Care Manager – Behavioral Health

🔥 3 hours ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Centene Corporation

WebsiteLinkedInAll Job Openings

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.

📋 Description

• 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 regarding mental health and substance use disorder • Evaluate member needs through phone or in-home visits and recommend or facilitate care and service plans • Conduct telephonic, digital, home, and other site-visit outreach to assess member needs • Develop ongoing care plans for high-acuity members and identify providers, specialists, and community resources • Coordinate among members, families, caregivers, community resources, and care provider teams to ensure services are accessible • Monitor care plans, member status, treatment side effects, complications, and clinical symptoms • Facilitate care coordination 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 on procedures, provider instructions, treatment options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care and quality delivery • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Candidates must reside in Passaic or Sussex Counties, New Jersey, or a nearby bordering county • Active New Jersey license required • 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, such as LCSW, LMSW, LMFT, LMHC, or LPC, or RN based on state contract requirements, with behavioral health experience required • For NJ Health Plan: Master's degree in Behavioral Health or Social Work and Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required • Availability Monday–Friday, 9:00 AM–5:00 PM • Ability to conduct phone, digital, home, and other site visits • Knowledge of mental health, substance use disorders, care coordination, healthcare benefits, and social determinants of health • Ability to document care management activities and comply with state, federal, and third-party payer regulations

🏖️ Benefits

• Competitive pay • Health insurance • 401K plans • 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