CareManager

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 IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF MISSOURI***** *****POSITION WILL WORK WITH ADOLESCENT FOSTER CARE POPULATION *** **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. * 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 activit