Help elevate our patient care to a whole new level!
Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models.
Collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.
Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.
Use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes.
Requirements
Candidate must reside in New York (NY), Pennsylvania (PA), or New Jersey (NJ)
Candidate must have an active and unrestricted Registered Nurse (RN) License in New York (NY), Pennsylvania (PA), New Jersey (NJ)
5+ years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members
2+ years care management, discharge planning and/or home health care coordination experience
Excellent analytical and problem-solving skills
Effective communications, organizational, and interpersonal skills
Ability to work independently (may require working from home)
Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
Efficient and effective computer skills including navigating multiple systems and keyboarding
Willing and able to obtain multi state Registered Nurse (RN) licenses if needed, company will provide
Bilingual Certified Case Manager National professional certification (CRC, CDMS, CRRN, COHN, or CCM)
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Registered Nurse (RN) Licenseclinical practical experiencecare managementdischarge planninghome health care coordinationanalytical skillsproblem-solving skillscommunication skillsorganizational skillsinterpersonal skills
Soft skills
effective communicationorganizational skillsinterpersonal skillsindependent work
Certifications
Bilingual Certified Case ManagerCRCCDMSCRRNCOHNCCM