[Hiring] RN Case Manager III @Medica

Role Description

Medica’s RN Case Managers provide a member-centric, evidence-based model of care across multiple products. The Case Management program is designed to support members with the highest needs, helping members navigate the complexities of the healthcare system and ensuring safe transitions between care settings. Through individualized assessments, case managers:

• Identify each member’s goals of care
• Coordinate services across various settings
• Connect members with community resources that align with their needs

This holistic approach enables case managers to:

• Reduce the burden of illness for both individuals and their families
• Contribute to lower overall healthcare costs

Performs other duties as assigned.

Qualifications

• Associate's degree in Nursing or equivalent work experience in related field
• 3 years of work experience beyond degree in clinical/acute care nursing
• Current, unrestricted RN license in the state of residence

Requirements

• Experience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferred
• Experience and at ease working with various populations: multiple age groups, ethnic and socioeconomic backgrounds, medical, surgical backgrounds and a generalized level of understanding across specialty care areas
• 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

Skills and Abilities

• Professional demeanor: Engaging, persistent and assertive
• Empathetic, pragmatic, and prescriptive
• General working knowledge of how various health care services link together (the health care continuum)
• Sound clinical foundation and familiarity with chronic conditions, ADLs/IADLs, and social determinants of health
• Excels in communication with physicians and health care providers
• Excellent internal and external customer service skills
• Strong analytical decision-making skills
• Ability to think creatively and be comfortable taking the lead in negotiating and accessing resources
• Ability to have positive impact on team by modeling and supporting change
• Understand, articulate and support the organization’s mission, vision, goals and strategy
• Work efficiently towards department benchmarks
• Excellent verbal and written skills and the 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
• Experience managing multiple computer systems and tools

Benefits

• Competitive medical, dental, vision
• PTO and Holidays
• Paid volunteer time off
• 401K contributions
• Caregiver services
• Many other benefits to support our employees

Eligibility to work in the US

Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

Equal Opportunity Employer

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.