Case Management RN
Oscar Health•Tempe, AZ
•$33 - $43•Remote
About The Position
Oscar is hiring a Case Management RN to join their Clinical Concierge Team. Oscar is a health insurance company that utilizes a full stack technology platform and focuses on serving its members. The Case Management RN will educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs, and work with support teams to ensure care for members. This role reports into the Case Management Supervisor.
Requirements
- Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
- Obtain additional state licenses to meet our needs
- 2+ years of clinical experience to include hospital, outpatient or community-based care management
- 1+ years of experience in Care Coordination and Navigation
Nice To Haves
- BSN
- Working knowledge of Milliman Guidelines
- CCM Certification
- Behavioral Health experience
Responsibilities
- Help coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
- Reach out to members undergoing difficult health challenges and develop care plans
- Reach out to hospital case managers to assist with discharge planning
- Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures
- Compliance with all applicable laws and regulations
- Other responsibilities as assigned
Benefits
- medical
- dental
- vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
