Care Manager – Transition of Care

🔥 12 hours ago

🤠 Texas – Remote

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💵 $56.2k - $101k / year

⏰ 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 • 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 members’ health status, resource needs, services, and treatment plans and provide interventions • Facilitate transition into active care management • Provide or facilitate education and resource materials for 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 quality and cost-effective care delivery • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Must reside in the state of Texas • 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 current state, federal, and third-party payer regulations • Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

🏖️ 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 • Additional forms of incentives may be included in total compensation • Comprehensive benefits package, subject to program eligibility

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