Centene Corporation

RN Care Manager – Transition of Care

Centene Corporation

full-time

Posted on:

Origin:  • 🇺🇸 United States • Illinois

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Salary

💰 $55,100 - $99,000 per year

Job Level

JuniorMid-Level

About the role

  • Performs care management duties to assess, plan and coordinate medical and supporting services across the continuum of care for post-discharge members
  • Completes medication review for pre-admission and post-discharge reconciliation
  • Works with care management and coordination teams to identify transition support services
  • Evaluates member needs by completing post-discharge assessments for members transitioning from healthcare facilities
  • Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs
  • Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions
  • Facilitates the transition into active care management based on member needs
  • Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness
  • Facilitates services between PCPs, specialists, medical providers, and non-medical resources as necessary
  • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with regulations
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery
  • Other duties as assigned

Requirements

  • Requires a Master's degree in Behavioral Health or Social Work OR a Degree from an Accredited School of Nursing
  • 2–4 years of related experience (minimum 2 years)
  • LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required
  • Preference for applicants who reside in Illinois
  • Preference for applicants with an active Illinois registered nurse (RN) credential
  • Professional experience in service coordination, case management, discharge planning, community advocacy, or transition of care (preferred)
  • Ability to perform telephonic, digital, home and/or other site outreach (implied)
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