Care Manager for Behavioral Health Programs

At Centene Corporation, we are transforming the health of our communities by providing high-quality, cost-effective healthcare outcomes. As a Pediatric Care Manager, you will play a vital role in developing, assessing, and facilitating complex care management activities for members with primarily mental and behavioral health needs. The position involves evaluating member needs via phone or in-home visits to recommend and/or facilitate personalized care plans that address behavioral health and social determinant needs. You may perform telephonic, digital, home, and/or other site visits outreach to assess member needs and collaborate with resources. Your expertise will be utilized to develop ongoing care plans for members with high-level acuity and identify providers, specialists, and community resources needed for care. You will work collaboratively between members, family/caregivers, community resources, and care provider teams 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, providing recommendations based on identified member needs. Facilitates care coordination and collaborates with appropriate providers or specialists to ensure 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. Apply Job!