Lead Care Manager

🔥 5 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $87k - $161.3k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Oversee care plans and care management activities for members with complex behavioral health and social needs • Review and provide expert knowledge for personalized care plans • Guide and support the care management team • Identify providers, specialists, and community resources needed for care • Conduct telephonic, digital, home, and/or other site-visit outreach to assess member needs • Triage complex issues to appropriate behavioral healthcare providers • Ensure quality control, service accessibility, and adherence to contract policies and procedures • Monitor complex care plans, member status, outcomes, treatment side effects, complications, and clinical symptoms • Review member data to identify health risks and care gaps and recommend improvements • Collaborate with healthcare providers regarding complex cases and revised care plans • Collect, document, and maintain member information and care management activities • Provide training and education to care management teams and providers • Partner with leadership to improve cost-effective care and quality delivery • Monitor compliance with corporate, state, and NCQA standards • Work with senior management on escalated cases and guide junior team members • Review reports, monitor quality and productivity metrics, manage case assignments, and audit staff • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Must reside in North Carolina • Master's degree in Behavioral Health or Social Work, or a degree from an accredited school of nursing • 5–7 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 • Pediatric experience highly desired • Ability to oversee complex behavioral health and social-needs care plans • Knowledge of state and federal regulations, third-party payer requirements, and NCQA standards • Approximately 10% travel may be required for occasional meetings or team events in Raleigh or Charlotte • For Illinois Youth Care plan: must reside in Illinois and hold a graduate degree plus independent behavioral health licensure, or a bachelor's degree and IL RN licensure • For Sunshine Health (FL): must hold a master's degree in social work or related field, one year of related professional pediatric care experience, and an LCSW, LMHC, or other Clinical Mental Health Professional license; may require up to 80% local travel

🏖️ Benefits

• 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