service Care Manager, you will play a vital role in ensuring that our members receive the highest quality care and support.

Job Summary:

We are seeking a highly skilled and compassionate LTSS Service Care Manager to join our team. In this role, you will be responsible for developing and implementing care plans that meet the unique needs of our members. You will work closely with our members, their families, and healthcare providers to ensure that our members receive the best possible care.

Key Responsibilities:
  • Evaluate member service needs and develop or contribute to the development of care plans/service plans
  • Act as a liaison and member advocate between the member/family, physician, and facilities/agencies
  • Support members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
  • Perform frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
  • Provide and/or facilitate education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits
  • Provide subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc
  • Coordinate community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
  • Ensure appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
  • Maintain accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
  • Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Requirements:

We are looking for a highly skilled and compassionate LTSS Service Care Manager who has:

  • A Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing
  • 2 – 4 years of related experience
  • Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements e.g., LCSW, LPC and RN with BH experience is required
Preferred Experience:

We prefer candidates with:

  • Master's level un-restricted licensed behavioral health clinician; LCSW, LPC, or Psych/Mental Health RN
  • 3+ years of case management experience with the adult population with serious mental illness and behavioral health conditions or special needs
  • 3+ years of experience in patient advocacy or coordinating community mental health and/or personal assistance or social services for members
  • Experience working within in-patient/out-patient facilities, or working in community-based Behavioral Health, local IDDA, or state Mental Health Authorities (MHA) settings
  • Experience administering psychological assessments and managing high volume caseloads
  • Experience in FIELD-BASED Case Management roles is a PLUS, but not required
  • Strong clinical documentation skills and be trainable to utilize case management systems
  • Proficient computer skills with Microsoft and Video Conferencing applications (e.g. Outlook, Word, Excel, ZOOM, MS Teams)
  • Must be able to work independently with minimal supervision
  • Bilingual – Spanish and English is a plus, but not required
What We Offer:

We offer a comprehensive benefits package including:

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • 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.

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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