Senior Care Manager
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Missouri • United States
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Salary
💰 $75,300 - $135,400 per year
Job Level
About the role
- Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on behavioral health needs
- Develops a personalized care plan/service plan as appropriate/required and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care
- Develops and continuously assesses ongoing care plans/service plans of the members with high level acuity via phone or in-home visits
- Coordinates and manages, as appropriate, between the member and/or family and the care provider team to ensure identified services are accessible to members
- Monitors member status and outcomes for changes in treatment side effects, complications and clinical symptoms and revises care plan/service plan based on member needs and issues identified including mental health and substance use disorders
- Identifies problems/barriers for care coordination and appropriate care management interventions for advanced and complex cases including mental health and substance use disorders
- Reviews member data to identify health risks and/or care gaps, and improve operating performance and quality care to address member’s needs/issues and provides recommendations in accordance with state and federal regulations
- Reviews referrals information and intake assessments to develop appropriate care plan for complex/specialty cases
- Collaborates with healthcare providers and partners (including behavioral) as appropriate to facilitate care coordination
- Collects, documents, and maintains all 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
Requirements
- Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
- 4 – 6 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 & Tools
care managementbehavioral healthcare plan developmentclinical assessmentcare coordinationhealth risk identificationdata analysistreatment planningcase managementcompliance monitoring
Soft Skills
communicationcollaborationproblem-solvingorganizational skillseducational skillsinterpersonal skillscritical thinkingempathyadaptabilityattention to detail
Certifications
Licensed Master's Behavioral Health ProfessionalLCSWLMSWLMFTLMHCLPCRegistered Nurse (RN)