Care Transition Navigator

Centene Corporation; United States; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

PTO plus holidays

Job summary

Centene Corporation is hiring for a transition care coordinator role in California requiring a Bachelor’s degree and 2–4 years of related experience. The position focuses on overseeing member transitions between health care services, coordinating with care teams, and educating enrollees about services and requirements.

A California LVN/LPN license and PST-hour availability are required. The role supports care coordination teams, maintains authorizations, and develops training materials to

Qualifications

• Requires a Bachelor’s degree and 2–4 years of related experience.
• California LVN/LPN license and availability for PST hours.

Responsibilities

• Supports care coordination team, providers, and other health care team members to develop an effective transition plan for members in the community and/or into adulthood and adult services/providers.
• Assists with the transition for members in the community based on enrollment or transition of care for services identified.
• Works with care coordination and care management team to identify new member enrollees requiring transition services.
• Ensures existing authorizations are honored during the transition process and works with care management team and providers to address any issues.
• Educates members and families about transition services, requirements, limitations, and exclusions.
• Tracks transition metrics and maintains documentation for reporting and process improvements.
• Develops education materials and training programs for care coordination staff and providers.
• Evaluates member needs and coordinates plans for best outcomes.
• Interfaces with healthcare providers to facilitate care coordination needs.

Skills

Charting

Case management

Discharge planning

Telephonic care coordination

Member education

Care coordination collaboration

Provider communication

Education

Bachelor’s degree

Job description

Centene Corporation is hiring for a transition care coordinator role in California requiring a Bachelor’s degree and 2–4 years of related experience. The position focuses on overseeing member transitions between health care services, coordinating with care teams, and educating enrollees about services and requirements.

A California LVN/LPN license and PST-hour availability are required. The role supports care coordination teams, maintains authorizations, and develops training materials to