Care Manager – Transition of Care

Role Overview

• 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 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
• Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs
• 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
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations

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
• RN license strongly preferred

Benefits

• 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