Talent.com
Complex Case Manager III
Complex Case Manager IIIMedica • Minnetonka, MN, United States
Complex Case Manager III

Complex Case Manager III

Medica • Minnetonka, MN, United States
17 days ago
Job type
  • Full-time
Job description

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team 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 connected care, where coordinated, quality service is the norm, and every member feels valued.

Medica's RN Case Managers provide a member-centric, evidence-based model of care across multiple products. Our Case Management program aims to serve the members with highest needs and help them navigate 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 healthcare continuum. These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare costs. RN degree required. Perform other duties assigned.

Required Qualifications :

  • Bachelor's degree in Nursing or equivalent work experience in related field, plus 5 years of work experience beyond degree of clinical / acute care nursing
  • Current, unrestricted RN license in the state of residence

Preferred Qualifications :

  • Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire
  • Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct 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 :

  • 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. 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 grade for this position is $70,700 - $121,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,700 - $95,950. 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.

    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.

    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.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    Create a job alert for this search

    Complex Case Manager • Minnetonka, MN, United States

    Related jobs
    Registered Nurse (RN) - Case Manager, Home Health

    Registered Nurse (RN) - Case Manager, Home Health

    AccentCare • Burnsville, MN, US
    Full-time
    AccentCare is seeking a Registered Nurse (RN) Case Manager, Home Health for a nursing job in Burnsville, Minnesota.Job Description & Requirements. Bonus : Up to $20K, depending on experience.RN / ...Show more
    Last updated: 30+ days ago • Promoted
    RN Case Manager - Home Care

    RN Case Manager - Home Care

    Interim HealthCare of the Twin Cities • Burnsville, MN, US
    Full-time +1
    Registered Nurse (RN) Case Manager - Home Care : .Enjoy independence, autonomy, and flexibility in the field to visit patients one on one in their home environment. The RN Case Manager would provide...Show more
    Last updated: 3 days ago • Promoted
    Stroke Neurohospitalist - Leading Tertiary Stroke Center

    Stroke Neurohospitalist - Leading Tertiary Stroke Center

    Allina Health • Coon Rapids, MN, United States
    Full-time
    A leading healthcare organization in Minnesota seeks a Stroke Neurohospitalist to provide care in multiple facilities, including Abbott Northwestern Hospital and Mercy Hospital.This position emphas...Show more
    Last updated: 13 hours ago • Promoted • New!
    RN Case Manager (Registered Nurse)

    RN Case Manager (Registered Nurse)

    Regency Home HealthCare • New Brighton, Minnesota
    Full-time
    Quick Apply
    Monday-Friday from 8 : 00AM-4 : 30PM.Regency Home HealthCare has immediate opportunities for compassionate people to join our team! This position provides a combination of direct care by performing han...Show more
    Last updated: 2 days ago
    Assistant Regional Director

    Assistant Regional Director

    New Season • BURNSVILLE, MN, US
    Full-time +1
    Provides support, oversight, and guidance to Regional and Program Directors to ensure clinic growth and the overall well-being and safety of patients. Works with Program Directors, Program Medical D...Show more
    Last updated: 30+ days ago
    Assistant Manager

    Assistant Manager

    Tradehome Shoes • Burnsville, MN, United States
    Full-time +1
    With over 100 years in business, Tradehome Shoes is rapidly expanding into new markets and communities.We believe in the power of premium people, products, and locations, and we're seeking self-mot...Show more
    Last updated: 30+ days ago
    Complex Case Manager III

    Complex Case Manager III

    Medica • Minnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show more
    Last updated: 30+ days ago • Promoted
    RN Case Manager- North Metro- Home Care (10 / 13)

    RN Case Manager- North Metro- Home Care (10 / 13)

    All Homecaring - Minnesota • Surrounding Suburbs, MN, US
    Full-time
    Quick Apply
    Per Visit RN Case Manager for North Metro & Surrounding Suburbs Join Our Growing Team at All HomeCaring Minnesota!.Are you a passionate and dedicated RN Case Manager looking for a rewarding car...Show more
    Last updated: 17 days ago
    Registered Nurse (RN) Case Manager in Apple Valley, MN

