Senior Care Manager

Job not on LinkedIn

🔥 15 hours ago

🗽 New York – Remote

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💵 $75.3k - $135.4k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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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, plan, implement, and coordinate complex care management activities focused primarily on behavioral health and social needs • Develop and continuously assess personalized care plans/service plans for high-acuity members • Conduct telephonic, digital, home, and/or other site-visit outreach to assess member needs • Identify providers, specialists, and community resources, including mental health and social determinant resources • Coordinate between members, families, care provider teams, and appropriate specialists to ensure access to services • Maintain a higher-volume caseload of complex and specialty cases • Monitor member status, treatment side effects, complications, and clinical symptoms; revise care plans as needed • Identify barriers and implement care management interventions for advanced and complex cases • Review member data, referrals, and intake assessments to identify risks, care gaps, and appropriate care plans • Collaborate with healthcare providers and behavioral health partners to facilitate timely care coordination • Collect, document, and maintain member information and care management activities for regulatory compliance • Educate members and families about procedures, treatment options, referrals, provider instructions, and healthcare benefits • Partner with leadership to improve care quality and cost-effective delivery • Precept, coach, and support clinical new hires during onboarding and competency checkpoints • Collaborate with People Leaders and cross-functional teams to monitor readiness • Perform other duties as assigned

🎯 Requirements

• Candidates must be licensed in New York State • Licensed Master’s Behavioral Health Professional credential (such as LCSW, LMSW, LMFT, LMHC, or LPC) or an RN license, based on state contract requirements • Master’s degree in behavioral health or social work, or a degree from an accredited school of nursing • 4–6 years of related experience • Behavioral health experience required • Experience working with children and families strongly preferred • Strong clinical judgment • Active listening, prioritization, adaptability, and resourcefulness • Comfort working across multiple systems • Ability to work Monday–Friday, 8:30 a.m.–5:00 p.m. ET • Compliance with state and federal regulations and applicable policies and standards

🏖️ 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 • Equal opportunity employer committed to diversity

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