Note: The job is a remote job and is open to candidates in USA. Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The RN Case Manager will provide a member-centric model of care, conducting assessments and coordinating services to support members with high needs.
Responsibilities
• Provide a member-centric, evidence-based model of care across multiple products
• Conduct comprehensive assessments, developing, implementing, and monitoring individualized care plans
• Coordinate services across the healthcare continuum
• Reduce the illness burden for individuals and their families while decreasing healthcare costs
• Perform other duties assigned
Skills
• Bachelor's degree in Nursing or equivalent work experience in related field, plus 5 years of work experience beyond degree of clinical/acute care nursing
• Current, unrestricted RN license in the state of residence
• Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application
• Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire
• Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred
• Knowledge of managed care principles and regulatory guidelines preferred
• Proficiency in electronic health records and care management software
Benefits
• Competitive medical
• Dental
• Vision
• PTO
• Holidays
• Paid volunteer time off
• 401K contributions
• Caregiver services
• Many other benefits to support our employees
Company Overview
• Medica is a company that provides health coverage to meet customers needs for health plan. It was founded in 1975, and is headquartered in Minnetonka, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is https://www.medica.com.
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