Care Manager

🔥 50 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 10%

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Logo of Centene Corporation

Centene Corporation

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 primarily mental and behavioral health needs • Evaluate member needs by 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 high-acuity members • 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 timely access to needed care and 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

🎯 Requirements

• Applicants must reside in Georgia • Active RN license or Licensed Master’s Behavioral Health Professional credential required, such as LCSW, LMSW, LMFT, LMHC, or LPC • Master’s degree in Behavioral Health or Social Work, or a degree from an accredited school of nursing • 2–4 years of related experience • Behavioral health experience required for the applicable RN or Licensed Master’s Behavioral Health Professional credential • Strong time management and assessment skills • Telephonic experience • Excellent communication and customer service skills • Behavioral health knowledge • Strong organizational skills • Comfortable working with computers

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • 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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