Integrated Care Manager, RN

Job not on LinkedIn

November 25

Apply Now
Logo of ZING. Enamel Whitening. Toothpaste, but magic.

ZING. Enamel Whitening. Toothpaste, but magic.

Beauty • Retail • Wellness

ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.

2 - 10 employees

Founded 2023

💄 Beauty

🛒 Retail

🧘 Wellness

📋 Description

• Conducting health risk assessments • Coordination of care • Care management for MAPD, C-SNP, and D-SNP members • Follows the patient through various transitions of care to ensure that any gaps in treatment plans are identified and remedied. • Promoting efficient health care delivery. • Participates in assessment activities to develop individualized care plans in coordination with the patient, family, and providers. • Serves as a member advocate and resource, and provides critical information and recommendations to the rest of the care team. • Maintains strong knowledge of Case management, community resources, and plan benefits to promote improved member experience and health outcomes. • Works collaboratively with the member (and caregivers), primary care physicians, specialists, and other care providers to ensure member compliance and adherence to the medical plan of care. • Assists the Health Services Team in implementing best practices for chronic care and disease management. • Provides member education to assist with self-management and encourages members to make healthy lifestyle changes.

🎯 Requirements

• Registered Nurse (RN) with 3 years of direct clinical care to the consumer in a clinical setting. • Current, valid, unrestricted license • 3 years of managed care experience or other commensurate experience • Demonstrates strong clinical knowledge, ability to perform clinical assessments. • Knowledge of plan benefit designs. • Demonstrated ability to perform case management & disease management activities. • Ability to demonstrate knowledge of and apply those to the job function and responsibilities. • Problem-solving skills: the ability to systematically analyze problems, draw relevant conclusions, and devise appropriate courses of action. • Verbal and written communication skills, including listening, discussing, and documenting medical needs with members, providers, internal staff/management, external vendors, and community resources. • PC proficiency to include Outlook, Word, Excel, database experience, and web-based applications. • Personal management skills — Plan and manage multiple assignments and tasks, set priorities, and adapt to changing conditions and work assignments. • Teamwork — ability to work well with one or more groups. • Interpersonal effectiveness — Relate to co-workers and build relationships with others in the organization.

🏖️ Benefits

• Medical, Dental, and Vision • Employer-Paid Life Insurance • 401(K) match up to 4% • Paid-Time-Off • Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.

Apply Now

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