Care Manager – Transition of Care

. Assess, plan, and coordinate medical and supporting services for post-discharge members .

Posted 10/7/2026full-timeRemote • Wisconsin • United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Key responsibilities & impact

Assess, plan, and coordinate medical and supporting services for post-discharge members
Complete medication reviews and reconcile pre-admission and post-discharge medications
Work with care management and coordination teams to identify transition support services
Complete post-discharge assessments for members transitioning from healthcare facilities
Develop care/service plans and collaborate with discharge planners, providers, specialists, and interdisciplinary teams
Assess member health status, resource needs, services, and treatment plans and provide interventions
Facilitate transitions into active care management
Provide or facilitate education and resource materials for members, caregivers, and providers
Coordinate services among PCPs, specialists, medical providers, and non-medical resources
Conduct telephonic, digital, home, or other site outreach
Collect, document, and maintain member information and care management activities
Provide leadership feedback on care and quality improvement opportunities
Perform other assigned duties and comply with policies and standards

What you’ll need

Master's degree in Behavioral Health or Social Work OR a degree from an accredited school of nursing
2–4 years of related experience
Active clinical license in Wisconsin
LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required
Experience in case management
Strong knowledge of community resources
Background in behavioral health
Compliance with current state, federal, and third-party payer regulations
Must meet applicable work authorization and legal requirements

Comp & perks