Care Manager, Transition of Care – RN

🔥 14 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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 for post-discharge members • Complete medication reviews and reconcile pre-admission and post-discharge medications • Identify transition support services with care management and coordination teams • Complete 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 education and resource materials to members, caregivers, and providers • Coordinate services among PCPs, specialists, medical providers, and non-medical resources • Conduct telephonic, digital, home, and/or site outreach • Document member information and care management activities for regulatory compliance • Provide leadership feedback on opportunities to improve cost-effective care and quality delivery • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Active RN license in the state of California • Degree from an Accredited School of Nursing OR Master's degree in Behavioral Health or Social Work • 2–4 years of related experience • RN, LISW, LCSW, LMSW, LMFT, LMHC, or LPC required • Experience in case management, transitional care, care coordination, and discharge planning strongly preferred • Ability to work Pacific Time (PST) hours preferred • Compliance with current state, federal, and third-party payer regulations

🏖️ 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 • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity