Care Manager Transition of Care

Centene Corporation•Remote-TX, TX

1d•$56,200 - $101,000

About The Position

Performs care management duties to assess, plan, and coordinate medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost-effective care. Completes medication review and pre-admission and post-discharge reconciliation. Works with care management and coordination teams to identify transition support services. Must reside in Texas.

Requirements

Master’s degree in Behavioral Health or Social Work, or a degree from an accredited school of nursing.
2–4 years of related experience.
One of the following required licenses or certifications: LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN.
Must reside in the state of Texas.

Responsibilities

Complete post-discharge assessments for members transitioning from healthcare facilities and evaluate their needs.
Review and reconcile pre-admission and post-discharge medications.
Develop care and service plans and collaborate with discharge planners, providers, specialists, and interdisciplinary teams to support member transitions and discharge needs.
Assess members’ current health status, resource needs, services, and treatment plans, and provide appropriate interventions.
Facilitate transition into active care management based on member needs.
Provide or facilitate education and resource materials for members, authorized caregivers, and providers to promote wellness and improve quality of care.
Coordinate services among primary care physicians, specialists, medical providers, and non-medical resources to address members’ medical and socioeconomic needs.
Conduct outreach by telephone, digital means, in the home, or at other sites as needed to assess member needs and collaborate with resources.
Collect, document, and maintain member information and care management activities in compliance with applicable state, federal, and third-party payer regulations.
Provide leadership with feedback on opportunities to improve care and quality delivery cost-effectively.
Perform other duties or responsibilities as assigned to meet business needs and comply with policies and standards.