Behavioral Care Manager - Foster Care
Company: Sunflower Health Plan
Location: Topeka
Posted on: October 18, 2024
Job Description:
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.
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.
- 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 standardsMust reside in
Kansas!Centene is hiring a Care Manager's to cover the Northwest,
Southwest, North Central, South Central, Northeast, or Southeast
regions of Kansas. This is a hybrid position that involves both
remote work and community-based home visits. The ideal candidate
will have knowledge of the case management process in a managed
care or clinical setting with Foster care
population.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:
- Licensed Behavioral Health Professional or RN based on state
contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with
BH experience requiredPay Range: $54,000.00 - $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.
Keywords: Sunflower Health Plan, Manhattan , Behavioral Care Manager - Foster Care, Executive , Topeka, Kansas
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