Position Purpose: Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs. Supervises day-to-day escalations and care management issues related to members or providers.

Key Details: Licensed Clinician with experience supporting children in a Behavioral Health setting. Ideal candidate will have experience partnering with Care Coordination and Support Organizations (CCSOs) providers, community organizations, and other stakeholders to coordinate comprehensive, member-centered care. Strong relationship-building, collaboration, and previous leadership experience is essential.

Candidates must reside in Illinois and be able to travel up to 10% of the time. The remainder of the work will be performed remotely from a home office.

• Monitors and reviews care management required documentation to maintain compliance with federal and state regulations and contractual agreements
• Assigns caseloads to care management staff based on state requirements, care management staff experience, and member needs
• Works with senior management on escalated and complex care cases related to BH and provides guidance to junior team members to address member concerns
• Educates and provides resources for care management team on key initiatives and member outreach
• Evaluates care management team performance and provides feedback regarding performance, goals, and career milestones
• Provides coaching and guidance to care management team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and healthcare benefits
• Monitors and review reports on a regular basis ensuring quality and productivity metrics are met and for case assignments, and may perform audits of staff on a regular basis
• Assists with onboarding, hiring, and training care management team members
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Requires a Master's degree or Graduate from an Accredited School of Nursing and 4+ years of related experience.

License/Certification:

• Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required

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