Jobs
>
Olympia

    Behavioral Health Care Manager - Olympia, United States - Centene Corporation

    Centene Corporation
    Centene Corporation Olympia, United States

    3 weeks ago

    Default job background
    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.
    This is a remote role
    • Must reside in Mountain Standard, AZ or Pacific Standard time zone.
    *Position Purpose:


    Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability. Assess members to recommend activities and behavioral routines to meet the social and medical needs of members and their families. Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care.+ Assesses, plans, implements, monitors and evaluates options and services to meet complex psychosocial health needs of inpatient and outpatient members.+ Manages a caseload in compliance with contractual obligations and WellCare standards.+ Conducts comprehensive member assessments through root cause analysis based on referred member's needs and benefit plan eligibility, and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs.+ Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability.+ Works towards achievement of optimal clinical and resource outcomes.+ Monitors and evaluates effectiveness of care plan and modifies plan as needed.+ Supports member access to appropriate quality and cost effective care.+ Coordinates with internal and external resources to meet identified needs of the member's care plan and collaborates with providers.+ Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.+ Provides clinical consultation to physicians, professional staff and other teams members/supervisors to provide optimal quality patient care and effective operations.+ Interacts continuously with members, family, physician(s), and other resources to determine appropriate behavioral action needed to address medical needs.+ Reviews benefits options, researches community resources, trains/creates behavioral routines and enables members to be active participants in their own healthcare.+ Ensures members are engaging with their PCP to complete their care management treatment plan or preventive care services.+ Assists in obtaining benefits for members through community resources when benefits are exhausted or not available.+ Performs other duties as assigned.


    • Additional Responsibilities:
    In Hawaii, Registered Nurses may monitor the effect of medications, provide medication administration and education as needed under guidance of the Psychiatrist.+ The may provide education and clinical care for medical conditions and assists the Psychiatrist with member adherence to medications.


    • Incumbents engaged in Florida's SMI program will manage members w Performs other duties as assigned Complies with all policies and standardsEducation/Experience:

    Required A Master's Degree in Social Work, Psychology, Counseling, Rehabilitation, or other relevant field that provides a foundation to receive a license as required of the position

    Candidate Experience:

    Required 2+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planningRequired 1+ year of experience in current case management as a licensed professionalRequired Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needsPreferred Experience in a managed care environmentRequired 5+ years of experience in For KY SKY Program:
    candidates must have 5 years of behavioral health care experienceLicenses and Certifications:
    A license in one of the following is required:A master's level independent or non-independent license is required OR an RN with a behavioral health background:
    Required Licensed Registered Nurse (RN)

    Required Licensed Clinical Social Worker (LCSW)    Required Licensed Clinical Mental Health Counselor (LCMHC):

    Required Licensed Clinical Professional Counselor (LCPC):*Required Licensed Clinical Marriage & Family Therapist (LCMFT):
    Required Licensed Clinical Psychologist (LCP):*Required Licensed Master Social Work (LMSW):
    Required Certified Social Worker (C-SW): Required Acute Care Nurse Practitioner (APRN) (ACNP-BC)
    Required Other In New Jersey, one of the following is Required: Licensed Clinical Social Worker (LSW), Licensed Associate Counselor (LAC) or Registered Nurse (RN). Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) Preferred.


    Pay Range:
    $54, $97,100.00 per yearCentene 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.

  • Providence

    Care Manager RN

    3 weeks ago

    Providence Tumwater, United States

    Description · The Care Manager RN is responsible for managing patient populations with chronic illness and/or multiple comorbidities. This individual works in coordination with multiple PCPs and serves as the central link to an identified population of patients. Through skilled a ...

  • Providence

    RN Care Manager

    3 weeks ago

    Providence Tumwater, United States

    Description · Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the c ...

  • Centene Corporation

    Care Manager I

    4 days ago

    Centene Corporation Olympia, United States

    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. ...

  • Providence Health & Service

    Care Management Assistant

    2 days ago

    Providence Health & Service Olympia, United States

    Job DescriptionCare Management Assistant - Providence St. Peter Hospital - Olympia, WASCHEDULE: 1.0 FTE, averaging 40 hours per week. 8-hour shifts, 8a-5p PST. Mandatory weekend rotation. Under the direction of the Care Management leadership team, the Care Management Assistant (C ...

