Care Manager Transition of Care (State)

Health Net; California (MO); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative health organization is seeking a dedicated Care Manager for a remote role focused on enhancing the care of post-discharge members. In this position, you'll assess and coordinate medical services, ensuring a smooth transition for members returning to active care. With a commitment to quality and cost-effective care, you will collaborate with various healthcare professionals to develop tailored care plans. This role offers a unique opportunity to make a significant impact on the health of communities while enjoying a flexible work environment and competitive benefits.

Benefits

Health Insurance

401K

Tuition Reimbursement

Paid Time Off

Flexible Work Schedule

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work.
• 2-4 years of related experience in care management.

Responsibilities

• Assess, plan, and coordinate care for post-discharge members.
• Facilitate education and resource materials for members.
• Collaborate with interdisciplinary teams for member support.

Skills

Care Management

Medication Review

Assessment Skills

Collaboration

Education

Master's Degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Job description

Join to apply for the Care Manager Transition of Care (State) role at Health Net

5 days ago Be among the first 25 applicants

Join to apply for the Care Manager Transition of Care (State) role at Health Net

Get AI-powered advice on this job and more exclusive features.

You could be the one who changes everything for our 28 million members. 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 a fresh perspective on workplace flexibility.

Must reside within the state of California. This is a remote role.

Hours Monday-Friday 8am-5pm PST.

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.

• 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 $26.50 - $47.59 per hour

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and 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. Total compensation may also include additional forms of incentives.

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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care and Insurance

Referrals increase your chances of interviewing at Health Net by 2x

Get notified about new Care Manager jobs in California, United States.

Behavioral Health Care Manager – Make an Impact from Day One! (Remote)

BH Care Manager, Health Plans- Remote and Licensed in CA

Behavioral Care Manager (Pacific Time Hours), Full-Time

California, United States $22.00-$26.00 2 weeks ago

Care Manager, Health Plan - Licensed / Remote in CA

Care Manager, Health Plan - Licensed / Remote in CA

RN Care Manager - Ambulatory Care Management, Hybrid-Remote

California, United States $25.00-$40.00 1 hour ago

Clinical Supervisor (Pacific Time), Full-Time

Chronic Care Manager (Remote - Compact States)

California, United States $82,800.00-$129,900.00 1 week ago

Clinical Services Manager - Orange County, CA (Field Based)

Practice Relationship & Marketing Manager

Remote BCBA Supervisor & Clinical Consultant

Senior Manager, Value Based Care Network Management

Behavioral Health Care Manager Remote, must be Licensed and Reside in California

Remote BCBA Supervisor & Clinical Consultant

Clinical Services Manager - Orange County, CA (Field Based)

San Mateo, CA $90,000.00-$125,000.00 1 day ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.