Centene Corporation

Compensation

Full Description

Job 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, promoting quality and cost effective care. • Completes medication review for pre-admission and post-discharge reconciliation. • Works with the 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. Requirements: • Must reside in CA • Post Discharge Care Coordination for Transitional Care Services • Medi-Cal Care Management • Excellent Customer Service and Communication Skills • Strong Computer Skills • Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience. • License/Certification: 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