Care Manager Transition of Care

Centene Corporation; Mississippi; Remote; USD 55,000 - 99,000; Full time

Job summary

A leading healthcare organization is seeking a Care Manager Transition of Care to assess, plan, and coordinate medical services for post-discharge members. The role involves evaluating member needs, developing care plans, and collaborating with various healthcare providers to ensure quality and cost-effective care. The ideal candidate will have a Master's degree in Behavioral Health or Social Work, or a nursing degree with relevant experience. This position offers competitive pay and flexible work arrangements.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Holidays

Flexible Work Arrangements

Qualifications

• 2-4 years of related experience required.
• License/Certification: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required.

Responsibilities

• Evaluate member needs by completing post-discharge assessments.
• Develop care/service plans and collaborate with interdisciplinary teams.
• Coordinate services between PCP, specialists, and medical providers.

Skills

Behavioral Health

Social Work

Care Management

Education

Master's degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Job description

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Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including workplace flexibility.

Must reside in Kentucky or Mississippi.

For RN, must have a compact license or be willing to obtain one.

Position Purpose

Performs care management duties to assess, plan, and coordinate medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost-effective care. Responsibilities include medication review for pre-admission and post-discharge reconciliation, and working with care management and coordination teams to identify transition support services.

Responsibilities

1. Evaluate member needs by completing post-discharge assessments for members transitioning from healthcare facilities.
2. Review medications and perform reconciliation between pre-admission and post-discharge medications.
3. Develop care/service plans and collaborate with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs.
4. Assess current health status, resource needs, services, and treatment plans, providing appropriate interventions.
5. Facilitate transition into active care management based on member needs.
6. Provide or facilitate education and resource materials to members, caregivers, and providers to promote wellness activities.
7. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as needed.
8. Perform outreach via phone, digital means, home visits, or other sites to assess needs and collaborate with resources.
9. Maintain all member information and care management activities in compliance with regulations.
10. Provide feedback to leadership to improve care and quality delivery cost-effectively.
11. Perform other duties as assigned by leadership to meet business needs.

Qualifications

• Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing with 2–4 years of related experience.
• License/Certification: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required.

Additional Details

Pay Range: $55,100.00 - $99,000.00 per year

Benefits include competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements (remote, hybrid, field, or office).

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics by law.