What are the responsibilities and job description for the Behavioral Health Care Manager position at Sunflower Health Plan?
You could be the one who makes a meaningful difference in the lives of our 28 million members. At Centene, we're dedicated to transforming the health of our communities, one person at a time.
Position Purpose
To develop and facilitate comprehensive care management activities for members with mental and behavioral health needs, ensuring high-quality, cost-effective healthcare outcomes through personalized care plans and education.
- Evaluating member needs via phone or in-home visits to identify available resources and recommend tailored care plans that address behavioral health and social determinant needs.
- Performing telephonic, digital, home, and other site visits to assess member needs and collaborate with relevant resources.
- Developing ongoing care plans for members with high acuity levels and identifying necessary providers, specialists, and community resources for mental health and substance use disorders.
- Coordinating between members, caregivers, community resources, and care provider teams to ensure accessible services.
- Monitoring care plans and member status for changes in treatment side effects, complications, and clinical symptoms, and providing recommendations based on identified needs.
- Facilitating care coordination and collaborating with providers to ensure timely access to needed care or services.
- Collecting, documenting, and maintaining member information and care management activities to ensure compliance with current regulations.
- Providing education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and benefits, addressing behavioral health and social determinant needs.
- Offering feedback to leadership on opportunities to improve care quality and delivery in a cost-effective manner.
50% Travel required.
We have openings in Northwest Kansas, specifically in Barton, Decatur, Ellis, Grove, Jewell, Lane, Logan, Mitchell, Norton, Osborne, Phillips, Rush, Russell, Smith, Thomas, and Gove counties.
Education/Experience
A Master's degree in Behavioral Health or Social Work is required, along with 2-4 years of related experience. Alternatively, a degree from an accredited nursing school with relevant experience can also be considered.
Licenses/Certifications
- Licensed Behavioral Health Professional or RN, as per state contract requirements (e.g., LCSW, LMSW, LMFT, LMHC, LPC, RN with BH experience).
We offer a competitive salary ranging from $55,100 to $99,000 per year, depending on individual qualifications and experience.
Centene provides a comprehensive benefits package, including:
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field, or office work schedules
Total compensation may include additional incentives.
Centene is an equal opportunity employer committed to diversity and values individual differences. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.
Salary : $55,100 - $99,000
