Care Manager

1 day ago


Lubbock, Texas, United States Centene Corporation Full time
About the Role

We are seeking a highly skilled Care Manager - Behavioral Health Specialist to join our team at Centene Corporation. As a key member of our care management team, you will play a critical role in developing and implementing holistic care plans for our members with significant mental/behavioral health needs.

Key Responsibilities
  • Develop and assess care plans for members with complex mental/behavioral health needs
  • 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 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
  • Educate on and coordinate community resources, to include medical, behavioral and social services
  • Ensure appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources
  • 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
Requirements
  • 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
  • Preferred Experience: 3+ years of case management experience with the adult population with serious mental illness and behavioral health conditions or special needs
What We Offer
  • 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

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