
Care Manager – Transition of Care
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Wisconsin.
• Evaluate, strategize, and organize medical and ancillary services for members after discharge.
• Conduct medication assessments and reconcile medications before and after discharge.
• Collaborate with care management and coordination teams to pinpoint transition support services.
• Perform post-discharge evaluations for members moving from healthcare facilities.
• Create care/service plans and work in conjunction with discharge planners, providers, specialists, and interdisciplinary teams.
• Analyze member health conditions, resource requirements, services, and treatment strategies while providing necessary interventions.
• Smooth transitions into active care management.
• Offer or facilitate educational resources and materials for members, caregivers, and healthcare providers.
• Coordinate services among primary care providers, specialists, medical professionals, and non-medical resources.
• Execute outreach via telephone, digital platforms, home visits, or other locations.
• Gather, document, and preserve member data and care management activities.
• Provide leadership insights on care and opportunities for quality improvement.
• Undertake additional assigned responsibilities and adhere to established policies and standards.
• A Master's degree in Behavioral Health or Social Work, or a degree from an accredited nursing program.
• 2 to 4 years of relevant experience.
• Active clinical licensure in Wisconsin.
• Required licenses include LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN.
• Experience in case management is essential.
• Extensive knowledge of community resources.
• A background in behavioral health.
• Adherence to current state, federal, and third-party payer regulations.
• Must fulfill applicable work authorization and legal prerequisites.
• Competitive salary.
• Health insurance coverage.
• 401K retirement plan.
• Stock purchase options.
• Tuition reimbursement opportunities.
• Paid time off in addition to holidays.
• Flexible work arrangements, including remote, hybrid, field, or office schedules.
• Additional incentive programs may be included in the total compensation package.
• Commitment to equal opportunity and diversity.
DATAGROUP
Harris Computer
Bernoulli Educação
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