Senior Care Manager Transition of Care

Cenetene Corporation; Springfield (MO); On-site; USD 73,000 - 133,000; Full time

Job summary

An established industry player is seeking a Senior Care Manager to enhance patient transitions and care coordination. This role involves assessing post-discharge needs, developing comprehensive care plans, and collaborating with healthcare teams to ensure quality care for members. The ideal candidate will have a strong background in case management and a passion for improving patient outcomes. Join a forward-thinking organization that values flexibility and offers competitive benefits, including health insurance and tuition reimbursement. Make a difference in the lives of millions by transforming healthcare delivery in your community.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• Licensed Clinician with experience in case management and inpatient settings.
• Strong understanding of care transitions and discharge planning.

Responsibilities

• Assesses and implements medical services for post-discharge members.
• Develops care plans and collaborates with interdisciplinary teams.
• Facilitates member education and resource access.

Skills

Care Coordination

Communication Skills

Collaboration Skills

Understanding of Care Transitions

Discharge Planning

Education

Master's Degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Tools

Clinical Assessment Tools

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

On-Site Opportunity | Senior Care Manager – Transition of Care | Peoria, IL

Are you a Licensed Clinician with a passion for care coordination and improving patient transitions? Our Illinois Health Plan is hiring a Senior Care Manager – Transition of Care to work on-site at a hospital in the Peoria area.

Candidates must reside within 30 miles of Peoria

What We’re Looking For:

1. Licensed Clinician (LCSW, LCPC, LMSW, etc.) in the state of Illinois
2. Experience in case management and/or utilization management
3. Background in an inpatient hospital setting
4. Strong understanding of care transitions, discharge planning, and community resources
5. Excellent communication and collaboration skills

Position Purpose:

Assesses, plans and implements all aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality, cost effective care. Completes pre-admission and post-discharge medication reconciliation. Works with the care management and coordination teams to identify complex care transition support services.

1. Evaluates the needs of the member by completing clinical post-discharge assessments for members transitioning from healthcare facilities.
2. Evaluates medication and performs reconciliation between pre-admit and post-discharge medications.
3. Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs.
4. Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions.
5. Facilitates transition into care management service for member based on acuity level.
6. Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve overall member quality of care.
7. Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio-economic needs of members.
8. May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources.
9. Serves as a subject matter expert to staff for clinical and non-clinical questions or issues related to post hospital outreach for members.
10. May precept new hires and support building core skills and providing guidance through the onboarding process.
11. Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations.
12. Provides feedback to leadership on opportunities to improve and enhance care and quality of delivery for members in a cost-effective manner.
13. Performs other duties as assigned.
14. Complies with all policies and standards.

Education/Experience:

Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 4 – 6 years of related experience.

License/Certification:

1. LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required

Pay Range: $73,800.00 - $132,700.00 per year

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. Total compensation may also include additional forms of incentives.

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.