Care Manager, SNP

🔥 14 hours ago

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Peak Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

📋 Description

• Providing coordination of care to SNP members • Establishing and maintaining a care plan • Coordinating care with ICT members • Coordinating care during transitions of care • Collaborate with other CM team members to support the beneficiary through TOC events • Participate in case management and quality committees • Act as a liaison for the Interdisciplinary Care Team (ICT) in conjunction with the PCP and beneficiary/caregiver • Provide resources and benefits available to assist and educate the beneficiary/caregiver to develop and/or improve self-management skills and achieve quality of life

🎯 Requirements

• Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC) • Three (3) years of healthcare clinical experience • One (1) years Care Management, Case Management or Population Health experience • Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma • Management of Medicare and/or Medicaid and/or SNP populations • One (1) year SNP Care Management experience

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements