Transition Specialist

Job not on LinkedIn

🔥 16 hours ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 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

• Identify, oversee, and manage coordination of member transitions in the community • Ensure timely and safe transitions between various levels of health care services • Coordinate care plans with community care coordinators • Educate transition enrollees about services, requirements, limitations, and exclusions • Support care coordination teams, providers, and healthcare team members in developing transition plans • Assist with transitions based on enrollment or transition-of-care services • Identify new member enrollees requiring transition services • Ensure existing authorizations are honored during transitions • Serve as a resource for members, families, and caregivers • Track and maintain transition metrics and document transition-of-care information • Draft educational materials and resources • Assist with developing education and training programs • Evaluate member needs and available resources and recommend and facilitate care plans • Coordinate between members, caregivers, and care provider teams • Interact with healthcare providers to facilitate care coordination • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Bachelor's degree required • 2–4 years of related experience • Equivalent experience may be acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position • Background in healthcare and/or behavioral health • Familiarity with Wisconsin Medicaid • Ability to manage a high volume of inbound and outbound calls • Ability to complete assessments and develop individualized care plans • Availability Monday to Friday, 8–5 pm CST

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • 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