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Behavioral Health Professional

Company: Envolve People Care
Location: Richardson
Posted on: May 9, 2022

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

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