Care Manager Transition of Care

Centene; Texas; Remote; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote, híbr,

Job summary

Centene is seeking a Care Manager Transition of Care to assess, plan, and coordinate post-discharge services. This role focuses on behavioral health or nursing backgrounds to improve patient outcomes through effective care management.

You will evaluate member needs, reconcile medications, develop care plans, collaborate with discharge planners and providers, and support transitions into active care across telephonic, digital, and in-home settings from a remote Texas base.

Qualifications

• Master's degree in Behavioral Health or Social Work, or nursing degree required.
• 2–4 years of related experience required.
• Licenses: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN.

Responsibilities

• Evaluate the needs of the member by completing post-discharge assessments.
• Evaluate medication and reconcile pre-admit and post-discharge meds.
• Develop a care/service plan and collaborate with discharge planners, providers, and teams.
• Assess current health status, resource needs, services, and treatment plans.
• Facilitate transition into active care management based on member needs.
• Provide or facilitate education and resource materials to members and caregivers.
• Coordinate services between PCP, specialists, and other providers.
• Perform telephonic, digital, home, or site outreach to assess needs.
• Collect, document, and maintain all member information and activities.
• Provide feedback to leadership on opportunities to improve care and quality.

Skills

Care management

Post-discharge assessment

Care planning

Team collaboration

Education

Master's in Behavioral Health

Nursing degree

Job description

About This Role

The Care Manager Transition of Care performs care management duties to assess, plan, and coordinate medical and supporting services for post-discharge members, promoting quality and cost-effective care. This role is ideal for individuals with a background in behavioral health or nursing who are passionate about improving patient outcomes.

Highlights

• Pay: $56,200 - $101,000/year
• Location: Remote, TX
• Residency: Must reside in the state of Texas
• Schedule: Full Time, Day shift

What You'll Do

• Evaluate the needs of the member by completing post-discharge assessments for members transitioning from healthcare facilities.
• Evaluate medication and perform reconciliation between pre-admit and post-discharge medications.
• Develop a care/service plan and collaborate with discharge planners, providers, specialists, and interdisciplinary teams.
• Assess member current health status, resource needs, services, and treatment plans.
• Facilitate the transition into active care management based on member needs.
• Provide or facilitate education and resource materials to members, authorized caregivers, and providers.
• Facilitate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources.
• Perform telephonic, digital, home, and/or other site outreach to assess member needs.
• Collect, document, and maintain all member information and care management activities.
• Provide feedback to leadership on opportunities to improve care and quality delivery.

Requirements

Education

• Master's degree in Behavioral Health or Social Work, or a Degree from an Accredited School of Nursing required.

Experience

• 2 – 4 years of related experience required.

Licenses & Certifications

• One of the following licenses required: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules (remote, hybrid, field, or office work)

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day through meaningful challenges and a dedicated team focused on improving lives.