Care Manager – Transition of Care

🔥 13 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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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

• Performs care management duties to assess, plan, and coordinate medical and supporting services for post-discharge members • Completes medication review and reconciliation for pre-admission and post-discharge medications • Works with care management and coordination teams to identify transition support services • Completes post-discharge assessments for members transitioning from healthcare facilities • Develops care/service plans and collaborates with discharge planners, providers, specialists, and interdisciplinary teams • Assesses member health status, resource needs, services, and treatment plans and provides interventions • Facilitates transition into active care management based on member needs • Provides or facilitates education and resource materials to members, caregivers, and providers • Coordinates services among PCPs, specialists, medical providers, and non-medical resources • Performs telephonic, digital, home, and/or other site outreach • Documents member information and care management activities for regulatory compliance • Provides leadership feedback on opportunities to improve cost-effective care and quality delivery • Performs other assigned duties and complies with policies and standards

🎯 Requirements

• Must reside in the state of Illinois • Master's degree in Behavioral Health or Social Work, or a degree from an Accredited School of Nursing • 2–4 years of related experience • LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required • Compliance with applicable policies, standards, and state, federal, and third-party payer regulations

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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 • Benefits may be subject to program eligibility

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