Manager, Care Management

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $102.9k - $190.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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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

• Manage the care management team and care coordination of behavioral health members • Develop and assess high quality, cost-effective healthcare outcomes related to mental and behavioral health needs • Manage escalations and care management issues related to members or providers • Oversee and review required care management documentation for regulatory and contractual compliance • Develop, implement, and oversee care management policies, procedures, and programs • Direct daily activities of care management staff, including reviewing and approving caseloads • Manage escalated and complex care cases and guide team members • Manage complaint resolutions and assist with audits and evaluations • Set goals and objectives for the care management team • Provide updates and insights to senior management • Provide feedback to improve member and provider experience and quality of care • Educate and provide resources to the care management team on key initiatives and member outreach • Assist with onboarding, hiring, and training care management employees

🎯 Requirements

• Must reside in Ohio • Active clinical license in Ohio required • Master's degree or graduation from an Accredited School of Nursing • 5+ years of related experience • Licensed Clinical Behavioral Health Professional or RN based on state contract requirements required, e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience • Leadership experience • Background in behavioral health, managed care, case management or community mental health centers, and utilization review • Excellent communication and presentation skills

🏖️ 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 • additional forms of incentives may be included in total compensation