You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Manage the coordination, planning, and placement resolution for all inpatient admissions in the assigned service area. Work directly with the hospital staff, other agencies, Foster Care members, Medical Consenters, Caregivers, Department of Family and Protective Services (DFPS) to facilitate and coordinate access to behavioral health services and community resources and to ensure timely and clinically appropriate discharge plans are developed and implemented.
Impact complex systems of care through coordination efforts to ensure timely placement of children who have stabilized at the inpatient level of care
Educate providers, members and their families on behavioral health issues including symptoms, relapse prevention, stress reduction, lab work, and healthy lifestyle choices
Conduct outreach and education with varied stakeholders including hospital clinical teams, DFPS, child-placing agencies and outpatient providers to facilitate and ensure the development of timely and appropriate discharge plans
Appropriately document discharge planning outcomes and barriers; help identify and interpret any trends including systemic issues, access or placement needs and recidivism, and implement interventions to impact negative trends
Assist DFPS with accessing current medical information as needed
Facilitate access to behavioral health services, including assistance with locating providers and scheduling appointments as necessary
Coordinate the sharing of health information between providers and other programs
Document all interactions and coordination efforts with both internal and external customers in the Care
Enhance Clinical Management Software (CCMS) online file system
Education/Experience: Bachelor's degree in Social Work or related field or equivalent experience. 2+ years of related social work or behavioral health experience with solid clinical knowledge and experience with the treatment planning process. Experience with the state's Foster Care system preferred.
Preferred Qualifications:
Bachelor's degree in social work or behavioral science, or LBSW, and 2+ years of social work experience, patient advocacy, or coordinatizing medical and/or behavioral health services for Medicaid members.
3+ years' of behavioral health experience in local or state mental health authorities, in-patient or out-patient treatment facilities, community-based mental health settings, and/or behavioral health managed care environments.
Experience working directly with adults, children, and adolescents' members with mental health conditions or special needs.
Experience collaborating with medical and behavioral health providers and managing community and mental health resources for STAR Plus and STAR Kids Medicaid recipients.
Experience managing high volume caseloads.
Role requires strong organization and customer services skills.
Must be able to work independently with minimal supervision.
Proficient computer skills and experience working within large databases or provider information systems and Microsoft Office applications.
Pay Range: $25.44 - $45.76 per hour
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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. Total compensation may also include additional forms of incentives.