RN Senior Transition Specialist — Care Coordination Lead

Centene Corporation; United States; Hybrid; USD 42.000 - 76.000; Vollzeit

Zusammenfassung

Centene Corporation seeks a Transition of Care Specialist who will identify, oversee, and manage the coordination of transition of members in the community. You will collaborate with leadership to address complex issues and ensure timely, safe transitions across health care services, coordinating with care teams and educating enrollees on services and limitations.

The role requires a Bachelor's degree and 4–6 years of related experience, with RN preferred for certain programs.

Qualifikationen

• Bachelor's degree and 4–6 years of related experience.
• Or equivalent experience reflecting the level of this position.

Aufgaben

• Develop an effective transition plan for members in the community.
• Assist with the transition of care for members in the community.
• Identify new member enrollees requiring transition services.
• Ensure existing authorizations are honored during the transition process.
• Educate members and families on services, requirements, limitations, and exclusions of services as a result of transition planning.
• Document transition information and metrics; identify trends for process improvements.
• Partner with leadership to identify transition process improvements and provide recommendations.
• Develop educational materials for members on transition requirements and exclusions.
• Develop education and training programs for care coordination staff and providers.

Kenntnisse

Care coordination

Ausbildung

Bachelor's degree

Jobbeschreibung

Centene Corporation seeks a Transition of Care Specialist who will identify, oversee, and manage the coordination of transition of members in the community. You will collaborate with leadership to address complex issues and ensure timely, safe transitions across health care services, coordinating with care teams and educating enrollees on services and limitations.

The role requires a Bachelor's degree and 4–6 years of related experience, with RN preferred for certain programs.