Care Manager, Transition of Care (RN)
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $27 - $49 per hour
About the role
- 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
- 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
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
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