
1001 - 5000 employees
Founded 1975
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Medica is a nonprofit health plan and insurer with over 50 years of experience that provides individual & family plans, Medicare, Medicaid, and employer-provided health plans. It offers member services and tools for finding providers, managing benefits and claims, wellness programs, and community-focused initiatives through the Medica Foundation to advance health equity.
🔥 15 hours ago
❄️ Minnesota – Remote
💵 $62.7k - $107.5k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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1001 - 5000 employees
Founded 1975
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Medica is a nonprofit health plan and insurer with over 50 years of experience that provides individual & family plans, Medicare, Medicaid, and employer-provided health plans. It offers member services and tools for finding providers, managing benefits and claims, wellness programs, and community-focused initiatives through the Medica Foundation to advance health equity.
• Manage a specified caseload of members independently • Create individualized care plans • Coordinate approved medical and social services • Educate members about Medicare and Medicaid benefits • Serve as a primary contact to address and mitigate member questions and concerns • Partner with physicians, providers, and county financial entities regarding care plans • Provide updates on member progress • Conduct telephonic and in-home member assessments • Schedule and manage work based on member availability and regulatory requirements • Travel within the community to meet members in their homes • Perform other duties as assigned
• Must reside in Minnesota and support membership in the state • RN: RN diploma or degree in Nursing (Associate's or Bachelor's) plus a minimum of 2 years' experience in community-based services, OR Bachelor's degree in Nursing with a Public Health Certification plus a minimum of 1 year experience in community-based services • RN: 3–5+ years of experience beyond degree • SW: Bachelor's degree in Social Work • SW: 3–5+ years of experience beyond degree, including 1–2+ years of community-based services • Active, unrestricted RN License or SW License in Minnesota • MnCHOICES Certified Assessor Training (MNCAT) preferred or ability to obtain within 21 days of employment • Public Health Certification preferred, not required • Experience in home and community-based services/case management preferred • Experience working with people with disabilities and seniors preferred • Comfortable working with diverse, low-income populations • Strong knowledge of Medicare and Medical Assistance programs • Excellent interpersonal skills and ability to simplify medical language for non-medically trained members • Ability to work independently, collaborate as a team player, shift priorities, and reprioritize tasks • Strong clinical and documentation skills • Innovative problem-solving ability • Exceptional organizational skills • Willingness to travel within Medica's Service Area • Reliable transportation • Private area of the home designated for a home office • General comfort with technology and proficiency in Microsoft Office Suite • Must be legally authorized to work in the United States; no work visa sponsorship
• Flexible choice of a 4- or 5-day work week • Consistent schedule free of evenings, weekends, and holidays • Remote/home-based work • Mileage reimbursement for travel in the community • Competitive medical, dental, and vision benefits • PTO • Paid holidays • Paid volunteer time off • 401K contributions • Caregiver services • Supportive work environment
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