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LTSS Service Care Manager – Behavioral Health
Centene Corporation. Develop, assess, and coordinate holistic care management activities for members with significant mental/behavioral health needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health care management, including the development and coordination of care plans, member advocacy, and collaboration with healthcare providers. Proficient in clinical documentation and compliance with state and federal guidelines while managing high-volume caseloads.
Highest-signal resume keywords
Licensed Behavioral Health ProfessionalBehavioral Health Case ManagementClinical DocumentationMember AdvocacyTruCare Case Management System
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Behavioral Health ExperienceCare Plan DevelopmentCrisis InterventionMedication MonitoringHigh-Volume Caseload Management
Soft Skills
Problem-SolvingCommunicationAttention to DetailOrganizational SkillsTime Management
Tools & Technologies
TruCareMicrosoft Office ApplicationsWeb-Based Applications
Certifications & Qualifications
Master's Degree in Mental Health or Social WorkUnrestricted Behavioral Health Professional License
Industry Keywords
Managed CareMedicaidMental HealthBehavioral HealthCommunity Resources
About the role
Key responsibilities & impact- Develop, assess, and coordinate holistic care management activities for members with significant mental/behavioral health needs
- Evaluate member service needs and develop or contribute to care plans and service plans
- Educate members, families, and caregivers about available services, benefits, preventive care, treatment options, referrals, medication regimens, and healthcare benefits
- Evaluate complex and high-risk members and recommend plans of care
- Act as liaison and member advocate among members/families, physicians, and facilities/agencies
- Support members with mental and behavioral health conditions
- Conduct frequent home and other site visits, including up to 75% monthly travel, to assess member needs and collaborate on resources
- Provide subject matter expertise and operational support for behavioral health activities, including crisis calls, mental health first aid training, field safety, de-escalation, and medication monitoring
- Educate on and coordinate medical, behavioral, and social community resources
- Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
- Make referrals and support identification of providers, specialists, and community resources
- Maintain accurate documentation in the electronic care management system and support compliance with clinical, state, and federal guidelines
- Provide leadership feedback on quality-of-care and service-delivery improvements
- Comply with policies and standards and perform other assigned duties
Requirements
What you’ll need- Master's degree in Mental Health or Social Work, or graduation from an Accredited School of Nursing
- 2–4 years of related behavioral health/mental health experience
- Unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) required upon application submission
- Licensed Behavioral Health Professional or RN based on state contract requirements required
- Preferred: 5+ years of Behavioral Health Case Management experience
- Direct experience as a Field-based Case Manager or Social Worker strongly preferred
- Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients
- Experience managing high volume caseloads
- Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- Proficient technology skills and direct experience with web-based applications and case management systems, including TruCare and Microsoft Office applications
- Ability to work independently with minimal supervision
- Experience in a managed care environment is a plus
- Bilingual English/Spanish skills are a plus but not required
- Travel to conduct member visits is required
- Ability to work Monday–Friday, 8:00 AM–5:00 PM CST, with flexibility for pediatric members' school schedules
Benefits
Comp & perks- Mileage reimbursement for member visits
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Incentive compensation may be available as part of total compensation