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Transforming the health of the communities we serve, one person at a time.
Care Manager, Transition of Care (RN)
Location
California
Posted
45 days ago
Salary
$27 - $48 / hour
Seniority
Mid Level
Job Description
Care Manager, Transition of Care (RN)
Centene Corporation
• 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
Job 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
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