  • Providence

    RN Senior Care Manager

    3 weeks ago

    Providence Tumwater, United States

    Description · The RN Flow Coordinator / Expeditor plays a pivotal role to decrease barriers, improve patient access and enhance quality of care using clinical expertise, leadership, organizational awareness, and critical thinking skills. The Expeditor collaborates and provides su ...

  • Community Youth Services

    Foster Care Clinical Case Manager

    2 weeks ago

    Community Youth Services Olympia, United States

    Job Description · Job DescriptionSalary: $21.94 per hour · Community Youth Services' Foster Care Program is looking for compassionate and dedicated individuals to join our team as Clinical Case Manager. The Clinical Case Manager is a pivotal figure in the Foster Care Program, pro ...

  • Community Youth Services

    Foster Care Associate Case Manager

    2 weeks ago

    Community Youth Services Olympia, United States

    Job Description · Job DescriptionSalary: $19.90 per hour · Community Youth Services' Foster Care Program is looking for compassionate and dedicated individuals to join our team as Associate Case Manager. The Associate Case Manager is a foundation in the support network for famili ...

  • Providence Service

    RN Care Manager

    3 weeks ago

    Providence Service Olympia, United States

    · Under supervision of Care Management Manager, works as a catalyst to promote 1) Coordination of care, 2) Continuity of Care, 3) achievement of consistent and/or expected clinical conditions, 4) patient advocacy and 5) efficient resource management. Coordinates the care for com ...

  • Centene Corporation

    Care Manager I

    3 weeks ago

    Centene Corporation Olympia, United States

    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.* ...

  • Providence Swedish

    Care Manager MSW

    2 weeks ago

    Providence Swedish Olympia, United States

    Description · Care Manager MSW - Providence St Peter Hospital-Olympia(HR) · Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, pati ...

  • Providence Health & Service

    Care Manager MSW

    3 weeks ago

    Providence Health & Service Olympia, United States

    Job Description · Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, patient advocacy and efficient resource management. · Provide ...

  • Centene Corporation

    Care Manager II

    1 week ago

    Centene Corporation Olympia, United States

    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. ...

  • Centene Corporation

    Care Manager I

    2 days ago

    Centene Corporation Olympia, United States

    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. ...

  • Providence Health & Service

    Care Manager MSW

    2 weeks ago

    Providence Health & Service Olympia, United States

    Job DescriptionCare Manager MSW - Providence St Peter Hospital-Olympia(HR)Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, patient ...

  • Centene Corporation

    Care Manager II

    1 week ago

    Centene Corporation Olympia, United States

    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.P ...

  • Providence Swedish Medical Center

    Care Manager MSW

    2 weeks ago

    Providence Swedish Medical Center Olympia, United States

    Care Manager MSW - Providence St Peter Hospital-Olympia(HR) · Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, patient advocacy an ...

  • Providence Health & Service

    Care Manager MSW

    2 weeks ago

    Providence Health & Service Olympia, United States

    Job Description · Care Manager MSW - Providence St Peter Hospital-Olympia(HR) · Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, ...

  • Providence Swedish

    Care Manager MSW

    3 weeks ago

    Providence Swedish Olympia, United States

    Description · Under supervision of Care Management Manager, works as a catalyst to promote the following: coordination of care, continuity of care, achievement of consistent and/or expected psychosocial outcomes, patient advocacy and efficient resource management. · Providence ...

  • Providence Service

    Care Management Assistant

    1 day ago

    Providence Service Olympia, United States

    Description · Care Management Assistant - Providence St. Peter Hospital - Olympia, WA · SCHEDULE: 1.0 FTE, averaging 40 hours per week. 8-hour shifts, 8a-5p PST. Mandatory weekend rotation. · Under the direction of the Care Management leadership team, the Care Management Assistan ...

  • Providence Health & Service

    Care Management Assistant

    2 days ago

    Providence Health & Service Olympia, United States

    Job Description · Care Management Assistant - Providence St. Peter Hospital - Olympia, WA · SCHEDULE: 1.0 FTE, averaging 40 hours per week. 8-hour shifts, 8a-5p PST. Mandatory weekend rotation. · Under the direction of the Care Management leadership team, the Care Management Ass ...