Service Care Manager for Behavioral Health at Centene focusing on mental health needs and care coordination. Develops care plans and advocates for members with significant behavioral health issues.
Responsibilities
Develops, assesses and coordinates holistic care management activities
Evaluates member service needs and develops or contributes to development of care plans/service plans
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)
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
Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
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
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
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