Behavioral Health Care Manager (Foster Care)
Company: Home State Health Plan
Location: Kennett
Posted on: June 25, 2022
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Job Description:
You could be the one who changes everything for our 26 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.
**This position is primarily remote, some office attendance
required (i.e. staff meetings) and field based that will required
home visits once it is safe to do so therefore; candidates must be
located in or near Jefferson City, MO"
Offering $5k Sign on Bonus
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.
Essential Functions:
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
with severe mental illness who have high rates of behavioral health
utilization and/or severe psychosocial vulnerability. Incumbents
will travel extensively to member's inpatient bedside, home or
other facility.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
Candidate Education: 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 planning
Required 1+ year of experience in current case management as a
licensed professional
Required Experience working with the needs of vulnerable
populations who have chronic or complex bio-psychosocial needs
Preferred Experience in a managed care environment
Licenses 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)
Nurse (RN). Licensed Clinical Social Worker (LCSW) or Licensed
Professional Counselor (LPC) Preferred.
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: Home State Health Plan, Memphis , Behavioral Health Care Manager (Foster Care), Executive , Kennett, Tennessee
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