You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Clinical Case Manager positions available in: Bulverde, TX, Canyon Lake, TX, Garden Ridge, TX, New Braunfels, TX, Spring Branch, TX, Selma, TX, San Marcos, TX, Schertz, TX, Santa Clara, TX, Marion, TX, Seguin, TX, Boerne, TX, Comfort, TX, or San Angelo, TX
Position Purpose: Perform care management duties for adult members with serious and persistent mental illness (SPMI) including assessing, planning and coordinating all aspects of physical and behavioral health services across the continuum of care to promote quality, cost effective care. Individuals assigned to the Complex Care Behavioral Health Care Manager are more likely than others to experience a behavioral health crisis, requiring crisis call management. Crisis call management involves determining member risk level and need of additional supports up to and including requesting a welfare check by local law enforcement.
Bi-annually assess the member’s current health status to include physical and behavioral health needs. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
Utilize assessment skills and discretionary judgment to develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member’s needs and promote desired outcomes.
Coordinate services between Primary Care Physician (PCP), specialist including behavioral health providers and non-clinical staff as necessary to meet the complete medical, behavioral, and socio-economical needs of members.
Monitor referrals made to community based organizations, medical care and other services to support the member’s overall plan of care.
Travel for home visits is required
Education/Experience: Master’s degree in relevant field (e.g. social work, counseling, psychology) or RN with psychiatric experience. Minimum of 3 years of experience in direct behavioral health/ psychiatric experience, case management and/or service coordination. Knowledge of utilization principles and healthcare managed care.
Licensure/Certifications: un-restricted license is required: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage & Family Therapist (LMFT), Clinical Psychologist (PsyD) or Registered Nurse (RN) license. Current state driver’s license is also required.
NOTE: Work from home AND travel is required to conduct member assessments via field home visits and telehealth. Mileage reimbursement is provided.
• Must be able to work independently with minimal supervision.
• 3+ years of experience working directly with adults, children and adolescent members with behavioral health conditions or special needs.
• 2+ years of experience coordinating community mental health or social services for families within in-patient, IOP facilities, community-based or state Mental Health Authorities (MHA), or residential recovery settings.
• Experience administering psychological assessments and managing high volume caseloads.
• Experience in field-based case management roles is a PLUS
• Experience in patient advocacy and familiarity with community and mental health resources for Medicaid recipients.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.