TOC Case Manager III

🕒 il y a 3 jours

🌵 Arizona, Florida, +15 états de plus – Distant

infoinfo

💵 $72 100 - $123 600 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

Postuler Maintenant
Trouver des Emplois à Distance Similaires

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Logo of Medica

Medica

1001 - 5000 employés

Fondée en 1975

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Medica est un organisme de santé à but non lucratif et assureur avec plus de 50 ans d'expérience, offrant des plans individuels et familiaux, ainsi que des plans de santé pour les entreprises, Medicare et Medicaid. Il propose des services aux membres et des outils pour trouver des prestataires, gérer les avantages et les réclamations, des programmes de bien-être ainsi que des initiatives orientées vers la communauté à travers la Fondation Medica pour promouvoir l'équité en santé.

Description

• Provide member-centered, evidence-based case management across multiple health plan products • Ensure smooth and safe transitions between care settings • Assess individual care goals • Coordinate medical and supportive services • Connect members with community resources • Conduct discharge assessments • Perform medication reconciliation • Review warning signs and symptoms • Ensure follow-up appointments are scheduled and attended • Reduce illness burden for members and families while decreasing healthcare costs

🎯 Exigences

• Associate’s or Bachelor’s degree in Nursing • 3+ years of clinical/acute care experience • Current, unrestricted RN license in the state of residence • Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire required • Experience working with vulnerable and complex populations in a clinical, home care, or telephonic environment preferred • Direct case management experience strongly preferred • Experience with multiple age groups and diverse medical, surgical, ethnic, and socioeconomic populations • Experience managing multiple computer systems and tools, including Microsoft products and medical documentation platforms • Working knowledge of how health care services link across the health care continuum • Ability to communicate effectively with physicians and health care providers • Strong decision-making skills • Ability to negotiate and access resources creatively • Ability to support organizational change • Ability to understand, articulate, and support the organization’s mission, vision, goals, and strategy • Ability to work efficiently toward department benchmarks • Excellent verbal and written skills and ability to present in a group setting • Ability to work positively in a fluid, ever-changing environment • Ability to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues daily • Must be legally authorized to work in the United States at the time of application • Medica does not offer work visa sponsorship for this role

🏖️ Avantages

• Competitive medical, dental, and vision benefits • Paid time off (PTO) • Holidays • Paid volunteer time off • 401(k) contributions • Caregiver services • Other total rewards benefits

Postuler Maintenant

Emplois Similaires

🕒 il y a 3 jours

Topstep

51 - 200

💸 Finance

💳 Fintech

🤝 B2B

General Ledger Manager leading payroll, AP, equity, and month-end close accounting for Topstep. Managing GL staff and ensuring accurate, audit-ready financial reporting.

🇺🇸 États-Unis – Télétravail

💵 $140 000 - $160 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 3 jours

Centene Corporation

10 000+ employés

🛡️ Assurance

💼 Conseil

🏥 Santé

Centene Care Manager RN coordinating personalized care plans and education for pregnant Missouri members. Supporting accessible, cost-effective healthcare through provider collaboration and outreach.

🇺🇸 États-Unis – Télétravail

💵 $56 200 - $101 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 3 jours

NPF

11 - 50

✈️ Tourisme

☁️ SaaS

🤝 B2B

Advancement Manager growing individual, major, and planned giving for the National Psoriasis Foundation. Leading donor relationships, pipeline development, and special-event fundraising strategy.

🇺🇸 États-Unis – Télétravail

💵 $75 000 - $85 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 3 jours

HistoSonics, Inc.

51 - 200

🏭 Fabrication

🏥 Santé

🧬 Biotechnologie

Managing HistoSonics' global physician faculty network for histotripsy education. Coordinating onboarding, scheduling, case support, and cross-functional physician engagements.

🇺🇸 États-Unis – Télétravail

💵 $135 000 - $165 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 3 jours

ZincFive, Inc.

51 - 200

💼 Conseil

📦 Logistique

🏭 Fabrication

Contracts Manager overseeing ZincFive’s full contract lifecycle for energy storage solutions. Drafting, negotiating, and managing compliance, risk, renewals, and records.

🇺🇸 États-Unis – Télétravail

💵 $150 000 - $205 000 / an

💰 €54 000 000 Series D en 2022-12

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis