- Bi-annually assess the member's current health status to include physical and behavioral health needs. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
- Utilize assessment skills and discretionary judgment to develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs and promote desired outcomes.
- Coordinate services between Primary Care Physician (PCP), specialist including behavioral health providers and non-clinical staff as necessary to meet the complete medical, behavioral, and socio-economical needs of members.
- Monitor referrals made to community based organizations, medical care and other services to support the member's overall plan of care.
- Travel for field visits is required
- 3+ years of experience working directly with adults members with behavioral health conditions or special needs.
- 3+ years of experience coordinating community mental health or social services for families within in-patient/out-patient facilities, community-based or state Mental Health Authorities (MHA), or school-based or residential settings.
- Experience administering psychological assessments and managing high volume caseloads.
- Experience in FIELD-BASED case management roles is a PLUS
- Experience in patient advocacy, service coordination, and familiarity with community and mental health resources.
- Must be able to work independently with minimal supervision.
- Bilingual – Spanish and English is a PLUS, but not required.
- Master's level un-restricted licensed behavioral health clinician; LCSW or LPC
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Complex Care Behavioral Health Care Manager - Dallas, United States - Centene Corporation
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.
LPC, LCSW, LMFT, or RN applicants must reside in one of the following Texas counties:
Dallas, TX, Corsicana, TX, Waxahachie, TX, Lancaster, TX, Addison, TX and Garland, TX.
Monday - Friday: 8 - 5 pm (CST)
Position Purpose: Perform care management duties for adult members with serious and persistent mental illness (SPMI) including assessing, planning and coordinating all aspects of physical and behavioral health services across the continuum of care to promote quality, cost effective care. Individuals assigned to the Complex Care Behavioral Health Care Manager are more likely than others to experience a behavioral health crisis, requiring crisis call management. Crisis call management involves determining member risk level and need of additional supports up to and including requesting a welfare check by local law enforcement.
Education/Experience: Master's degree in relevant field (e.g. social work, counseling, psychology) or RN with psychiatric experience. Minimum of 3 years of experience in direct behavioral health/ psychiatric experience, case management and/or service coordination. Knowledge of utilization principles and healthcare managed care.
License/Certification: One of the following unrestricted licensure is required: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Psychologist (PsyD), or Registered Nurse (RN). Driver's license is required.
Preferred Qualifications:
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.
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