CCM Case Management RNActive$69K–$89K

The opportunity

Hi, we're Oscar. We're hiring a CCM Case Management RN to join our team.

What you'll do

  • Assist in the coordination of care across a variety of settings (ER,: inpatient, post acute, outpatient, home care) while maintaining strict confidentiality and the highest level of professionalism.

  • Actively reach out to members undergoing difficult health challenges and help: guide them through the healthcare system to improve their overall experience.

  • Complete a comprehensive biopsychosocial needs assessment to help identify member needs.

  • Develop an outcome-based plan of care, based on the member’s input and: assessed clinical and social needs with anticipated targeted dates for accomplishment.

  • Proactively reach out to hospital case managers to assist with safe discharge: planning to appropriate level of care or home.

  • Seek guidance from medical directors to advocate for members to get the: appropriate care they need. Act as a member advocate and assist with problem solving, as well as addressing any barriers to care or compliance with the care plan.

What they're looking for

  • Educate other teams on the CCM program and collaborate to identify high risk members who would be appropriate.
  • Work with non-clinical teammates in assisting members to navigate the: healthcare system, including coaching non-clinicians on how they can add value to all member interactions.
  • Communicate with members via phone, secure messaging, and in person to: provide education on health conditions, new medications, and procedures.
  • Participate in surveys, studies, and special projects as assigned.