FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
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 healthcare service levels, developing care plans, and educating stakeholders about services and requirements. Proficient in tracking metrics, maintaining documentation, and collaborating with care teams to ensure optimal transitions.
Highest-signal resume keywords
Transition CoordinationCare Plan DevelopmentHealthcare Provider InteractionDocumentation ManagementMember Assessment
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Transition PlanningCare CoordinationMember AssessmentMetrics TrackingDocumentation Maintenance
Soft Skills
CommunicationCollaborationEducation and Training
Industry Keywords
Healthcare ServicesCommunity CareCare ManagementMember TransitionsService Limitations
About the role
Key responsibilities & impact- Identify, oversee, and manage coordination of member transitions in the community
- Support leadership in ensuring timely and safe transitions across healthcare service levels
- Coordinate care plans with community care coordinators
- Educate transition enrollees, members, families, and caregivers about services, requirements, limitations, and exclusions
- Perform or assist with member assessments and screenings
- Develop or assist with member transition, service, and care plans
- Identify newly enrolled members requiring transition services
- Ensure existing authorizations are honored and resolve transition issues with care management teams and providers
- Track transition metrics, identify trends and process improvements, and maintain documentation
- Draft education materials and resources
- Assist with education and training programs for care coordination staff and providers
- Evaluate member needs and available resources and facilitate optimal transition plans
- Coordinate members and families with care provider teams
- Interact with healthcare providers to facilitate care coordination
- Perform other assigned duties and comply with policies and standards
Requirements
What you’ll need- Bachelor's degree and 2–4 years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill
- Must reside in New Jersey, with preference for Northern New Jersey
- Comfortable traveling regularly to nursing facilities and other community locations
- Availability Monday through Friday, 8:00 a.m. to 5:00 p.m. ET
- Ability to coordinate transitions from healthcare facilities to community-based settings
- Ability to coordinate with care teams, providers, members, families, and caregivers
- Knowledge of services, requirements, limitations, and exclusions related to transition planning
- Ability to maintain accurate documentation, tracking, metrics, and monthly reporting
- Ability to develop or assist with transition, service, and care plans
Benefits
Comp & perks- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Potential additional forms of incentives