Care Manager Transition of Care

Centene Management Company LLC; Texas; Hybrid; USD 56.000 - 101.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements (remote,hyb

Zusammenfassung

Centene Management Company LLC is seeking a care management professional to assess, plan and coordinate medical and supportive services for post-discharge members. The role involves medication reconciliation and collaboration with care teams to ensure smooth transitions and high-quality outcomes.

The position requires a Master’s degree in Behavioral Health, Social Work, or Nursing from an accredited school, plus licensure in LISW/LCSW/LMSW/LMFT/LMHC/LPC or RN.

Qualifikationen

• Requires a Master's degree in Behavioral Health or Social Work or a Nursing degree from an accredited school.
• Licensure as LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN is required.

Aufgaben

• Performs care management to assess, plan and coordinate services for post-discharge members.
• Completes medication review for pre-admission and post-discharge reconciliation.
• Collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition.

Ausbildung

Master's degree in Behavioral Health or Social Work or Nursing (Accredited School)

Jobbeschreibung

Position Purpose

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

Key Details

Must reside in the state of Texas Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities Evaluates medication and performs reconciliation between pre-admit and post-discharge medications Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions Facilitates the transition into active care management based on member needs Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned Complies with all policies and standards

Education/Experience

Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2-4 years of related experience.

License/Certification

LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required

Pay Range

Pay Range: $56,200.00 - $101,000.00 per year

Benefits

Centene offers a comprehensive benefits package including:

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.

Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

EEO and Diversity Statement

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.

Centene is committed to helping people live healthier lives.

We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.