Position Purpose: Assists members by completing health assessments and implementing effective solutions and care plans to improve their health and wellness. Works with members who are at risk or have been diagnosed with chronic condition(s) to provide support, encouragement, and education.

Key Details: LPCs, LCSWs, LMFTs, LMSWs, or RNs with demonstrated experience in Psychiatric Intensive Outpatient Programs (IOP), Managed Care Behavioral Health Care Management, or Utilization Management. The ideal candidate will bring strong clinical expertise in conducting comprehensive mental health and psychosocial assessments, developing and implementing effective treatment plans, and providing meaningful coaching, education, and support to members navigating behavioral health needs. Success in this role requires a proven ability to coordinate and advocate for appropriate behavioral health services, ensuring members receive high-quality, clinically sound care that supports positive health outcomes.

Success traits: Ability to keep members engaged, build strong relationships, provide positive support, solve problems, and adapt to change. Being open-minded, flexible, and able to adjust to business needs is critical for this role.

NOTE: Licensed applicants must have one of the approved, independent clinical licensure(s) listed above, and it must be issued from the state of Texas.

• Utilize applicable clinical training and knowledge to provide appropriate health support and solutions to members with chronic health conditions
• Evaluates the needs of the member by performing telephonic assessments to determine clinical risk and readiness to change
• Provides telephonic support and coaching for members on ongoing wellness care plans and wellness programs to improve member’s health and lifestyle through outreach and education
• Assists members in developing attainable wellness goals through plans, support, encouragement, and resources
• Monitors wellness plans and/or member status and outcomes for changes in care and provides recommendations to care plan based on member needs and issues identified to reduce health risks
• Engages and influences members in decisions relating to achieving and maintaining an optimal healthy lifestyle
• Interacts with healthcare providers as appropriate to ensure that wellness plans are aligned with overall medical plans of care
• Collects, documents, and maintains member information to ensure compliance with current state and federal accreditation standards
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Requires an associate's degree or higher, preferred is a Master's degree related to Mental Health, Counseling, Social Work, or a Graduate of an Accredited School Nursing and 2 – 4 years of related behavioral health/psychiatric experience.

Experience (Ideal/Preferred):

• 4+ years of assessing various levels of care (LOCs) for adult and children (ages: 0 - 65)
• 3+ years of experience (post-graduate) working and collaborating with Mental Health Authorities (MHAs), Medicaid providers, or Community Mental Health providers
• Experience working with members in inpatient psychiatric hospitals, residential treatment centers, substance abuse rehabilitation facilities, military/veteran hospitals, or local and state Mental Health Authorities (MHAs)
• Current or previous experience managing members utilizing healthcare services from STAR CHIP, STAR Plus, STAR Health, STAR Kids, or any state and government sponsored program guidelines is a highly preferred
• Strong communication, organizational and time management skills is required
• Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)
• Bilingual in English and Spanish a PLUS, but not required

License/Certification(s)

• Registered Nurse – State Licensure and/or Compact State Licensure required or
• Licensed Behavioral Health Professionals - LPC, LCSW, LMSW, LMFT, or PhD – must be issued by the state of Texas or
•  Certified Health Coach Certification
• For Superior Health Plan: LPC, LCSW, LMSW, LMFT, PhD, or RN with direct behavioral health experience

At Centene, we connect people to the care they need to live healthier lives — and 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.
 

Centene 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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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