Care Manager - Transition of Care (BH)

March 28

🌾 Iowa – Remote

Although this job is listed in Iowa, this company may be open to hiring remote in other states.

🌪️ Kansas – Remote

Although this job is listed in Kansas, this company may be open to hiring remote in other states.

+3 more states

🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

💵 $55.1k - $99k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Centene Corporation

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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.

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members • Completes medication review for pre-admission and post-discharge reconciliation • Works with care management and coordination teams to identify transition support services • Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities • Evaluates medication and performs reconciliation between pre-admit and post-discharge medications • Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs • Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions • Facilitates the transition into active care management based on member needs • Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care • Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner • Other duties or responsibilities as assigned by people leader to meet business needs

🎯 Requirements

• Requires a 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

🏖️ 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