TOC Case Manager III

🔥 0 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 - $123.6k / 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-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

🎯 Requirements

• 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

🏖️ Benefits

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