LTSS Service Care Manager - Behavioral Health
Service Delivery Area: Waco, TX
Monday – Friday, 8 AM – 5 PM (CST); no evenings, weekends, or on‑call work.
Travel required: 3 days per week.
Position Purpose
Develops, assesses, and coordinates holistic care management activities, with primary focus and support toward populations with significant mental/behavioral health needs, enabling quality, cost‑effective healthcare outcomes. Evaluates member service needs, develops care plans, and educates members, families, and caregivers on available services and benefits.
Responsibilities
Evaluate the needs of complex high‑risk members with mental/behavioral health challenges and recommend a plan of care for optimal outcomes.
Act as liaison and advocate between member/family, physician, and facilities/agencies.
Support members with conditions such as major depression, bipolar disorders, schizophrenia, borderline personality disorder, PTSD, substance use disorder, self‑injurious behavior, and psychiatric inpatient admissions.
Perform frequent home and/or site visits (once a month or more) to assess member needs and collaborate with resources.
Provide and facilitate education to members and families on preventive care, treatment options, medication regimens, and healthcare benefits. Offer expertise on crisis call handling, mental health first aid, field safety, de‑escalation, psychotropic monitoring, etc.
Coordinate community resources—including medical, behavioral, and social services—and manage service authorizations (e.g., meals, employment, housing, foster care, transportation).
Ensure appropriate referrals and make provider and community resources accessible to members.
Maintain accurate documentation in the electronic care management system, ensuring compliance with clinical, state, and federal guidelines.
Provide feedback to leadership on opportunities to improve quality of care and service delivery.
Perform other duties as assigned and comply with all policies and standards.
Education / Experience
Requires a Master’s degree in Mental Health or Social Work, or a Graduate from an Accredited School of Nursing, plus 2–4 years of related experience.
License / Certification
Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LCSW, LPC, or RN with Behavioral Health experience) is required.
Preferred Experience
3+ years of case management, care coordination, or discharge planning with adult populations (ages 18–65).
2+ years coordinating and managing healthcare/behavioral health services and providing patient advocacy and education to Medicaid members.
Experience in a field‑based Social Worker or Case Manager role in inpatient behavioral health hospital, community health, outpatient mental health, substance abuse/detox recovery treatment, or state social services settings.
Seniority Level
Not Applicable
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care and Insurance
Pay Range: $26.50 – $47.59 per hour.
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 work with remote, hybrid, field, or office schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job‑related factors.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.