Care Manager – Transition of Care

🔥 0 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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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

• Assess, plan, and coordinate medical and supporting services for post-discharge members • Complete medication reviews and reconcile pre-admission and post-discharge medications • Work with care management and coordination teams to identify transition support services • 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 transitions into active care management • 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, or other site outreach • Collect, document, and maintain member information and care management activities • Provide leadership feedback on care and quality improvement opportunities • 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 • Experience in case management • Strong knowledge of community resources • Background in behavioral health • Compliance with current state, federal, and third-party payer regulations • Must meet applicable work authorization and legal requirements

🏖️ 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 and diversity commitment