Care Manager, Transition of Care (RN)

Job Description

The Care Manager role involves performing care management duties to evaluate, strategize, and organize medical and support services for members post-hospital discharge. This includes medication reviews for reconciliation before admission and after discharge. This role collaborates with care management and coordination teams to pinpoint transition support services and assesses member needs via post-discharge assessments. A tailored care/service plan is crafted in conjunction with discharge planners, providers, specialists, and interdisciplinary teams to aid member transition and discharge requirements. It assesses members' current health, resource requirements, service needs, and treatment strategies, offering relevant interventions. Facilitating transitions into active care management, this role provides educational resources to members, caregivers, and providers to encourage wellness and enhance the overall quality of care. It also streamlines services between PCPs, specialists, medical providers, and non-medical resources to address members' medical and socio-economic needs, compiling and maintaining member information and care management activities. The role provides valuable feedback to leadership to enhance care and quality in a cost-effective way.

Qualifications

1. Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing. 2. 2 – 4 years of related experience. 3. 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