Hybrid LTSS Service Care Manager – Behavioral Health

at Centene Corporation

• Job title: LTSS Service Care Manager – Behavioral Health
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $27 - $49 per hour
• Degree requirement: Postgraduate Degree
• Location requirements: Hybrid, Irving, United States

About the role

• Service Care Manager for Behavioral Health at Centene focusing on mental health needs and care coordination. Develops care plans and advocates for members with significant behavioral health issues.

Responsibilities

• Develops, assesses and coordinates holistic care management activities
• Evaluates member service needs and develops or contributes to development of care plans/service plans
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
• Supports 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
• Performs frequent home and/or other site visits (once a month or more)
• Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals
• Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities
• Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
• Maintains 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

• Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience
• REQUIRED Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience
• 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65)
• 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members
• Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred.

Benefits

• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules