Transition Coordinator
4 days ago
We are seeking a skilled Transition Specialist to join our team at Centene Corporation. As a Transition Specialist, you will play a critical role in ensuring the smooth transition of members in the community from various levels of healthcare services.
Key Responsibilities- Support care coordination teams, providers, and other healthcare team members to develop effective transition plans for members in the community and/or into adulthood and adult services/providers, as appropriate.
- Assist with the transition for members in the community based on enrollment or transition of care for services identified.
- Work with care coordination and care management teams to identify new member enrollees requiring transition services.
- Ensure existing authorizations are honored during the transition process and work with care management teams and providers to address any issues.
- Act as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations, and/or exclusions of services as a result of transition planning.
- May track and maintain transition metrics, including new member assessments, volume of members transitioning into or out of care to identify trends and process improvements, and ensures all transition of care information is appropriately documented.
- Support efforts to draft education materials and resources for members on requirements, limitations, or exclusions of services for transition of care.
- Assist with developing education and training programs for care coordination staff and providers to improve transition services for members.
- May evaluate the needs of the member, the resources available, and recommends and facilitates the plan for the best outcome.
- May coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are being effectively treated.
- Interacts with healthcare providers as appropriate to facilitate member care coordination needs.
- Performs other duties as assigned.
- Complies with all policies and standards.
Requires a Bachelor's degree and 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.
Pay Range: $46.68 per hour
Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules.
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