Care Manager

4 days ago

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $55.1k - $99k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

Apply Now

Receive Emails with Similar Jobs

Centene Corporation

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Manage 60–70 youth in DCFS care. • Complete required assessments for behavioral and physical health needs. • Create individual care plans with the Interdisciplinary Care Team (ICT). • Provide ongoing care coordination and follow-up. • Use clinical expertise to maximize health plan benefits and support long-term stability and wellness. • Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome. • May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources. • Develops ongoing care plans for members with high level acuity. • Works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders. • Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team. • Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs. • Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services. • Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators. • Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits.

🎯 Requirements

• Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience. • For Illinois Youth Care plan only: Graduate degree and independently licensed behavioral health clinician (e.g. LCSW, LCPC, PsyD) in Illinois or Bachelor’s Degree and IL RN licensure. • Must reside in IL required

🏖️ Benefits

• competitive pay • 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