Senior Care Manager

4 days ago

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $73.8k - $132.7k / year

⏰ Full Time

🟠 Senior

👔 Manager

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Centene Corporation

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Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on behavioral health needs • Develops a personalized care plan/service plan as appropriate/required and educates members and their families/care givers on services and benefit options • Develops and continuously assesses ongoing care plans/service plans of the members with high level acuity via phone or in-home visits • Coordinates and manages, as appropriate, between the member and/or family and the care provider team • Monitors member status and outcomes for changes in treatment side effects, complications and clinical symptoms • Identifies problems/barriers for care coordination and appropriate care management interventions • Reviews member data to identify health risks and/or care gaps • Collaborates with healthcare providers and partners as appropriate to facilitate care coordination • Collects, documents, and maintains all member information and care management activities • Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits • Partners with leadership team to improve and enhance care and quality delivery for members • May precept clinical new hires by fostering and building core skills

🎯 Requirements

• Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing • 4 – 6 years of related experience • Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience required

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules