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Care Manager, SNP

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Peak Health

51 - 200 employees

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

đź“‹ Description

• Providing coordination of care to SNP members • Establishing and maintaining a care plan • Coordinating care with ICT members • Coordinating care during transitions of care • Collaborate with other CM team members to support the beneficiary through TOC events • Participate in case management and quality committees • Act as a liaison for the Interdisciplinary Care Team (ICT) in conjunction with the PCP and beneficiary/caregiver • Provide resources and benefits available to assist and educate the beneficiary/caregiver to develop and/or improve self-management skills and achieve quality of life

🎯 Requirements

• Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC) • Three (3) years of healthcare clinical experience • One (1) years Care Management, Case Management or Population Health experience • Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma • Management of Medicare and/or Medicaid and/or SNP populations • One (1) year SNP Care Management experience

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements

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