LTSS Service Care Manager – LCSW, LPC, or Psych RN
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Dallas • Texas • United States
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Salary
💰 $27 - $49 per hour
About the role
- Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes.
- Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.
- Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome.
- 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), such as to assess member needs and collaborate with resources, as required.
- 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, prescribed medication treatment regimens, and healthcare benefits.
- Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc.
- Educates on and coordinates community resources, to include medical, behavioral and social services.
- Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living).
- Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
- Ensures identified services are accessible to members.
- 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.
- Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner.
- Performs other duties as assigned.
- Complies with all policies and standards. Travel is required for In-Person member assessments.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementcare coordinationdischarge planningmental health first aidcrisis interventionpsychotropic medication monitoringservice authorizationpreventive care educationtreatment options educationdocumentation in electronic care management system
Soft Skills
advocacycommunicationcollaborationproblem-solvingleadershiporganizational skillsempathyeducational skillsinterpersonal skillsde-escalation practices
Certifications
Licensed Behavioral Health ProfessionalLCSWLPCRegistered Nurse (RN)