LTSS Service Care Manager - Mental Health Specialist

Company: Centene Corporation
Location: Irving
Posted on: November 1, 2024

Job Description:

Job Summary:Centene Corporation is seeking a skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will be responsible for developing, assessing, and coordinating holistic care management activities for populations with significant mental/behavioral health needs.Key Responsibilities:

• Evaluate the needs of complex and high-risk members with mental/behavioral health needs and recommend a plan of care for the best outcome.
• Act as a liaison and member advocate between the member/family, physician, and facilities/agencies.
• Support members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.
• Perform frequent home and/or other site visits to assess member needs and collaborate with resources, as required.
• Provide and/or facilitate education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
• Provide subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc.
• Coordinate community resources, to include medical, behavioral, and social services, and provide coordination of service authorization to members and care managers for various services based on service assessment and plans.
• Ensure appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources, and ensures identified services are accessible to members.
• Maintain accurate documentation and supports the integrity of care management activities in the electronic care management system, and works to ensure compliance with clinical guidelines as well as current state and federal guidelines.
• Provide feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner.Requirements:
  • Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience.
  • Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements, e.g., LCSW, LPC, and RN with BH experience is required.Preferred Experience:
    • Master's level un-restricted licensed behavioral health clinician; LCSW, LPC, or Psych/Mental Health RN.
    • 3+ years of case management experience with the adult population with serious mental illness and behavioral health conditions or special needs.
    • 3+ years of experience in patient advocacy or coordinating community mental health and/or personal assistance or social services for members.
    • Experience working within in-patient/out-patient facilities, or working in community-based Behavioral Health, local IDDA, or state Mental Health Authorities (MHA) settings.
    • Experience administering psychological assessments and managing high volume caseloads.
    • Experience in FIELD-BASED Case Management roles is a PLUS, but not required.
    • Strong clinical documentation skills and be trainable to utilize case management systems.
    • Proficient computer skills with Microsoft and Video Conferencing applications (e.g., Outlook, Word, Excel, ZOOM, MS Teams).
    • Must be able to work independently with minimal supervision.
    • Bilingual - Spanish and English is a plus, but not required.Locations:Dallas, TX, Farmers Branch, TX, Cockrell Hill, TX, Grand Prairie, TX, Garland, TX, or Irving, TX.Pay Range:$46.68 per hourCentene 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.Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Keywords: Centene Corporation, Wylie , LTSS Service Care Manager - Mental Health Specialist, Healthcare , Irving, Texas