Care Manager Transition of Care

Centene Corporation•Remote-WI, WI

2d•$56,200 - $101,000•Remote

About The Position

Centene is hiring a remote Care Manager, Transition of Care, to join the TOC team. This position supports SSI and BC+ Medicaid members who are currently hospitalized, with a primary focus on behavioral health treatment and support. The ideal candidate will hold an active clinical license in Wisconsin and have experience in case management, strong knowledge of community resources, and a background in behavioral health.

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
Active clinical license in Wisconsin
Experience in case management
Strong knowledge of community resources
Background in behavioral health

Responsibilities

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