{"id":3852991,"url":"https://alion.io/job/centene-corporation-complex-discharge-planner","title":"Complex Discharge Planner","company":{"id":647,"name":"Centene Corporation","domain":"centene.com","url":"https://alion.io/company/centene-corporation","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":100,"open_postings":14,"ghost_share":0,"stale_share":0.071,"repost_share":0.071,"time_to_fill_p50_days":13,"computed_at":"2026-11-09T06:03:00Z"}},"role":"Operations","role_family":"Operations","seniority":"junior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":27,"max":48,"currency":"USD","period":"hour","gross":null,"usd_annual":96000},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-11-05T00:00:00Z","employer_posted_date":"2026-11-05","last_verified_at":"2026-11-09T03:01:42Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"Position Purpose: Develops, assesses, and coordinates complex discharge plans for high-risk members based upon needs assessment. Assists with the facilitation of a smooth transition from the acute care setting to the next level of care and educates members and their families/caregivers on discharge plan to ensure appropriate high-quality transitional care.\nKey Details: This position is remote/work from home. The hiring leader prefers an RN with a compact nursing license as the role will support our Market Place/Ambetter and Medicaid members in multiple states. We are looking for RNs with LTAC, Inpatient Rehab. or Skilled Nursing Facility experience to support this Utilization Management role. The work schedule is Monday - Friday, 8am - 5pm based on the time zone in which you reside.\nDevelops complex discharge plans based on level of care of members needs determined by needs assessment to ensure appropriate level of care\nInteracts with providers, community agencies, and other utilization review staff to coordinate and ensure a safe, effective, and clinically appropriate transition plan for the member\nAssists with managing member’s discharge plans to ensure a timely and smooth discharge between levels of care and facilities\nCollects, documents, and maintains all discharge plans taken on member medical records in health management systems according to utilization management policies and guidelines\nAssists with providing education to members and their families on discharge plan and utilization processes to ensure high quality appropriate care to members, as applicable\nProvides feedback to leadership on opportunities to improve the discharge planning process for members to ensure high-quality transitional care\nCoordinates and assists with completion of prior authorizations as they related to discharge planning, as applicable\nAssists concurrent review team as needed\nPerforms other duties as assigned\nComplies with all policies and standards\nEducation/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 - 4 years of related experience. 2+ years of acute care experience required.\nClinical knowledge of discharge planning competencies preferred.\nKnowledge of Medicare and Medicaid regulations preferred.\nKnowledge of utilization management processes preferred.\nLicense/Certification:\nLPN - Licensed Practical Nurse - State Licensure required\nRN - Registered Nurse - State Licensure and/or Compact State Licensure \nPay Range: $27.02 - $48.55 per hourAt Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.\nCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.\nCentene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.\nQualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act","description_format":"text","description_chars":4019,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["401k plan","Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Insurance & Benefits"],"lifecycle":[{"event":"open","at":"2026-11-06T04:33:41Z"}],"visa":[],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.902,"p_room":1,"age_days":4,"expected_fill_days":13,"reasons":["conf:3","velocity","win:early","comp:junior,brand"],"computed_at":"2026-11-09T06:03:00Z"},"pay":{"stated_usd_annual":96000,"is_top_pay":true},"html_url":"https://alion.io/job/centene-corporation-complex-discharge-planner","json_url":"https://alion.io/job/centene-corporation-complex-discharge-planner.json","meta":{"generated_at":"2026-11-09T13:09:25Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":17028,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-10T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":647},"rest":"https://alion.io/mcp/rest/get_company?id=647"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fcentene-corporation-complex-discharge-planner"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fcentene-corporation-complex-discharge-planner"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fcentene-corporation-complex-discharge-planner"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/centene-corporation-complex-discharge-planner\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fcentene-corporation-complex-discharge-planner"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3852991}},{"tool":"search_jobs","arguments":{"company":"centene.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3852991},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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