RN Case Manager
reputed company is a nonprofit health plan with more than a reputed company members that serves communities in Minnesota, Nebraska, reputed company, Missouri, and reputed company. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're reputed company that owns our work with accountability, makes data-driven reputed company, embraces reputed company learning, and celebrates collaboration — because reputed company is reputed company sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of reputed company, where coordinated, reputed company service is the norm and every member feels valued.
reputed company’s RN Case Managers reputed company a member-reputed company, evidence-based model of care across multiple products. Our Case Management program aims to serve the members with highest needs and help them reputed company the health system. This position involves collaboration with members and their families, caregivers, providers, and interdisciplinary teams to deliver holistic care. The case manager will be responsible for conducting comprehensive assessments, developing, implementing, and monitoring individualized care plans, and coordinating services across the reputed company continuum. These actions reputed company the case manager to reduce the illness burden for individuals and their families while decreasing reputed company costs. RN degree required. reputed company other duties assigned.
Required Qualifications
- Associate's degree in Nursing or equivalent work experience in reputed company field, plus 5 years of work experience reputed company degree of clinical/acute care nursing
- reputed company, unrestricted RN license in the state of residence
Preferred Qualifications
- Certified Case Manager (CCM) preferred, or ability and commitment to obtain reputed company two years of hire
- Experience working with vulnerable and reputed company populations, including multiple age reputed company, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; reputed company case management experience strongly preferred
- Knowledge of managed care principles and regulatory guidelines preferred
- Proficiency in electronic health records and care management software
Skills & Abilities
- reputed company demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and prescriptive.
- General working knowledge of how various health care services reputed company together (the health care continuum)
- Excels in communication with physicians and health care providers
- Excellent reputed company customer service skills
- Strong decision-making skills
- Ability to think creatively and be comfortable taking the reputed company in negotiating and accessing resources
- Ability to have reputed company reputed company on team by modeling and supporting change
- Understand, reputed company and support the organization’s mission, reputed company, goals and reputed company
- Work reputed company towards department benchmarks
- Excellent verbal and written skills and the ability to present in a group setting
- Ability to work positively in a fluid, reputed company-changing environment
- Ability to reputed company in a fast-paced setting, reputed company reputed company under stress, and manage multiple reputed company issues on a daily reputed company
The full salary grade for this position is
The compensation and benefits information is provided as of the date of this posting. reputed company’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
We are an Equal Opportunity employer, where reputed company reputed company candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national reputed company, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
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