Behavioral Health Professional
Company: Envolve People Care
Posted on: June 26, 2022
JOIN OUR TEAM - WORK FROM HOME, FULL-TIME BENEFITS, AND SIGN ON
Applicants have the flexibility to work remote from home.
HIRING LOCATIONS: STATEWIDE WITHIN TEXAS.
You could be the one who changes everything for our 26 million
members as a Behavioral Health Clinical Care Manager on the
Clinical team. Centene is transforming the health of our
communities, one person at a time. As a diversified, national
Fortune 24 and rapidly growing organization, exceptional talent
fuels our mission.
Do you thrive in a supportive, result-oriented community and are
committed to the relentless pursuit of continuous growth? As part
of our clinical group, the member-focused care you deliver will
make a difference and change the face of healthcare for Texas. Are
you ready to make an impact?
As a Behavioral Health Clinical Care Care Manager, you will:
Handle inbound and outbound member and provider calls on a clinical
phone queue. Ensure members receive behavioral health services
appropriate to clinical need. Triage crisis calls to assist with
stabilization and access to emergency evaluation. Coordinate
services with other departments, such as medical case/care
management. Perform utilization management functions, including
authorization determinations and care shaping.
Handle member calls, performing activities such as telephonic
clinical assessment, determining appropriate level of care and
services and answering benefit questions.
Perform utilization review functions with behavioral health
providers, including care shaping and authorization
Responsible for utilization management activities with providers
and/or member calls, depending on team.
Triage crisis calls, providing in-the-moment support and assisting
with access to emergency services.
Use established protocols, as well as clinical judgment, to
evaluate and problem solve during interactions with members and
Document all calls and activities within a data management system
and access multiple databases for benefit and workflow
Enhance clinical knowledge and skills by actively participating in
all assigned training and staff meetings
JOIN OUR TEAM AND WORK FROM HOME, FULL-TIME BENEFITS, AND SIGN ON
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and
In-person and virtual training following State and Community
Master's degree in behavioral health required
3+ years or more of behavioral health experience (at least 2 years
must be post-Master's degree).
Case management (CM), utilization management (UM), or managed care
Experience with multiple system applications and electronic data
entry, including call center and/or health care databases
License/Certification Requirements: Must have one of the following
Licensed Clinical Social Worker (LCSW)
Licensed Professional Counselor (LPC)
Licensed Professional Clinical Counselor (LPCC),
Licensed Marriage and Family Therapist (LMFT)
Licensed Psychologist (PsyD or PhD).
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.
Keywords: Envolve People Care, Brownsville , Behavioral Health Professional, Healthcare , Brownsville, Texas
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