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About the Role

Develops, assesses, and coordinates holistic care management activities, focusing on youth with significant mental/behavioral health needs to achieve quality, cost-effective healthcare outcomes. Evaluates member service needs, develops care plans, and educates members, families, and caregivers on available services and benefits.

Responsibilities

Evaluates the needs of complex and high-risk members with mental/behavioral health needs and recommends a plan of care.
Acts as a liaison and member advocate between the member/family, physician, and facilities/agencies.
Supports members with primarily mental/behavioral health needs.
Performs frequent home and/or other site visits to assess member needs and collaborate with resources.
Provides and/or facilitates education to members and their families/caregivers on preventive care, procedures, treatment options, referrals, medication regimens, and healthcare benefits.
Provides subject matter expertise and operational support for mental and behavioral health activities.
Educates on and coordinates community resources, including medical, behavioral, and social services.
Provides coordination of service authorization for various services based on service assessment and plans.
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
Ensures compliance with clinical guidelines and current state and federal guidelines.
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery.
Performs other duties as assigned.
Complies with all policies and standards.

Requirements

Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing.
Requires 2 – 4 years of related behavioral health/mental health experience.
5+ years of Behavioral Health Case Management experience with child and adolescent members is preferred.
Direct experience as a Field-based Case Manager or Social Worker is strongly preferred.
Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients is preferred.
Experience managing high volume caseloads is preferred.
Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills are required.
Ability to adapt to changing business needs with openness, flexibility, and professionalism is required.
Proficient technology skills and direct experience working Microsoft Office Suite and Video Conferencing Applications are required.
Must be able to work independently with minimal supervision.
Experience working with government and state sponsored programs is preferred.
Bilingual English/Spanish skills are a plus, but not required.
An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) for the applicable state upon application submission is required.
Local travel is required for member visits.

Skills

Mental/behavioral health needs assessment
Care plan development
Member education
Family and caregiver education
Liaison and advocacy
Home and site visits
Community resource coordination
Service authorization coordination
Referral management
Clinical documentation
Electronic care management system usage
Compliance with guidelines
Feedback provision
Microsoft Office Suite proficiency
Video Conferencing Applications proficiency
Independent work
Bilingual English/Spanish (plus)

Location

Central Austin, TX
South Austin, TX
Southeast Austin, TX
Northwest Austin, TX

Work Type

Remote (for coordination)
In-person (for assessments and visits)
Hybrid

Experience Level

2-4 years of related behavioral health/mental health experience
5+ years of Behavioral Health Case Management experience (preferred)

Education Level

Master's degree in Mental Health or Social Work
Graduate from an Accredited School of Nursing

Salary/Compensations

$27.02 - $48.55 per hour

Benefits

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off
Holidays
Flexible approach to work
Mileage reimbursement

About the Company

At Centene, we connect people to the care they need to live healthier lives.
The work you do here makes that impact real every day.
You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.
It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Equal Opportunity

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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.