RN Case Manager: Complex

Florida, NY Remote Full Time
POSTED ON 6/3/2024
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Job Description A bit about this role: We want to help members navigate the healthcare system in a better and safer way, and case management is critical to achieving this for our most vulnerable and complex members. You'll be responsible for providing telephonic, ongoing complex case management support to our highest risk members. You’ll focus initially on the members enrolled in our Dual Eligible Special Needs Plan (D-SNP), as well as support members with complex needs within our longitudinal program. You'll serve as an advocate for these members, coordinating care and ensuring they have the necessary resources and support to achieve better health outcomes. Required skills and experience: An unrestricted compact RN license A minimum of 4 years of RN Case Management experience Prior case management experience within an interdisciplinary team Comfort with participating in interdisciplinary discussions Desired skills and experience: Health insurance experience, particularly Medicare Advantage Prior experience working with a complex patient population Prior experience with managing high call volumes daily You enjoy being on the phone caring for patients, and can pivot from a comfortability of assessing with your eyes to assessing with your ears Your Responsibilities and Impact will include: Develop trusting long-term patient relationships that truly transform patients’ lives and empower you to do the best work of your career supported by technology and data tools Conducting holistic assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and member values and preferences Developing care plans in partnership with members and their caregivers, with a focus on the members priorities - problems, goals, interventions - while continuously evaluating the member’s progress Ensuring smooth transitions of care for patients in the hospital or recently discharged, seeking to minimize readmissions working with complex DME & Home Health needs Supporting chronic disease management, using motivational interviewing and teach back method techniques, which includes coaching, remote monitoring, educating members on their chronic conditions in plain language including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements Working closely with other Devoted programs, providers, and partners in the community to support clinical and social determinants of health needs, in alignment with the members care plan Salary Range: $77,675 - $103,542 annually Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for “start up costs” or “equipment”), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.

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Job openings at Devoted Medical Services

Devoted Medical Services
Hired Organization Address Waltham, MA Full Time
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for...
Devoted Medical Services
Hired Organization Address Waltham, MA Full Time
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for...

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