Behavioral Health Case Specialist (Apply in minutes)

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 competitivebenefits including a fresh perspective on workplace flexibility. ###

• POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF MISSOURI
• Position Purpose :
• Develops, assesses, and facilitates complex caremanagement activities for primarily mental and behavioral health needs membersto provide high quality, cost-effective healthcare outcomes includingpersonalized care plans and education for members and their families relatedto 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 andor facilitates the care planservice plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home andor 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 andor familycaregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plansservice plans andor member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care planservice 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
• EducationExperience :
• Requires a Masters degree in Behavioral Health orSocial Work or a Degree from an Accredited School of Nursing and 2 – 4 yearsof related experience.
• LicenseCertification :
• Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience requiredPay Range : $54,000.00 - $97,100.00 per yearCentene offers a comprehensive benefits package including : competitive pay,health insurance, 401K and stock purchase plans, tuition reimbursement, paidtime off plus holidays, and a flexible approach to work with remote, hybrid,field or office work schedules. Actual pay will be adjusted based on anindividuals skills, experience, education, and other job-related factorspermitted by law. Total compensation may also include additional forms ofincentives.Centene is an equal opportunity employer that is committed to diversity, andvalues the ways in which we are different. All qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, sexual orientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered inaccordance with the LA County Ordinance and the California Fair Chance Act

Salary : $54,000 - $97,100