LTSS Service Care Manager - Behavioral Health
Join to apply for the LTSS Service Care Manager - Behavioral Health role at Superior HealthPlan.
You could be the one who changes everything for our 28 million members. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose
Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes.
Evaluates the needs of the most complex and high‑risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post‑traumatic stress disorder, substance use disorder, self‑injurious behavior, psychiatric inpatient admissions, etc.
Performs frequent home and/or other site visits (once a month or more) to assess member needs and collaborate with resources, as required
Provides and/or facilitates education to long‑term care members and families/caregivers on preventive care, procedures, medication regimens, and benefits; offers subject‑matter expertise for mental health first aid, crisis calls, field safety, de‑escalation practices, psychotropic and other medication monitoring, etc.
Educates on and coordinates community resources (medical, behavioral, social services); coordinates service authorization for meals, employment, housing, foster care, transportation, ADL activities, etc.
Ensures appropriate referrals and supports identification of providers, specialists, and community resources so services are accessible to members
Maintains accurate documentation and supports integrity of care management activities in the electronic system, ensuring compliance with clinical and state/federal guidelines
Provides feedback to leadership on opportunities to improve quality of care and service delivery in a cost‑effective manner
Performs other duties as assigned
Complies with all policies and standards
Education / Experience
Requires a Master’s degree in Mental Health or Social Work or a Graduate degree from an accredited School of Nursing and 2–4 years of related experience.
License / Certification
Must hold an LCSW, LPC, or RN license with behavioral health experience.
Preferred Experience
3+ years of case management, care coordination, discharge planning with adult populations (ages 18‑65)
2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members
Experience as a field‑based social worker or case manager in inpatient behavioral health hospital, community health, outpatient mental health, substance abuse/detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred.
Work Schedule & Location
Service Delivery Area: Wichita Falls, TX. Monday – Friday, 8 am – 5 pm (CST). No evenings, weekends, or on‑call. Travel required 3 days per week.
Pay Range
$26.50 – $47.59 per hour.
Benefits
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to remote, hybrid, field or office work schedules. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Equal Opportunity Statement
Centene is an equal‑opportunity employer 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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.