Remote RN Discharge Planner: Complex Care Transitions

Centene Corp.; Pennsylvania; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Job summary

Centene seeks an RN to develop, assess, and coordinate complex discharge plans for high-risk members, ensuring safe transitions between care settings. The role supports Marketplace/Ambetter and Medicaid members across multiple states and is remote.

You will educate members and families, interact with providers and utilization review staff, and assist with prior authorizations and concurrent reviews. A compact nursing license and 2+ years acute care experience are preferred.

Qualifications

• Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing with 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.

Responsibilities

• Develops complex discharge plans based on member needs to ensure appropriate level of care.
• Interacts with providers, community agencies, and utilization review staff to coordinate a safe transition plan.
• Assists with managing discharge plans for timely and smooth transitions between care levels.
• Documents discharge plans in health management systems per policies.
• Educates members and families on discharge plan and utilization processes.
• Provides feedback to leadership to improve the discharge planning process.
• Coordinates and assists with completion of prior authorizations related to discharge planning.
• Assists concurrent review team as needed.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Discharge planning

Interdisciplinary coordination

Patient/family education

Education

Nursing degree (RN/BSN)

Tools

Health management systems

Job description

Centene seeks an RN to develop, assess, and coordinate complex discharge plans for high-risk members, ensuring safe transitions between care settings. The role supports Marketplace/Ambetter and Medicaid members across multiple states and is remote.

You will educate members and families, interact with providers and utilization review staff, and assist with prior authorizations and concurrent reviews. A compact nursing license and 2+ years acute care experience are preferred.