[Hiring] Case Management RN @Oscar Health

Role Description

Hi, we're Oscar. We're hiring a Case Management RN to join our Clinical Concierge Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

• Educate members on improving health outcomes
• Assist with transitions from care settings
• Participate in process improvement and other pilot programs as they arise
• Work with support teams to ensure care for our members

You will report into the Case Management Supervisor.

Work Location:

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency:

The base pay for this role is: $32.60 - $42.79 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.

Responsibilities

• Help coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
• Reach out to members undergoing difficult health challenges and develop care plans
• Reach out to hospital case managers to assist with discharge planning
• Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures
• Compliance with all applicable laws and regulations
• Other responsibilities as assigned

Requirements

• Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
• Obtain additional state licenses to meet our needs
• 2+ years of clinical experience to include hospital, outpatient or community-based care management
• 1+ years of experience in Care Coordination and Navigation

Bonus Points

• BSN
• Working knowledge of Milliman Guidelines
• CCM Certification
• Behavioral Health experience

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements