Care Manager Transition of Care (State)

Centene

8d•$27 - $49

About The Position

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. 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 We are seeking to hire a Care Manager Transition of Care position! The ideal candidate will bring expertise in: Must reside in CA Post Discharge Care Coordination for Transitional Care Services Medi-Cal Care Management Excellent Customer Service and Communication Skills Strong Computer Skills

Requirements

Must reside in CA
Post Discharge Care Coordination for Transitional Care Services
Medi-Cal Care Management
Excellent Customer Service and Communication Skills
Strong Computer Skills
Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.
LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required

Responsibilities

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