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 competit…
Skills: Care Management, Behavioral Health Assessment, Crisis Intervention, Case Coordination, Member Advocacy
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 competit…
Skills: Care Management, Care Coordination, Behavioral Health, Staff Supervision, Case Management
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 competit…
Skills: Case management, Care coordination, In-home assessments, Care planning, Patient advocacy
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 benef…
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 competit…
Skills: Case Management, Care Coordination, Patient Advocacy, Holistic Care Planning, Member Assessment
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 competit…
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 benef…
Skills: Medical Management, Utilization Review, Quality Improvement, Credentialing, Cost Containment
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 competit…
Skills: Care Coordination, Case Management, Behavioral Health, Foster Care Population, Care Planning
Vice President, Legislative & Government Affairs .
Atlanta, Georgia, United States · Remote OK
$180k–$343k/yr
Senior
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Serve as a liaison to sta…
Skills: Legislative Affairs, Government Relations, Public Policy Development, Regulatory Analysis, Stakeholder Management
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 competit…
Skills: Business Case Development, Strategic Planning, Project Management, Cross-functional Leadership, Data Analysis
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 competit…
Skills: Community Outreach, Care Management, Health Education, Non-clinical Assessment, Case Documentation
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 competit…
Skills: Provider Data Management, Leadership, Provider Directory Management, Claims Adjudication, Business Process Development
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 competit…
Skills: Community Outreach, Care Management, Health Education, Non-clinical Assessments, SDOH Knowledge
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 competit…
Skills: Care Coordination, Member Outreach, Case Management, Behavioral Health, Service Assessment
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 competit…
Skills: Case Management, Care Coordination, Patient Advocacy, Holistic Care Planning, Member Assessment
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 competit…
Skills: Case Management, Care Coordination, Holistic Care Management, Patient Advocacy, Service Planning
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 competit…
Skills: Case Management, Care Coordination, Patient Advocacy, Holistic Care Planning, Member Assessment
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 competit…
Skills: Community Outreach, Care Management, Health Education, Non-clinical Assessment, Member Support
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 competit…
Skills: Fee Schedules, Claims Analysis, Medical Claims Review, Claims Appeal, Root Cause Analysis
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 competit…
Skills: Care Coordination, Member Outreach, Care Planning, Case Documentation, Patient Education
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$27/hr–$48/hr
Full-time
postgraduate degree
Health Insurance, 401K, Stock Purchase Plans, Tuition Reimbursement, Paid Time Off, Holidays
Posted 2d ago
~40 hrs/week
Responsibilities
Develops and coordinates holistic care plans for members with significant mental and behavioral health needs to ensure quality healthcare outcomes. Acts as a liaison between members, families, and providers while performing frequent field visits to assess needs and coordinate community resources.
Requirements
Requires a Master's degree in Mental Health, Social Work, or a Nursing degree with 2-4 years of related experience. Must hold a valid professional license such as LMSW, LCSW, LMFT, LMHC, LPC, or RN with behavioral health experience.
Full 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.
Program/Team: Population Health – LTSS Care Management, SED Waiver
Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. No weekend or holiday coverage required.
Travel: Approximately 50% field-based travel within Kansas. Assigned members are typically located within a one-hour drive of the employee’s home.
Location: This is a field-based position open to candidates throughout Kansas. Preferred West-Central Kansas locations include Hays, Ellis, WaKeeney, Oakley, Quinter, Russell, and La Crosse.
Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.
Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Supports 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
Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
Provides and/or facilitates 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. Provides 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
Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
Provides 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
Performs other duties as assigned
Complies with all policies and standards
Education/Experience:
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.
License/Certification:
For Sunflower plan only: Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LMSW, LCSW, LMFT, LMHC, LPC and RN with BH experience required
Pay Range: $27.02 - $48.55 per hour
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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
Related keywords
LTSSBehavioral HealthSED WaiverPopulation HealthCare ManagementMental Health First AidPsychotropic Medication MonitoringLMSWLCSWLMFTLMHCLPCRegistered NurseCase ManagementHealthcare Compliance
Transforming the health of the communities we serve, one person at a time.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1984
Headquarters
Saint Louis, MO
LinkedIn followers
422,245
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.
Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals.
Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/
Offices: 7700 Forsyth Boulevard, Saint Louis, MO 63105, US · 3200 Highlands Pkwy SE, Smyrna, GA 30082, US · 1301 International Pkwy, Sunrise, FL 33323, US · 707 Center St, Columbus, GA 31901, US
Transforming the health of the communities we serve, one person at a time.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
1984
Headquarters
Saint Louis, MO
LinkedIn followers
422,245
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.
Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals.
Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/
Offices: 7700 Forsyth Boulevard, Saint Louis, MO 63105, US · 3200 Highlands Pkwy SE, Smyrna, GA 30082, US · 1301 International Pkwy, Sunrise, FL 33323, US · 707 Center St, Columbus, GA 31901, US