Care Manager, Behavioral Health
Centene Corporation
Salary
💰 $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
- 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
- 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
- Coordinates between the member and/or family/caregivers, community resources, and the care provider team to ensure services are accessible
- Monitors care plans/service plans and/or member status and outcomes and provides recommendations based on identified member needs
- Facilitates care coordination and collaborates with appropriate providers or specialists to ensure timely access to needed care or services
- Collects, documents, and maintains member information and care management activities to ensure compliance with state, federal, and third-party payer regulators
- Provides education to members and their families on procedures, treatment options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve care and quality delivery
- Performs other duties as assigned and complies with all policies and standards
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
- BH experience required
- Must reside within the Northern Delaware area
- Field role works primarily in New Castle County, DE
- Ability to perform telephonic, digital, home and/or other site visits outreach to assess member needs
