CCM Case Manager

🔥 22 horas atrás

🍑 Georgia – Remoto

🍑 Georgia – Remote

💵 $67.813 - $89.004 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

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Oscar Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2012

⚕️ Seguro de Saúde

🏥 Saúde

💰 $355.000.000 Post-IPO Debt - Oscar Health em 2025-09

Healthcare Insurance • Healthcare

Oscar é uma agência de recrutamento STEM de classe mundial que oferece soluções de talentos líderes do setor. A empresa opera em seis marcas, conectando talentos de ponta com empresas em vários setores, incluindo tecnologia, construção, ciências da vida e energia renovável. Com escritórios ao redor do mundo, Oscar é reconhecida como uma das cinco melhores empresas para se trabalhar e está comprometida em oferecer excelência em serviços de recrutamento.

Descrição

• Collaborate across Oscar teams to deliver high-quality care and improve member health outcomes • Educate members about health conditions, hospital discharges, medical procedures, and new prescriptions • Coordinate care across inpatient, outpatient, ER, and home-care settings • Partner with members and providers to navigate complex health challenges and create personalized care plans • Assess and address Social Determinants of Health by connecting members with tailored community support resources • Provide crisis intervention support and advocate for members to resolve barriers to care and treatment compliance • Engage with members by phone, secure messaging, or in person • Maintain strict confidentiality and high professional standards • Contribute to process improvement initiatives and new pilot programs • Comply with applicable laws and regulations and perform other duties as assigned

🎯 Requisitos

• 2+ years of clinical experience including hospital, outpatient, or community-based care management • 2+ years of experience working directly with patients with chronic medical conditions, including diabetes, COPD, or hypertension • 1+ years of experience in Care Coordination and Navigation • Active, unrestricted RN licensure from the United States in [state], or active compact multistate unrestricted RN license, or a Master of Social Work (MSW) from a graduate of a nationally accredited school approved by the Council on Social Work Education • BSN, Licensed Master Social Worker, Licensed Clinical Social Worker, CCM Certification, case management experience, complex case management certification, and bilingual Spanish skills are bonus points

🏖️ Benefícios

• Monthly vacation accrual at a rate of 15 days per year • Medical, dental, and vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life and disability insurance • Paid wellness time and reimbursements • Occasional travel for team meetings and company events

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