Care Manager - Austin, TX, United States - Superior HealthPlan

    Superior HealthPlan
    Superior HealthPlan Austin, TX, United States

    4 days ago

    Default job background
    Description

    Transforming Community Health

    Centene is a diversified, national organization that transforms the health of our communities, one person at a time. As a key contributor to our team, you'll have access to competitive benefits, including flexible work arrangements and innovative approaches to healthcare.

    Job Summary

    This hybrid position combines field visits with remote work from home in the Austin, TX area. You will play a critical role in developing, assessing, and facilitating complex care management activities for members with mental and behavioral health needs.

    Key Responsibilities:

    • Develop personalized care plans and education for members and their families related to mental health and substance use disorder.
    • Evaluate member needs via phone or in-home visits and recommend care plans/services that promote high-quality, cost-effective outcomes.
    • Collaborate with resources to identify providers, specialists, and community services needed for care, including mental health and substance use disorders.
    • Monitor care plans and member status, providing recommendations for changes in treatment, side effects, complications, and clinical symptoms.
    • Facilitate care coordination and collaborate with providers/specialists to ensure timely access to needed care or services.
    • Document and maintain member information and care management activities to ensure compliance with state, federal, and third-party payer regulators.
    • Provide education to members and families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits.

    Requirements:

    • Master's degree in Behavioral Health, Social Work, or a Degree from an Accredited School of Nursing.
    • 2-4 years of related experience.
    • Licensed Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN with BH experience required.

    Benefits:

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


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