Care Manager, Transition of Care (RN)

Job not on LinkedIn

🔥 7 minutes ago

🏄 California – Remote

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💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

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

• Assess, plan, and coordinate medical and supporting services for post-discharge members • Complete medication reviews and reconcile pre-admission and post-discharge medications • Develop care/service plans and support member transition and discharge needs • Assess member health status, resource needs, services, and treatment plans; provide appropriate interventions • Facilitate transition into active care management based on member needs • Provide or facilitate education and resource materials for members, 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 quality and cost-effectiveness • Comply with policies and standards and perform other assigned duties

🎯 Requirements

• Active California RN licensure is required • Must be licensed in CA • Degree from an Accredited School of Nursing and 2–4 years of related experience, or a Master's degree in Behavioral Health or Social Work • LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required • California residency is preferred • Experience in discharge planning, care coordination, and postpartum care strongly preferred • Ability to perform post-discharge assessments and medication reconciliation • Ability to collaborate with discharge planners, providers, specialists, and interdisciplinary teams • Knowledge of current state, federal, and third-party payer regulations

🏖️ Benefits

• 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 • Competitive pay

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