Bilingual Clinical Guide: Case Manager (Gold Care)

Devoted Health

24d • $80,000 - $95,000 • Remote

About The Position

A bit about this role: Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America’s most vulnerable patient populations. The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of geriatricians, nurse practitioners, case managers, social workers and community health workers united by our mission to build a better care delivery system for Devoted’s most complex members. The RN case manager is a key member of this team. Your Responsibilities and Impact will include: Develop trusting long-term patient relationships that truly transform patients’ lives and empower you to do the best work of your career supported by technology and data tools Conducting holistic assessments to identify comorbid conditions, functional status, ED/hospitalization history, medications, psychosocial factors, and member values and preferences Developing care plans in partnership with the interdisciplinary team, members and their caregivers, with a focus on the members priorities - problems, goals, interventions - while continuously evaluating the member’s progress Ensuring smooth transitions of care for patients in the hospital or recently discharged, seeking to minimize readmissions working with complex DME & Home Health needs Supporting chronic disease management, using motivational interviewing and teach back method techniques, which includes coaching, remote monitoring, educating members on their chronic conditions in plain language including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements Execution and Oversight of SNP ICPs for members enrolled in Complex Care Oversight of care coordinators in certain aspects of the care model

Requirements

• An unrestricted compact RN license
• RN Complex Case Management experience
• Strong knowledge of interdisciplinary team work
• Comfort with participating in interdisciplinary discussions
• A minimum of 5 years of direct clinical experience in acute care, (critical care, ICU, ED or other high acuity specialties )

Nice To Haves

• Health insurance experience, particularly Medicare Advantage
• Prior experience working with a complex patient population
• Prior experience with managing high call volumes daily
• You enjoy being on the phone caring for patients, and can pivot from a comfortability of assessing with your eyes to assessing with your ears

Responsibilities

• Develop trusting long-term patient relationships that truly transform patients’ lives and empower you to do the best work of your career supported by technology and data tools
• Conducting holistic assessments to identify comorbid conditions, functional status, ED/hospitalization history, medications, psychosocial factors, and member values and preferences
• Developing care plans in partnership with the interdisciplinary team, members and their caregivers, with a focus on the members priorities - problems, goals, interventions - while continuously evaluating the member’s progress
• Ensuring smooth transitions of care for patients in the hospital or recently discharged, seeking to minimize readmissions working with complex DME & Home Health needs
• Supporting chronic disease management, using motivational interviewing and teach back method techniques, which includes coaching, remote monitoring, educating members on their chronic conditions in plain language including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements
• Execution and Oversight of SNP ICPs for members enrolled in Complex Care
• Oversight of care coordinators in certain aspects of the care model

Benefits

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees