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-centered, evidence-based model of
care across multiple products. Our Case Management program is responsible for
ensuring a smooth and safe transition for members between various care settings.
This role involves assessing individual care goals, coordinating medical and
supportive services, and connecting members with community resources to support
their needs and objectives.
The case manager will be responsible for ensuring a safe transition by
conducting discharge assessments, medication reconciliation, reviewing warning
signs and symptoms and ensuring follow up appointments are scheduled and
attended. These actions enable the case manager to reduce the illness burden
for individuals and their families while decreasing healthcare costs.
Required Qualifications
Associate’s or Bachelor’s degree in Nursing
3+ years of clinical/acute care experience
Required Certifications/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 required
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 including Microsoft
Products and medical documentation platforms.
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, 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.