Remotery

Care Manager – Foster Care

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

Posted 2 days ago

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

📋 Description

• Design, evaluate, and implement intricate care management strategies for members primarily facing mental and behavioral health challenges.

• Develop tailored care plans and offer educational support to members and their families concerning mental health and substance use disorders.

• Assess member requirements through phone consultations or in-home visits, recommending or facilitating appropriate care and service plans.

• Perform outreach via phone, digital platforms, home visits, and other locations to evaluate needs and collaborate with available resources.

• Create ongoing care plans for high-acuity members and identify suitable providers, specialists, and community resources.

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

• Monitor care plans, member conditions, treatment-related side effects, complications, and clinical symptoms.

• Facilitate care coordination with providers and specialists to ensure prompt access to necessary care.

• Gather, document, and maintain member information and care management activities to comply with regulatory requirements.

• Educate members and their families about procedures, provider guidelines, treatment options, referrals, and healthcare benefits.

• Provide feedback on leadership opportunities to enhance care delivery and quality in a cost-effective manner.

• Execute additional tasks as assigned while adhering to policies and standards.


⛳️ Requirements

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

• 2–4 years of pertinent experience.

• Licensed Master's Behavioral Health Professional, such as LCSW, LMSW, LMFT, LMHC, or LPC, or RN in accordance with state contract requirements.

• Behavioral health experience is mandatory for RN candidates.

• Strong capability to develop and manage complex behavioral health care plans.

• Proficient in evaluating member needs through phone and in-home assessments.

• Skilled in coordinating efforts with providers, specialists, families, caregivers, and community resources.

• Ability to document care management activities in accordance with state, federal, and third-party payer regulations.

• Availability from Monday to Friday, 8:00 a.m. to 5:00 p.m.

• LCSW, LMSW, LMFT, LMHC, or LPC license is highly preferred.


🏝️ Benefits

• Competitive compensation.

• Health insurance coverage.

• 401K plan.

• Stock purchase options.

• Tuition reimbursement.

• Paid time off in addition to holidays.

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

• Potential additional incentive opportunities.

• Equal opportunity employer committed to fostering diversity.

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