Care Manager – Transition of Care

🕒 October 7

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 13%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Perform care management duties to assess, plan, and coordinate medical and supporting services across the continuum of care for post-discharge members • Complete medication review for pre-admission and post-discharge reconciliation • Work with care management and coordination teams to identify transition support services • Evaluate member needs through post-discharge assessments for members transitioning from healthcare facilities • Develop care/service plans and collaborate with discharge planners, providers, specialists, and interdisciplinary teams • Assess member health status, resource needs, services, and treatment plans and provide interventions • Facilitate transition into active care management based on member needs • Provide or facilitate education and resource materials to members, authorized caregivers, and providers • Coordinate services among PCPs, specialists, medical providers, and non-medical resources • Conduct telephonic, digital, home, and/or other site outreach • Collect, document, and maintain member information and care management activities • Provide leadership feedback on opportunities to improve care and quality delivery cost-effectively • Perform other assigned duties and comply with policies and standards

🎯 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 • Active clinical license in Wisconsin • LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required • Strong knowledge of community resources • Background in behavioral health • Ability to support SSI and BC+ Medicaid members • Compliance with current state, federal, and third-party payer regulations

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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