Complex Discharge Planner (Remote)
Centene Corporation · Valparaíso
Descripcion del puesto
About the role
Centene is seeking a Remote Complex Discharge Planner to develop and coordinate comprehensive discharge plans for high‑risk members. The role ensures a smooth transition from acute care to the appropriate level of care while educating members and caregivers.
Key responsibilities
- Develop complex discharge plans based on thorough needs assessments.
- Coordinate with providers, community agencies, and utilization review staff to secure safe, effective transitions.
- Maintain accurate documentation of discharge plans in health management systems.
- Educate members and families on discharge processes and utilization guidelines.
- Provide feedback to leadership for continuous improvement of discharge planning.
- Assist with prior authorizations and support concurrent review teams as needed.
Required profile
- Graduate of an accredited nursing program (RN) with an active Compact RN license.
- 2–4 years of related experience, including at least 2 years in acute care.
- Experience in case management or discharge planning, preferably in a telephonic environment.
- Knowledge of Medicare, Medicaid, and utilization management regulations is preferred.
Required skills
- RN licensure (Compact State licensure acceptable).
- Case management and discharge planning competencies.
- Acute‑care clinical experience.
- Familiarity with Medicare/Medicaid regulations and utilization management processes.
What we offer
- Competitive hourly pay ranging from $27.02 to $48.55.
- Comprehensive benefits including health insurance, 401(k), stock purchase plans, tuition reimbursement, and paid time off.
- Fully remote work flexibility.
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Publicado hace 8 horas
Expira en 1 mes
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Centene Corporation
Valparaíso
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