Care Transition Navigator (Community-Based)

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

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation in New Jersey is seeking a Transition Coordinator to support members moving from healthcare facilities to community settings. You will collaborate with care teams, providers, members, families, and caregivers to coordinate care plans and ensure safe, timely transitions.

Responsibilities include educating enrollees about services, tracking transition metrics, drafting education materials, and maintaining accurate documentation and monthly reporting.

Qualifications

• Bachelor’s degree and 2–4 years of related experience.
• Equivalent experience through relevant duties.

Responsibilities

• Supports care coordination team to develop an effective transition plan for members in the community and/or into adulthood and adult services/providers, as appropriate
• 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
• Acts as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations, and/or exclusions of services as a result of transition planning
• May track and maintains transition metrics including new member assessments, volume of members transitioning into or out of care to identify trends and process improvements, and ensures all transition of care information is appropriately documented
• Supports with efforts to draft education materials and resources for members on requirements, limitations, or exclusions of services for transition of care
• Assists with developing education and training programs for care coordination staff and providers to improve transition services for members
• May evaluate the needs of the member, the resources available, and recommends and facilitates the plan for the best outcome
• May coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are being effectively treated
• Interacts with healthcare providers as appropriate to facilitate member care coordination needs
• Performs other duties as assigned
• Complies with all policies and standards

Education

Bachelor’s degree

Job description

Centene Corporation in New Jersey is seeking a Transition Coordinator to support members moving from healthcare facilities to community settings. You will collaborate with care teams, providers, members, families, and caregivers to coordinate care plans and ensure safe, timely transitions.

Responsibilities include educating enrollees about services, tracking transition metrics, drafting education materials, and maintaining accurate documentation and monthly reporting.