Transition Specialist

Centene • Rosedale, NY

239d • $26 - $47 • Onsite

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. This remote role serves members transitioning from inpatient hospitalizations. Preference will be given to applicants who (1) reside in the state of New York (2) with professional experience in the following areas: service coordination, case management, discharge planning, community advocacy or transition of care.

Requirements

• Requires a Bachelor's degree.
• 2 - 4 years of related experience or equivalent experience.

Responsibilities

• Provides support with identifying, overseeing, and managing the coordination of transition of members in the community.
• Works with leadership to ensure the timely and safe transition of members in the community from various levels of health care services.
• Coordinates care plans with community care coordinators.
• Educates transition enrollees about services, requirements, limitations, and/or exclusions of services as a result of the transition.
• May perform and/or assist with member assessment/screenings.
• May develop and/or assist with developing member transition plan or service plan/care plan.
• Supports care coordination team, providers, and/or other health care team members to develop an effective transition plan for members.
• Assists with the transition for members in the community based on enrollment or transition of care for services identified.
• Ensures existing authorizations are honored during the transition process.
• Acts as an available resource for members and their families and/or caregivers.
• Tracks and maintains transition metrics including new member assessments and volume of members transitioning into or out of care.
• Supports with efforts to draft education materials and resources for members.
• Assists with developing education and training programs for care coordination staff and providers.
• Evaluates the needs of the member and recommends and facilitates the plan for the best outcome.
• Coordinates between the member and/or family/caregivers and the care provider team.
• Interacts with healthcare providers to facilitate member care coordination needs.
• Performs other duties as assigned.
• Complies with all policies and standards.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree