[Hiring] Supervisor, Care Management - OB/NICU @Centene Corporation

Role 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.

• 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.
• 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 reviews 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.

Qualifications

• Must have passion for OB/NICU population.
• Must live in MO.
• Requires a Master's degree or Graduate from an Accredited School of Nursing and 4+ years of related experience.

Requirements

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

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• 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.