Behavioral Health Professional
Company: Envolve People Care
Location: Richardson
Posted on: May 9, 2022
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Job Description:
JOIN OUR TEAM WITH FLEXIBLE WORK OPTIONS, BENEFITS, AND SIGN ON
BONUS
Applicants have the flexibility to work remote from home in Texas.
Flexible Work Options are available. Applicants must be based in
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
determinations.
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
providers.
Document all calls and activities within a data management system
and access multiple databases for benefit and workflow
information.
Enhance clinical knowledge and skills by actively participating in
all assigned training and staff meetings
JOIN OUR TEAM WITH FLEXIBLE WORK OPTIONS, BENEFITS, AND SIGN ON
BONUS
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
Competitive pay
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
development
In-person and virtual training following State and Community
guidelines
About Centene:
We are an industry leader with a local focus and a global
vision:
We are a diversified, multi-national, inclusive healthcare company
delivering relevant, technology-driven solutions at the global,
national, and local levels
Listed on Fortune magazine's World's Most Admired Companies List
for 2nd consecutive year
National footprint across all 50 states, serving 1 in 15
individuals in the U.S.
Recognized as one of the Best Places to Work by the Human Rights
Campaign Foundation
Education/Experience Requirements:
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 preferred.
Experience with multiple system applications and electronic data
entry, including call center and/or health care databases
preferred.
License/Certification Requirements: Must have one of the following
unrestricted licenses
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, Richardson , Behavioral Health Professional, Healthcare , Richardson, Texas
Click
here to apply!
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