TOC Case Manager III at Medica

DescriptionMedica 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. Performs other duties as assigned.These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare costs.Required QualificationsAssociate's or Bachelor's degree in Nursing5+ years of clinical/acute care experienceRequired Certifications/LicensureCurrent, unrestricted RN license in the state of residenceCertified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire requiredPreferred QualificationsExperience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferredExperience 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 areasExperience managing multiple computer systems and tools including Microsoft Products and medical documentation platformsSkills and AbilitiesProfessional 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 providersExcellent internal and external customer service skillsStrong decision-making skillsAbility to think creatively and be comfortable taking the lead in negotiating and accessing resourcesAbility to have positive impact on team by modeling and supporting changeUnderstand, articulate and support the organization's mission, vision, goals and strategyWork efficiently towards department benchmarksExcellent verbal and written skills and the ability to present in a group settingAbility to work positively in a fluid, ever-changing environmentAbility to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues on a daily basisThis 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, WIThe 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.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.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.