Care Manager
Company: Arizona Complete Health
Location: Ash Fork
Posted on: September 27, 2024
Job Description:
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.
Must reside within the state of Arizona. 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 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 standardsEducation/Experience:
Requires a Master's degree in Behavioral Health or Social Work or a
Degree from an Accredited School of Nursing and 2 - 4 years of
related experience.
License/Certification:
- Licensed Behavioral Health Professional or RN based on state
contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with
BH experience required
- For Illinois Youth Care Contract: Master's degree in social
sciences, social work, or related field 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, paid time off plus
holidays, and a flexible approach to work with remote, hybrid,
field or office work schedules. Actual pay will be adjusted based
on an individual's skills, experience, education, and other
job-related factors permitted by law. Total compensation may also
include additional forms of incentives.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: Arizona Complete Health, Prescott Valley , Care Manager, Executive , Ash Fork, Arizona
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