
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.
🔥 4 minutes ago
❄️ Minnesota – Remote
💵 $72.1k - $97.8k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
🦅 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 an assigned caseload of members independently • Create individualized care plans • Coordinate delivery of approved medical and social services • Educate members about Medicare and Medicaid benefits • Serve as a primary contact to address and mitigate member questions or concerns • Partner with physicians, providers, and county financial entities regarding care plans • Provide updates on member progress • Conduct telephonic and in-home member assessments • Independently schedule and manage work based on member availability and regulatory requirements • Perform other duties as assigned
• RN Diploma or Degree in Nursing (Associates or Bachelors) 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 • 5+ years of experience beyond degree • Active, unrestricted RN License in the state of MN • MnCHOICES Certified Assessor Training (MNCAT) preferred or ability to obtain within 21 days of employment • Public Health Certification preferred, however not required • Experience in home and community based services/case management • Experience working with those who have a disability and with seniors • 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, and reprioritize tasks • Strong clinical and documentation skills • Strong innovative problem-solving ability • Exceptional organizational skills • Willingness to travel within Medica's Service Area • Reliable transportation • Private area of your home designated for home office environment • General comfort with technology and proficiency in the Microsoft Office Suite • Must reside in Minnesota • Must be legally authorized to work in the United States; Medica does not offer work visa sponsorship
• Flexible choice of a 4- or 5-day work week • Consistent schedule free of evenings, weekends, and holidays • Home-based work • Mileage reimbursement • Medical insurance • Dental insurance • Vision insurance • PTO • Paid holidays • Paid volunteer time off • 401K contributions • Caregiver services
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