Complex Case Manager III

🔥 39 minutes ago

🌵 Arizona, Florida, +15 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $72.1k - $97.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Medica

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Provide member-centric, evidence-based case management across multiple products • Conduct comprehensive member assessments • Develop, implement, and monitor individualized care plans • Coordinate services across the healthcare continuum • Collaborate with members, families, caregivers, providers, and interdisciplinary teams • Help reduce illness burden for individuals and families while decreasing healthcare costs • Navigate the health system for members with the highest needs • Perform other duties as assigned

🎯 Requirements

• Associate's degree in Nursing or equivalent work experience in a related field • 3 years of work experience beyond the degree in clinical/acute care nursing • 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 • Experience working with vulnerable and complex populations, including multiple age groups and varied ethnic and socioeconomic backgrounds • Experience in a clinical, home care, or telephonic environment • Direct case management experience strongly preferred • Knowledge of managed care principles and regulatory guidelines preferred • Proficiency in electronic health records and care management software • Excellent verbal and written skills and ability to present in a group setting • Ability to work efficiently toward department benchmarks • Ability to 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

🏖️ Benefits

• Competitive medical, dental, and vision coverage • Paid time off (PTO) • Paid holidays • Paid volunteer time off • 401(k) contributions • Caregiver services • Other benefits included in Medica’s total rewards package