Transition of Care Case Manager III

Medica; Minnetonka (MN); Remote; USD 70,000 - 122,000; Full time

Job summary

An established industry player is seeking a dedicated RN Case Manager to provide member-centered care across various products. This role focuses on assessing care goals, coordinating medical services, and connecting members with vital community resources. The ideal candidate will have extensive clinical experience and a strong ability to communicate effectively with diverse populations. Join a forward-thinking organization that values diversity and inclusion, and offers a comprehensive benefits package to support your career and well-being. This remote position allows you to make a meaningful impact in the lives of individuals and their families.

Benefits

Competitive Medical, Dental, and Vision Insurance

Paid Time Off (PTO)

Paid Volunteer Time Off

401K Contributions

Caregiver Services

Qualifications

• 5+ years of clinical/acute care experience required.
• Experience working with vulnerable and complex populations preferred.

Responsibilities

• Assess individual care goals and coordinate medical services.
• Connect members with community resources to support their needs.

Skills

Clinical Care Experience

Communication Skills

Decision-Making Skills

Customer Service Skills

Empathy

Negotiation Skills

Ability to Work in Fast-Paced Environment

Education

Associate's or Bachelor's degree in Nursing

Tools

Microsoft Products

Medical Documentation Platforms

Job description

Description

Medica's RN Case Managers provide a member-centered, evidence-based model of care across multiple products. Our Case Management program is responsible for ensuring a smooth and safe transition for members between various care settings. This role involves assessing individual care goals, coordinating medical and supportive services, and connecting members with community resources to support their needs and objectives.

These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare costs.

Minimum Qualifications

• Associate's or Bachelor's degree in Nursing


• 5+ years of clinical/acute care experience


• 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


• Experience managing multiple computer systems and tools including Microsoft Products and medical documentation platforms

Licensure/Certification

• 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

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)


• Excels in communication with physicians and health care providers


• Excellent internal and external customer service skills


• Strong 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 on a daily basis

This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

The full salary range for this position is $70,700 - $121,200. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action 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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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