Care Manager, Transition of Care (RN)

Centene Corporation

Care Manager coordinating medical and support services for post-discharge members. Managing member care, medication reviews, and collaboration with various healthcare professionals.

Posted 4/15/2026full-timeRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $49 per hourWebsite

About the role

Key responsibilities & impact

Performs care management duties to assess, plan and coordinate aspects of 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 the care management and coordination teams to identify transition support services
Evaluates the needs of the member 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 activities to improve member overall quality of care
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
Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner

Requirements

What you’ll need

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

Benefits

Comp & perks

Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementmedication reviewpost discharge assessmentscare/service plan developmenthealth status assessmentresource needs evaluationtreatment plan interventiondocumentationcompliance with regulations

Soft Skills

collaborationcommunicationeducation facilitationproblem-solvingleadership feedback

Certifications

LISWLCSWLMSWLMFTLMHCLPCRN