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Behavioral Case Mgr - Remote Dallas

Company: Superior HealthPlan
Location: Bruni
Posted on: January 11, 2022

Job Description:

You could be the one who changes everything for our 25 million members as a Behavioral CaseManager on the Clinical team. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national Fortune 24 and rapidly growing organization, exceptional talent fuels our mission.Do you thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth? As part of our clinical group, the member-focused care you deliver will make a difference and change the face of healthcare for Texas. Are you ready to make an impact?As a Behavioral CaseManager, you will: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.Work telephonically 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 measures
  • Other duties as assignedOur Comprehensive Benefits Package:
    • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
    • Competitive pay
    • Paid Time Off including paid holidays
    • Health insurance coverage for you and dependents
    • 401(k) and stock purchase plans
    • Tuition reimbursement and best-in-class training and development
    • In-person and virtual training following State and Community guidelinesAbout Centene:
      • We are an industry leader with a local focus and a global vision:
      • We are a diversified, multi-national, inclusive healthcare company delivering relevant, technology-driven solutions at the global, national, and local levels
      • Listed on Fortune magazines Worlds Most Admired Companies List for 2nd consecutive year
      • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
      • Recognized as one of the Best Places to Work by the Human Rights Campaign FoundationEducation/Experience: Masters degree in behavioral health and an unrestricted license as a LCSW, LMFT,LPC,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.License/Certification: Unrestricted license as a LCSW,LMFT, LPC,or RN license in applicable state.NOTE: This is a REMOTE position in TEXAS. Travel is required and must reside within 60 miles of Superior HealthPlan officefor staff meetings, member visits, if needed,and/or trainingsonce we are authorized to return to the office after COVID restrictions are lifted.NOTE: Seeking candidates in the Dallas,TX area.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: Superior HealthPlan, Laredo , Behavioral Case Mgr - Remote Dallas, Other , Bruni, Texas

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