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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Facilitate a smooth transition from the acute care setting to the next level of care for high-risk members identified for complex discharge planning. Assess and continuously evaluate level of care needs, unmet psychosocial needs and supportive service needs to collaborate on the development of a safe transition plan that supports members. Engage hospital providers and staff, community agencies and other identified stakeholders to coordinate a safe, effective and clinically appropriate transition plan.
Assess, plan and coordinate safe, effective and clinically appropriate transition plans,
Collaborate with internal and external teams for clinical case review and planning,
Facilitate accurate and timely documentation,
Establish and maintain collaborative relationship with hospitals and other identified stakeholders.
Identify and establish plans to address barriers in order to reduce length of stay and readmissions.
Focus on members needs across the care continuum.
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor’s degree or graduate degree from an accredited school of nursing or graduate degree from an accredited school of social work. 3+ years of nursing or social work experience required. 1+ years of care coordination or discharge/transition planning preferred. Knowledge of public health, home health, or acute care transitions preferred. Familiar with utilization management protocols, trauma informed care and social determinants of health preferred. Knowledge of behavioral health impacts on physical health and the reverse preferred.License/Certification: Current state’s RN license, LMSW or LICSW required.For Washington – Coordinated Care Only:Licenses/Certifications: Requires at least one of the following State of Washington license:
Registered Nurse (RN) with a Behavioral Health background
Licensed Independent Clinical Social Worker (LICSW)
Substance Use Disorder Professional (SUDP)
Licensed Mental Health Counselor (LMHC)
Licensed Marriage and Family Therapist (LMFT)
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.Pay Range: $25.44 - $45.76 per hourActual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
