Care Manager Transition of Care (RN) at Centene

You're a licensed RN with a Master's in Behavioral Health or Social Work, or a Bachelor's from an accredited nursing school, and 2 to 4 years of experience in c

Work type: remote

Location: Remote-CA

Salary: $27 – $49/hr

Type: Full-time

Summary

You're a licensed RN with a Master's in Behavioral Health or Social Work, or a Bachelor's from an accredited nursing school, and 2 to 4 years of experience in care management. You have a strong understanding of assessing member needs and coordinating services across the care continuum. **What makes it worth a look...** Centene is offering a fully remote Senior-level Care Manager position for candidates residing in California. The pay range is $27.02 to $48.55 per hour, with full-time employment. **You might be a good fit if you...** * Are a licensed RN, LISW, LCSW, LMSW, LMFT, LMHC, or LPC. * Can complete post-discharge assessments and medication reconciliation. * Are skilled in developing care plans and collaborating with interdisciplinary teams. * Have experience with telephonic, digital, or home outreach to assess member needs.

Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Location: Candidate must reside in California. RN required.Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. 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


• Other duties or responsibilities as assigned by people leader to meet business needs


• Performs other duties as assigned


• Complies with all policies and standards

License/Certification:

• LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN requiredLocation: Candidate must reside in California. RN required.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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