Talent.com
Complex Case Manager III
Complex Case Manager IIIMedica • Hopkins, MN, United States
No longer accepting applications
Complex Case Manager III

Complex Case Manager III

Medica • Hopkins, MN, United States
30+ 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. 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, and 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 while contributing to lower overall healthcare costs. Performs other duties as assigned.

Required Qualifications

  • Associate or Bachelor's degree in Nursing
  • 5+ years of clinical / acute care experience

Required Certification / Licensure

  • 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
  • Preferred Qualifications

  • 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
  • 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.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.

    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

    Case Manager • Hopkins, MN, United States

    Related jobs
    Case Manager I

    Case Manager I

    VirtualVocations • Minneapolis, Minnesota, United States
    Full-time
    A company is looking for a Case Manager I to support Enhanced Case Management initiatives and coordinate care for members. Key Responsibilities Review clinicals, claims, and case information to de...Show more
    Last updated: 5 days ago • Promoted
    Case Manager - Scott County

    Case Manager - Scott County

    Pinnacle Services, Inc. • Minneapolis, MN, United States
    Full-time
    Looking for a career that is fast-paced and rewarding? Pinnacle Services is looking for friendly, self-starting professionals to join our Hennepin County Case Management team! Come work for a compa...Show more
    Last updated: 30+ days ago • Promoted
    Case Manager - Dakota County ($1,500 sign on bonus)

    Case Manager - Dakota County ($1,500 sign on bonus)

    Accord • Saint Paul, MN, US
    Full-time
    Quick Apply
    Are you looking for an opportunity to make a difference in the lives of people who have disabilities? At ACCORD, w.Our Case Managers enhance the quality of the case management services, maximize sa...Show more
    Last updated: 30+ days ago
    Ohio Licensed Field RN Case Manager

    Ohio Licensed Field RN Case Manager

    VirtualVocations • Minneapolis, Minnesota, United States
    Full-time
    A company is looking for a Field RN Case Manager in the Toledo region of Ohio.Key Responsibilities Manage patient care and coordinate services in a remote setting Conduct assessments and develop...Show more
    Last updated: 30+ days ago • Promoted
    California RN Case Manager

    California RN Case Manager

    VirtualVocations • Minneapolis, Minnesota, United States
    Full-time
    A company is looking for a Telephonic RN Case Manager for a Special Needs Plan.Key Responsibilities Provide telephonic case management to medically complex and chronically ill members Conduct co...Show more
    Last updated: 3 days ago • Promoted
    Dementia Case Manager, RN or LSW - Minnesota Based Position

    Dementia Case Manager, RN or LSW - Minnesota Based Position

    Bluestone Physician Services • Blaine, MN, US
    Full-time
    Quick Apply
    Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond p...Show more
    Last updated: 3 days ago
    Licensed Clinical Case Manager

    Licensed Clinical Case Manager

    VirtualVocations • Saint Paul, Minnesota, United States
    Full-time
    A company is looking for a Clinical Case Manager Behavioral Health to work from home.Key Responsibilities Facilitate member physical health and behavioral healthcare through assessment, care plan...Show more
    Last updated: 30+ days ago • Promoted
    Lead Case Manager

    Lead Case Manager

    Phoenix Service Corporation • St Paul, MN, USA
    Full-time
    Quick Apply
    The Lead Case Manager is primarily responsible for coordination of services for vulnerable individuals and assisting them in navigating complex service delivery systems. The Lead Case Manager assist...Show more
    Last updated: 30+ days ago
    PSH Case Manager (hybrid)

    PSH Case Manager (hybrid)

    Our Saviour's Community Services • Minneapolis, MN, US
    Full-time +2
    Quick Apply
    Case Manager - Permanent Supportive Housing Our Saviour’s Community Services (OSCS) provides dignified shelter and housing for single adults and basic education classes to adult ...Show more
    Last updated: 30+ days ago
    Case Manager - Hennepin County

    Case Manager - Hennepin County

    Pinnacle Services, Inc. • Minneapolis, MN, United States
    Full-time
    Case Manager - Hennepin County.Looking for a career that is fast-paced and rewarding? Pinnacle Services is looking for friendly, self-starting professionals to join our Hennepin County Case Managem...Show more
    Last updated: 30+ days ago • Promoted
    RN Case Manager

    RN Case Manager

    Lifespark • Saint Louis Park, MN, US
    Full-time +1
    Lifespark services while ensuring compliance with regulatory requirements and Lifespark best practices including but not limited to starts of care, care plan development and ongoing support, client...Show more
    Last updated: 26 days ago • Promoted
    Case Manager

    Case Manager

    VirtualVocations • Saint Paul, Minnesota, United States
    Full-time
    A company is looking for a Case Manager to manage patient cases throughout the treatment journey.Key Responsibilities Serve as a single point of contact for patients, caregivers, and healthcare p...Show more
    Last updated: 30+ days ago • Promoted
    Telephonic Case Manager I

    Telephonic Case Manager I

    CorVel Healthcare Corporation • Minneapolis, MN, US
    Full-time
    The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate,...Show more
    Last updated: 30+ days ago • Promoted
    RN Case Manager – Floating Territories

    RN Case Manager – Floating Territories

    Home Health Care, Inc. • Isanti, MN, us
    Full-time
    Quick Apply
    Job Title : Floating RN Case Manager - Home Health.Twin Cities, committed to providing individualized, compassionate care in a family-centered work environment. As an RN Case Manager, you’ll have the...Show more
    Last updated: 29 days ago
    Manager of Case Management

    Manager of Case Management

    Accord • Saint Paul, MN, US
    Full-time
    Quick Apply
    At Accord, we believe in creating communities where all people feel included and empowered, regardless of the challenges they face. We are on a mission to help people live their greatest lives.We ma...Show more
    Last updated: 30+ days ago
    Case Manager - Hennepin County ($1,500 sign-on bonus)

    Case Manager - Hennepin County ($1,500 sign-on bonus)

    Accord • Saint Paul, MN, US
    Full-time
    Quick Apply
    Are you looking for an opportunity to make a difference in the lives of people who have disabilities? At ACCORD, w.Our Case Managers enhance the quality of the case management services, maximize sa...Show more
    Last updated: 30+ days ago
    Children's Mental Health Case Manager (bilingual)

    Children's Mental Health Case Manager (bilingual)

    CLUES • St. Paul, MN, United States
    Full-time
    CLUES' Children's Mental Health Case Manager provides case management services to children who meet eligibility criteria for a Severe Emotional Disturbance (SED), according to Minnesota statutes, w...Show more
    Last updated: 19 days ago • Promoted
    Case Manager - Dakota County

    Case Manager - Dakota County

    Pinnacle Services, Inc. • Minneapolis, MN, United States
    Full-time
    Looking for a career that is fast-paced and rewarding? Do you have experience working with individuals with Developmental Disabilities and want to serve those in that demographic? Pinnacle Services...Show more
    Last updated: 30+ days ago • Promoted