    Registered Nurse (RN) Case Manager in Apple Valley, MN

    Gpac • Apple Valley, Minnesota, United States
    Full-time
    Quick Apply
    Registered Nurse (RN) Case Manager - Home Care.Enjoy independence, autonomy, and flexibility in the field to visit patients one on one in their home environment. The RN Case Manager would provide he...Show more
    Last updated: 4 days ago
    Housing Case Manager

    Housing Case Manager

    The Salvation Army USA Central Territory • Minneapolis, MN, United States
    Full-time
    The Salvation Army, an international movement, is an evangelical part of the universal Christian Church.Its message is based on the Bible. Its ministry is motivated by the love of God.Its mission is...Show more
    Last updated: 30+ days ago • Promoted
    CRNA Locums

    CRNA Locums

    All Star Healthcare Solutions • Eagan, US
    Full-time
    All Star Healthcare Solutions is seeking a CRNA to assist with locums coverage in Minnesota.Active MN license on IMLC required. All Star Healthcare Solutions benefits.Dedicated, specialty-specific c...Show more
    Last updated: 30+ days ago • Promoted
    Travel Occupational Therapist - $2,018 per week

    Travel Occupational Therapist - $2,018 per week

    Prime HealthCare Staffing • Andover, MN, US
    Full-time
    Prime HealthCare Staffing is seeking a travel Occupational Therapist for a travel job in Andover, Minnesota.Job Description & Requirements. Prime Healthcare Job ID #34556759.Pay package is based...Show more
    Last updated: 16 days ago • Promoted
    Assistant Community Manager- Elmcreek

    Assistant Community Manager- Elmcreek

    Peak Living • Champlin, MN, USA
    Full-time
    Quick Apply
    Peak Living is currently seeking a qualified Assistant Community Manager, with tax credit experience, to join our team!.At Peak Living, our employees love where they work!.We are a fast-growing pro...Show more
    Last updated: 30+ days ago
    Field Case Manager / Registered Nurse

    Field Case Manager / Registered Nurse

    HealthCare Support • Minneapolis, MN, United States
    Full-time
    Home Health RN Case Manager- Twin Cities.HealthCare Support is seeking an independent.This full-time, salaried role offers autonomy in the field and the satisfaction of supporting clients in their ...Show more
    Last updated: 30+ days ago • Promoted
    CNA Float Pool

    CNA Float Pool

    Monarch Healthcare Management • Elko New Market, MN, United States
    Full-time
    Current Float Pool positions are available in the following areas : Eveleth, Faribault, Foley, Gaylord, Litchfield, Mankato, New Prague, Redwood Falls, Two Harbors, Virginia, Waseca, and Winsted.Pic...Show more
    Last updated: 12 days ago • Promoted
    Registered Nurse, Home Health up to $20,000 Bonus

    Registered Nurse, Home Health up to $20,000 Bonus

    AccentCare, Inc. • Burnsville, MN, United States
    Full-time
    Bonus : Up to $20K, depending on experience.RN / Registered Nurse, Home Health.Position : RN Case Manager, Home Health.Coverage Area : Burnsville, Eagan, and surrounding areas .Find Your Passion and P...Show more
    Last updated: 4 days ago • Promoted
    RN Case Manager, Home Health

    RN Case Manager, Home Health

    CenterWell Home Health • Brooklyn Park, MN, United States
    Full-time
    Become a part of our caring community and help us put health first.Make a meaningful impact every day as a CenterWell Home Health nurse. You’ll provide personalized, one-on-one care that helps patie...Show more
    Last updated: 4 days ago • Promoted
    Production Manager

    Production Manager

    Savers / Value Village • Burnsville, MN, US
    Full-time
    Job Title : Production Manager​ .Will vary based upon strategic talent planning needs).During the initial job training period, the position will be non-exempt hourly with the following pay range : $1...Show more
    Last updated: 30+ days ago