Care Manager
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Job Description
Care Manager for Centene managing healthcare for pediatric foster care population. Developing personalized care plans and collaborating with providers for mental health and substance use disorder needs.
Responsibilities:
- 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
- Evaluates the needs of the member via phone or in-home visits related to the resources available
- 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
- Collaborates with resources 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
- Provides recommendations to care plan/service plan based on identified member needs
- Facilitates care coordination and collaborates with appropriate providers or specialists
- Collects, documents, and maintains member information and care management activities to ensure compliance
- Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits
Requirements:
- 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
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
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