Clinical Guide: Case Manager (Gold Care)
Devoted Health
Job Description
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.
Required skills and experience:
An unrestricted compact RN license
A minimum of 4 years of RN Case Management experience
Prior case management experience within an interdisciplinary team
Comfort with participating in interdisciplinary discussions
Desired skills and experience:
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
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
Salary Range: $80,000 - $95,000
SNP: Special Needs Plans
ICP: Individualized Care Plan
#LI-REMOTE
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
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
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
