- Case Manager

About the company

Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®. We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the role 

The Registered Nurse (RN) Case Manager is a key member of a cross-functional care team, driven by their mutual devotion to serve others. Members view Case Managers as their patient care guides, advocating for them during some of the most challenging times of their life—facing catastrophic illness, injury or acute and chronic medical conditions. The Case Manager’s clinical expertise and integrated health approach provides each unique patient with education and guidance as they navigate the complexities of health care.

Requirements

What you’ll bring 

• Education: Bachelor of Science in Nursing (BSN) preferred. 
• Certification: Active Certification in Case Management (CCM) preferred. 
• Experience: 2+ years of clinical experience with direct patient care required; 5+ years preferred.
• Experience in case management/coordination of programs and services preferred. 
• Excellent verbal and written communication skills. Comfortable communicating with members and providers via phone regularly throughout the day. 
• Ability to communicate effectively with members and providers in implementing clinical services; Translate complex clinical concepts for non-clinical audiences.
• Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. 
• Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily. 

Benefits

USD 1,200/month