Behavioral Health Care Manager (Foster Care)
Company: Home State Health Plan
Location: Independence
Posted on: June 24, 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 Hannibal, 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 --- Competitive pay --- Paid Time Off including paid
holidays --- Health insurance coverage for you and dependents ---
401(k) and stock purchase plans --- Tuition reimbursement and
best-in-class training and development 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, Independence , Behavioral Health Care Manager (Foster Care), Executive , Independence, Missouri
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