LTSS Service Care Manager - Behavioral Health
Company: Sunflower Health Plan
Location: Topeka
Posted on: October 29, 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.
**Position requires visits in field. Areas include Southern,
Southeast, Southwest, Central, and Western Kansas.**Position
Purpose:
Develops, assesses and coordinates holistic care management
activities, with primary focus and support towards populations with
significant mental/behavioral health needs, to enable quality,
cost-effective healthcare outcomes. Evaluates member service needs
and develops or contributes to development of care plans/service
plans, and educates members, their families and caregivers on
services and benefits available to meet member needs.
- Evaluates the needs of the most complex and high risk members
with mental/behavioral health needs, and recommends a plan of care
for the best outcome
- Acts as liaison and member advocate between the member/family,
physician, and facilities/agencies
- Supports members with primarily mental/behavioral health needs,
such as those with (or a history of) major depression, bipolar
disorders, schizophrenia, borderline personality disorder,
post-traumatic stress disorder, substance use disorder,
self-injurious behavior, psychiatric inpatient admissions, etc
- Performs frequent home and/or other site visits (once a month
or more), such as to assess member needs and collaborate with
resources, as required
- Provides and/or facilitates education to long-term care members
and their families/caregivers on topics such as preventive care,
procedures, healthcare provider instructions, treatment options,
referrals, prescribed medication treatment regimens, and healthcare
benefits. Provides subject matter expertise and operational support
for relevant mental and behavioral health-focused activities, such
as the handling of crisis calls, mental health first aid training,
field safety and de-escalation practices, psychotropic and other
medication monitoring, etc
- Educates on and coordinates community resources, to include
medical, behavioral and social services. Provides coordination of
service authorization to members and care managers for various
services based on service assessment and plans (e.g., meals,
employment, housing, foster care, transportation, activities for
daily living)
- Ensures appropriate referrals based on individual member needs
and supports the identification of providers, specialists, and
community resources. Ensures identified services are accessible to
members
- Maintains accurate documentation and supports the integrity of
care management activities in the electronic care management
system. Works to ensure compliance with clinical guidelines as well
as current state and federal guidelines
- Provides feedback to leadership on opportunities to improve and
enhance quality of care and service delivery for long-term care
members in a cost-effective manner
- Performs other duties as assigned
- Complies with all policies and standardsEducation/Experience:
Requires a Master's degree in Mental Health or Social Work or
Graduate 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, LMFT, LMHC, LPC and RN with BH
experience required.Pay Range: $25.97 - $46.68 per hourCentene
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: Sunflower Health Plan, Topeka , LTSS Service Care Manager - Behavioral Health, Executive , Topeka, Kansas
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