
10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
🔥 15 hours ago
🐎 Kentucky, Ohio, +3 more states – Remote
💵 $56.2k - $101k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
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10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
• Develop, assess, and facilitate complex care management activities for members with primarily mental and behavioral health needs • Evaluate member needs by phone or in-home visits and recommend or facilitate care/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 for mental health and substance use disorder care • Coordinate among members, families/caregivers, community resources, and care provider teams • Monitor care plans, member status, treatment side effects, complications, and clinical symptoms • Facilitate care coordination and collaborate with providers and specialists to ensure timely access to care • Collect, document, and maintain member information and care management activities for regulatory compliance • Educate members and families about procedures, provider instructions, treatment options, referrals, healthcare benefits, and social determinant needs • Provide leadership feedback on opportunities to improve cost-effective care and quality delivery • Comply with all policies and standards and perform other duties as assigned
• 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, with behavioral health experience required • Preference for an active independent Kentucky licensure, especially LCSW or LPCC • Experience with case management and mental health services, including serious mental illness (SMI) or substance use disorder • Residence in Kentucky or bordering states Ohio, Indiana, West Virginia, or Tennessee preferred • Ability to work Monday through Friday, 8:00 AM–5:00 PM Eastern
• 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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