Medica
Medica
Medica este un asigurător de sănătate și administrator nonprofit de planuri de sănătate, care oferă servicii persoanelor, familiilor, angajatorilor și membrilor înscriși în Medicare și Medicaid. Activitatea sa include administrarea planurilor de sănătate, sprijinirea membrilor, instrumente de căutare a furnizorilor, gestionarea beneficiilor și a cererilor de despăgubire, programe de wellness și alte resurse care îi ajută pe oameni să navigheze în sistemul de îngrijire. Prin Medica Foundation, organizația sprijină și inițiative axate pe comunitate, menite să promoveze echitatea în domeniul sănătății, oferind un mediu orientat spre misiune pentru profesioniștii care lucrează în domeniul sănătății și al asigurărilor.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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