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 Pregnancy RN Case Managers provide a member-centered, evidence-based
model of care across multiple products. Our Pregnancy Case Management program
aims to serve maternal members with the highest needs and help them navigate the
health system with the aim of healthy birth outcomes. The Pregnancy Program
focuses on improving maternal and infant health outcomes by delivering
education, care coordination, identifying gaps in care, and advocacy.
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 risk of pregnancy and birth related complications for
individuals and their families while decreasing healthcare costs.
Minimum Qualifications
Associate or bachelor’s degree in nursing
3+ years of clinical/acute care experience including direct maternal patient
care
Licensure/Certification
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
Skills and Abilities
Experience working with the pregnancy population in a clinical or home care
setting; direct case management experience strongly preferred.
Experience and at ease working with various populations: multiple age groups,
ethnic and socioeconomic backgrounds, and a generalized level of
understanding across specialty care areas.
Experience managing multiple computer systems and tools.
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).
Sound clinical foundation in maternal health, with expertise in pregnancy
care, management of common complications (e.g., preeclampsia, gestational
diabetes, preterm labor), and support for postpartum recovery, including
physical and mental health considerations.
NICU and pediatric experience preferred but not required.
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, MI, MN, MO, ND, NE,
OK, SD, TN, TX, VA, WI
The full salary grade for this position is $72,100 - $123,600. While the full
salary grade is provided, the typical hiring salary range for this role is
expected to be between $72,100 - $97,850. 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.