Engagement Manager
EVERSANA
Care Manager – Transition of Care
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Kentucky • 🇺🇸 United States
Visit company websiteSalary
💰 $55,100 - $99,000 per year
Job Level
JuniorMid-Level
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
- Evaluates medication and performs reconciliation between pre-admit and post-discharge medications
- 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
- 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 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
- Performs 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
- 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
care managementmedication reconciliationpost-discharge assessmentscare/service plan developmenthealth status assessmentresource needs evaluationtreatment plan developmenttelephonic outreachdigital outreachhome outreach
Soft skills
collaborationcommunicationinterpersonal skillsproblem-solvingleadershipeducation facilitationresource coordinationfeedback provisioncost-effective decision makingmember advocacy
Certifications
LISWLCSWLMSWLMFTLMHCLPCRN
