Care Manager I - Tulsa, United States - Oklahoma Complete Health

Description

Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.

Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.

At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development.

Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

Position Purpose:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Develop, assess and adjust, as necessary, the care plan and promote desired outcome

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients

Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs

Provide patient and provider education

Facilitate member access to community based services

Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan

Actively participate in integrated team care management rounds

Identify related risk management quality concerns and report these scenarios to the appropriate resources

Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems


Education/Experience:
Bachelor's degree in Social Work. 2+ years of social work experience in an acute care or community setting. Knowledge of government-sponsored managed care programs preferred.


Licenses/Certifications:
Current state's LMSW, LCSW, LPC, LMHC, or LMFT license required.

Bachelor's degree in social work, psychology, or a related social services field; OR licensed to practice in the State of Oklahoma.

Must successfully complete the Behavioral Health Case Manager certification training provided through the Department of Mental Health and Substance Abuse Services within (6) months of date of hire.

For Oklahoma Complete Health - Children's

Specialty Program Preferred Experience:

Instate presence with knowledge of the complex care needs of the population served, particularly children adjudicated, deprived and in custody of the state child welfare or juvenile justice system through formal education, personal, or employment experience.

Experience also includes assisting with facility transition, adolescent to adulthood transition, provider terminations, and changes in level of care (BH inpatient to residential care/group home LOC).

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Thanks for your interest in Centene and its subsidiary companies.

We're so glad that you've decided to fill out an application and take the next step to find your purpose.

Also, we're here to help support you on your candidate journey. Should you need an accommodation, please email Centene is committed to helping people live healthier lives.

We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

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