Medica
Medica
Medica is a nonprofit healthcare insurer and health plan serving individuals, families, employers, and members enrolled in Medicare and Medicaid. Its work spans health plan administration, member support, provider-search tools, benefits and claims management, wellness programs, and other resources that help people navigate care. Through the Medica Foundation, the organization also supports community-focused efforts aimed at advancing health equity, offering a mission-driven setting for professionals working across healthcare and insurance.

Care Coordinator II or III – RN or Licensed Social Worker, Minnesota Remote

Medica is seeking a Minnesota-based Care Coordinator to support seniors and members with disabilities through care planning, service coordination, and telephonic or in-home assessments.

Description

  • Independently manage an assigned member caseload
  • Develop individualized care plans
  • Coordinate approved medical and social services
  • Explain Medicare and Medicaid benefits to members
  • Act as members’ primary contact and resolve or reduce their questions and concerns
  • Collaborate with physicians, providers, and county financial entities on care plans
  • Report on member progress
  • Complete telephonic and in-home member assessments
  • Plan and organize work around member availability and regulatory requirements
  • Travel throughout the community for home visits
  • Handle additional duties as assigned

Requirements

  • Live in Minnesota and support members located in the state
  • RN candidates need an associate or bachelor’s nursing degree plus at least two years of community-based services experience, or a bachelor’s degree in nursing with a Public Health Certification plus at least one year of community-based services experience
  • RN candidates need 3–5+ years of experience beyond their degree
  • SW candidates need a bachelor’s degree in Social Work
  • SW candidates need 3–5+ years of experience beyond their degree, including 1–2+ years in community-based services
  • Hold an active, unrestricted Minnesota RN or social work license
  • MnCHOICES Certified Assessor Training (MNCAT) is preferred, or candidates must be able to complete it within 21 days of employment
  • Public Health Certification is preferred but not required
  • Experience in home- and community-based services or case management
  • Experience supporting people with disabilities and seniors
  • Ability to work effectively with diverse, low-income populations
  • Strong understanding of Medicare and Medical Assistance programs
  • Excellent interpersonal communication and ability to explain medical terminology in plain language
  • Ability to work independently, collaborate with a team, adjust priorities, and reprioritize tasks
  • Strong clinical and documentation capabilities
  • Effective and creative problem-solving skills
  • Exceptional organizational ability
  • Willingness to travel throughout Medica’s Service Area
  • Reliable transportation
  • A private, designated home workspace and general technology comfort, including proficiency with Microsoft Office Suite; candidates must also be legally authorized to work in the United States, as Medica does not sponsor work visas.
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  • Private area of home designated for a home office environment

Benefits

  • Choose a four- or five-day workweek
  • Maintain a consistent schedule without evenings, weekends, or holidays
  • Work remotely from home
  • Set a flexible schedule independently around member availability
  • Receive mileage reimbursement
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Paid time off (PTO)
  • Paid holidays
  • Paid volunteer time off
  • 401(k) contributions
  • Caregiver services

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