Behavioral Case Manager
Company: Centene Corporation
Posted on: November 23, 2022
You could be the one who changes everything for our 26 million
members as a clinical professional on our Medical Management/Health
Services team. Centene is a diversified, national organization
offering competitive benefits including a fresh perspective on
Position Purpose: Perform duties related to the day to day
operations of the Integrated Case Management functions to include
working with members identified as high risk to identify needs and
goals to achieve empowerment and improved quality of life for both
behavioral and physical health issues. Assess members' current
functional level and, in collaboration with the member, develop and
monitor the Case Management Care Plan, monitor quality of care;
assisting with discharge planning, participating in special
clinical projects and communicate with departmental and plan
administrative staff to facilitate daily operations of the
Integrated Case Management functions. Collaborate with both medical
and behavioral providers to ensure optimal care for members.
This position will require approximately 65% local travel in the
Appleton area and applicant would be able to work remotely from
their home the remaining time
* Work with patients identified as high risk, for both behavioral
and physical health issues, and their providers to identify needs,
set goals and implement action steps towards achieving goals.
Empower patients to help them improve their quality of life and
ensure an integrated approach to address complex issues.
* Understand and comply with NCQA guidelines and HEDIS
* Comply with established referral, pre-certification and
authorization policies, procedures and processes by related Medical
Education/Experience: Master's degree in behavioral health and an
unrestricted license as a LCSW, LMFT or LPC, or a PhD, PsyD or RN.
3+ years of case and/or utilization management experience.
Experience in psychiatric and medical health care settings. Working
knowledge of mental health community resources.
For Managed Health Services, an unrestricted Wisconsin license as a
LCSW, LMHC, LMFT, or LPC is required
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
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: Centene Corporation, Appleton , Behavioral Case Manager, Executive , Appleton, Wisconsin
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