Complex Discharge Planner (RN)

Centene Corporation; Nevada (IA); Remote; USD 37,222 - 66,882; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

A national health services organization is seeking a clinical professional to develop and coordinate complex discharge plans for high-risk members. You will interact with various providers and educate members and their families, ensuring smooth transitions from acute care settings. This is a remote position requiring a Registered Nurse license in Nevada and specific experience in acute care. Competitive hourly pay and a comprehensive benefits package are offered.

Qualifications

• 2 – 4 years of related experience in clinical roles.
• 2+ years of acute care experience is required.
• Must be licensed as a Registered Nurse in Nevada.

Responsibilities

• Develop and coordinate complex discharge plans for high-risk members.
• Interact with providers to ensure safe transition plans.
• Educate members and families on discharge procedures.

Skills

Clinical knowledge of discharge planning competencies

Knowledge of Medicare and Medicaid regulations

Knowledge of utilization management processes

Education

Graduate from an Accredited School of Nursing

Bachelor’s degree in Nursing

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

Develops, assesses, and coordinates complex discharge plans for high-risk members based upon needs assessment. Assists with the facilitation of a smooth transition from the acute care setting to the next level of care and educates members and their families/caregivers on discharge plan to ensure appropriate high-quality transitional care.

• Develops complex discharge plans based on level of care of members needs determined by needs assessment to ensure appropriate level of care
• Interacts with providers, community agencies, and other utilization review staff to coordinate and ensure a safe, effective, and clinically appropriate transition plan for the member
• Assists with managing member’s discharge plans to ensure a timely and smooth discharge between levels of care and facilities
• Collects, documents, and maintains all discharge plans taken on member medical records in health management systems according to utilization management policies and guidelines
• Assists with providing education to members and their families on discharge plan and utilization processes to ensure high quality appropriate care to members, as applicable
• Provides feedback to leadership on opportunities to improve the discharge planning process for members to ensure high-quality transitional care
• Coordinates and assists with completion of prior authorizations as they related to discharge planning, as applicable
• Assists concurrent review team as needed
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience

Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. 2+ years of acute care experience required.

Clinical knowledge of discharge planning competencies preferred.

Knowledge of Medicare and Medicaid regulations preferred.

Knowledge of utilization management processes preferred.

License/Certification

• LPN - Licensed Practical Nurse - State Licensure required
• RN required. Must be licensed in Nevada.

Location & Hours

Position is remote. Hours 800-500 PST.

Pay & Benefits

Pay Range $27.02 - $48.55 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

EEO 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.