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Care Manager
2 months ago
Join our team of dedicated professionals at Superior HealthPlan as a LTSS Service Care Manager. As a key member of our team, you will play a vital role in delivering high-quality care to our members.
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 holistic care management activities to support members with significant mental and behavioral health needs.
Key Responsibilities:- Evaluate member service needs and develop or contribute to the development of care plans to ensure quality, cost-effective healthcare outcomes.
- Act as a liaison and member advocate between the member, family, physician, and facilities/agencies to ensure seamless care coordination.
- Support members with primarily mental and behavioral health needs, such as those with 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 to assess member needs and collaborate with resources as required.
- Provide 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.
- Coordinate community resources, including medical, behavioral, and social services, to ensure members have access to necessary support.
- Maintain accurate documentation and ensure compliance with clinical guidelines and current state and federal guidelines.
- Provide 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.
- Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.
- Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements.
- 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.
As a LTSS Service Care Manager at Superior HealthPlan, you will enjoy 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.
