Behavioral Health Care Manager
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Baton Rouge • Louisiana • United States
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Salary
💰 $56,200 - $101,000 per year
About the role
- Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide 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, which may include behavioral health and social determinant needs.
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.
- Performs other duties as assigned. Complies with all policies and standards.
Requirements
- Licensed Clinical Behavioral health professional with one of the following licensures: LCSW, LMSW, LMFT, LMHC, LPC
- at least 5 years BH experience
- Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.
- Applicants must reside in Baton Rouge or surrounding areas
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementcare coordinationpersonalized care plansmember assessmenttreatment optionsdocumentationmonitoring care planseducation on healthcare benefitstelephonic outreachhome visits
Soft Skills
collaborationcommunicationleadershipproblem-solvinginterpersonal skillsorganizational skillsfeedback provisionadaptabilityempathycritical thinking
Certifications
LCSWLMSWLMFTLMHCLPC