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Senior Transition Specialist
Centene Corporation. Identify, oversee, and manage coordination of member transitions in the community .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating member transitions across health care service levels, developing care plans, and educating stakeholders about services and requirements. Proficient in analyzing transition metrics to identify trends and implement process improvements.
Highest-signal resume keywords
Care CoordinationMember AssessmentsTransition PlanningProcess ImprovementEducation and Training
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care PlansMember AssessmentsTransition PlanningService PlansTransition Metrics Analysis
Soft Skills
CollaborationCommunicationProblem-SolvingResourcefulness
Certifications & Qualifications
Bachelor's DegreeRegistered Nurse (RN) - Preferred
Industry Keywords
Health Care ServicesCare Coordination TeamsMember TransitionsCare ProvidersFamily Caregivers
About the role
Key responsibilities & impact- Identify, oversee, and manage coordination of member transitions in the community
- Work with leadership to address complex issues and ensure timely, safe transitions across health care service levels
- Coordinate care plans with community care coordinators
- Educate transition enrollees about services, requirements, limitations, and exclusions
- Perform or assist with member assessments and screenings
- Develop or assist with member transition, service, or care plans
- Collaborate with care coordination teams, providers, and health care team members on effective transition plans
- Identify new enrollees requiring transition services
- Ensure existing authorizations are honored and resolve transition issues
- Serve as a resource for members, families, and caregivers
- Review transition metrics and document transition-of-care information
- Partner with leadership on process improvements and recommendations
- Develop education materials and training programs for staff and providers
- Evaluate member needs and available resources, recommending and facilitating the best-outcome plan
- Coordinate members, caregivers, and care providers to support effective treatment
- Perform other assigned duties and comply with policies and standards
Requirements
What you’ll need- Bachelor's degree and 4–6 years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill
- For New Hampshire Health Families, RN is highly preferred
- Ability to coordinate transitions of members between levels of health care services
- Knowledge of care plans, member assessments/screenings, service plans and transition planning
- Ability to educate members, families/caregivers, providers and care coordination staff
- Ability to review transition metrics and identify trends and process improvements
- Ability to comply with all policies and standards
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Competitive pay
- Additional forms of incentives may be included in total compensation