Pediatric Care Manager - Behavioral Health Job at Centene Corporation, Fort Myers, FL

T3lTVUozV1ZpMUVHZ3NTNXZQWnZmaTZhN0E9PQ==
  • Centene Corporation
  • Fort Myers, FL

Job Description

Behavioral Health Care Manager

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.

This is a remote/field based position, must reside in Lee County for face to face visits with members.

  • 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 standards.

This is a remote/field based position, must reside in Lee County for face to face visits with members.

Education/Experience: Requires a Master's degree in Behavioral Health or Social Work and 2 4 years of related pediatric experience.

  • For Sunshine Health (FL) Only: Employees supporting Florida's Children's Medical Services must hold a Master's degree in social work or related field and have one year of related professional pediatric care experience.

License/Certification:

  • Must also hold a LCSW, LMHC
  • May require up to 80% local travel required

Pay Range: $55,100.00 - $99,000.00 per year 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

Job Tags

Full time, Part time, Work at office, Local area, Remote work, Flexible hours,

Similar Jobs

Blinds To Go

Digital Marketing Analyst Job at Blinds To Go

 ...Key member of the marketing team responsible for managing the digital...  ...will help manage the paid search, email marketing, social media...  ...marketing effort. Digital Marketing Analyst must be hands-on, very...  ...mathematics, statistics, sciences or engineering ~3+ years experience in... 

Superprof

Spanish Private Tutoring Jobs Job at Superprof

Company Profile Superprof is the leading tutoring platform in the USA, connecting passionate individuals with eager learners. We operate in over 63 countries, making education accessible to everyone, everywhere. Superprof is the perfect opportunity for students, graduates...

Constellation Energy

Principal Project Developer - Federal Energy Projects Job at Constellation Energy

 ...networks and business relationships, including engineering firms and contractors Experience managing project teams and internal peer groups,...  ...and/or LEED Accreditation Certified Energy Auditor (CEA) Federal project experience is preferred for this position. In depth... 

Boswell Oil Company

Service Manager - Oil & Gas Field Operations Job at Boswell Oil Company

 ...A leading oil and gas distributor is seeking an experienced Service Manager to oversee the deployment of service technicians across multiple locations. The ideal candidate will have experience in maintenance or field service, preferably within the petroleum industry. Responsibilities... 

The H&K Group

General Laborer Job at The H&K Group

Job Description Job Description H&K does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, disability, veterans' status, or any other characteristic protected by law. We are always looking...