Case Management Nurse

Oscar Health•Remote, FL

11d•$39 - $46•Remote

About The Position

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. You will educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure exceptional care for our members.

Requirements

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
Ability to obtain additional state licenses to meet business needs
2+ years of clinical experience to include payer, hospital, outpatient or community based care management
1+ years of experience in Care Coordination and Navigation

Nice To Haves

CCM Certification
Bilingual in Spanish and/or creole reading, writing, speaking
BSN
Working knowledge of Milliman Guidelines

Responsibilities

Assist in the coordination of care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
Actively reach out to members undergoing difficult health challenges and develop care plans
Proactively reach out to hospital case managers to assist with discharge planning
Communicate with members via phone or secure messaging to provide education on health conditions, new medications, and procedures.
Compliance with all applicable laws and regulations
Other duties as assigned