Behavioral Health Care Manager (Foster Care)
Company: Home State Health Plan
Location: Faucett
Posted on: June 25, 2022
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 St Joseph, MO"Offer $5k Sign
on BonusPosition 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
developmentCandidate 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 positionCandidate 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 planningRequired 1+ year of
experience in current case management as a licensed
professionalRequired Experience working with the needs of
vulnerable populations who have chronic or complex bio-psychosocial
needsPreferred Experience in a managed care environmentLicenses 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, Saint Joseph , Behavioral Health Care Manager (Foster Care), Executive , Faucett, Missouri
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