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Care Manager

🕒 Ontem

🌲 Oregon – Remoto

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💵 $56.200 - $101.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Centene Corporation

10.000+ funcionários

Fundada em 1984

🛡️ Seguros

💼 Consultoria

🏥 Saúde

Insurance • Consulting • Healthcare

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• Develop, assess, and facilitate complex care management activities for members with primarily mental and behavioral health needs • Create personalized care plans and provide education for members and families related to mental health and substance use disorder • Evaluate member needs via phone or in-home visits and recommend or facilitate care and service plans • Conduct telephonic, digital, home, and other site-visit outreach • Develop ongoing care plans for members with high acuity • Identify providers, specialists, and community resources needed for care • Coordinate among members, families, caregivers, community resources, and care provider teams • Monitor care plans, member status, outcomes, treatment side effects, complications, and clinical symptoms • Facilitate care coordination and timely access to needed services • Collect, document, and maintain member information and care management activities for regulatory compliance • Educate members and families about procedures, provider instructions, treatment options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care quality and cost-effectiveness • Comply with all policies and standards • Perform other duties as assigned

🎯 Requisitos

• 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 • Behavioral health experience required • Must hold active Oregon licensure or be willing to obtain it • Ability to work Monday–Friday, 8:00 am–5:00 pm PST • Case management and behavioral health experience strongly preferred

🏖️ Benefícios

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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