Pre-release Care Manager
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Kentucky • 🇺🇸 United States
Visit company websiteSalary
💰 $55,100 - $99,000 per year
Job Level
JuniorMid-Level
About the role
- Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
- Provides high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder
- 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 including mental health and substance use disorders
- 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
- 2 – 4 years of related experience
- Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
Benefits
- competitive pay
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementpersonalized care plansmental health assessmentsubstance use disorder treatmentcare coordinationclinical symptom monitoringdocumentationcompliance with regulationstelephonic outreachdigital outreach
Soft skills
communicationcollaborationproblem-solvingleadershipeducationfeedback provisionorganizational skillsinterpersonal skillsempathyadaptability
Certifications
Licensed Master's Behavioral Health ProfessionalLCSWLMSWLMFTLMHCLPCRegistered Nurse (RN)