Remotery

Care Manager

atCentene CorporationRemoteUS flagIllinoisFull-timeManagerJuniorMid-level$56.2k – $101k/year

Posted 2 days ago

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Develop, evaluate, and implement intricate care management activities focusing mainly on mental and behavioral health requirements.

• Design individualized care plans and offer education to members and their families about mental health and substance use disorders.

• Assess member needs through phone consultations or in-home visits and suggest or facilitate care and service strategies.

• Conduct outreach via telephonic, digital, home visits, and other site engagements.

• Create continuous care plans for members with high acuity needs.

• Identify necessary providers, specialists, and community resources for effective care.

• Coordinate communication among members, families, caregivers, community resources, and care provider teams.

• Monitor care plans, treatment side effects, complications, clinical symptoms, and member outcomes.

• Ensure care coordination and prompt access to essential care and services.

• Collect, document, and uphold member information and care management activities to meet regulatory compliance.

• Educate members and their families on procedures, provider instructions, treatment options, referrals, and healthcare benefits.

• Offer leadership insights to enhance cost-effective care and quality service delivery.

• Execute other assigned tasks while adhering to organizational policies and standards.


⛳️ Requirements

• Candidates must reside in Illinois within one of the specified eligible counties.

• A Master's degree in Behavioral Health or Social Work, or a qualification from an accredited nursing school is required.

• 2–4 years of relevant experience is essential.

• For the Illinois YouthCare plan: a graduate degree and independent Illinois behavioral health clinician licensure, such as LCSW, LCPC, or PsyD, is necessary.

• An alternative qualification includes a bachelor's degree and Illinois RN licensure.

• Licensed Behavioral Health Clinician or a bachelor's-degreed RN with experience in behavioral health is required.

• Familiarity with the Child Welfare System or DCFS is advantageous.

• Must adhere to all organizational policies and standards.


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off.

• Holiday pay.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Incentives may be part of the total compensation package.

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