- Support members through individualized behavioral health case management
- Coordinate care transitions and discharge planning with providers
- Empower members to access community and behavioral health resources
- Licensed professional: LCSW, LMSW, LMFT, LMHC, LPC or RN
- Strong clinical judgment, care coordination, and communication skills
- Passion for improving behavioral health outcomes in your community
- Schedule: Monday–Friday, 8 AM–5 PM PST
- Location: Fully Remote (Nevada-based candidates preferred)
- Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
- May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
- Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
- Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
- Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
- Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
- Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
- Performs other duties as assigned.
- Complies with all policies and standards.
- Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required
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Job Description · Ready to apply Before you do, make sure to read all the details pertaining to this job in the description below. · You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time ...
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Care Manager - Las Vegas - SilverSummit Healthplan
Description
Job Description
Ready to apply Before you do, make sure to read all the details pertaining to this job in the description below.You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Must Reside in Nevada
Remote Care Manager – Behavioral Health | Nevada Medicaid | Centene
Centene is hiring a Remote Care Manager to join our Nevada Medicaid Behavioral Health team In this rewarding role, you'll provide compassionate support to members with behavioral health needs—coordinating care, facilitating discharge planning, and enrolling members into our case management program to help them thrive.
What You'll Do:
What We're Looking For:
Details:
Join Centene and make a meaningful difference—one member at a time
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.
Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.
License/Certification:
Pay Range: $56, $101,000.00 per year
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. xhuatnn
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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Care Manager
SilverSummit Healthplan- Las Vegas
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Care Manager
Only for registered members Las Vegas, NV
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Care Manager
Only for registered members Las Vegas, NV
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Care Manager
Only for registered members Las Vegas, NV
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Care Manager
Only for registered members Las Vegas
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Care Manager
Only for registered members Las Vegas
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Care Manager
Only for registered members Las Vegas, NV
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Care Manager
Only for registered members North Las Vegas, NV
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RN Care Manager
Only for registered members Las Vegas, NV
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Residential Care Manager
Only for registered members North Las Vegas
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Manager, Customer Care
Only for registered members Las Vegas, NV
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RN Care Manager
Only for registered members Las Vegas
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RN Care Manager
Only for registered members Las Vegas
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RN Care Manager
Only for registered members Las Vegas
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Medical Care Manager
Only for registered members Las Vegas
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Licensed Clinical Care Manager
Only for registered members Las Vegas, NV
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Manager Care Coordination RN
Only for registered members Las Vegas, NV
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Bilingual RN Care Manager
Humana- Las Vegas
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Manager, Convenience Care Operations
Full time Only for registered members Las Vegas, NV
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Manager Care Coordination RN
Only for registered members LAS VEGAS, Nevada, United States