Case Management Nurse

4 days, 3 hours ago
Full-time
Junior
Operations
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Coordinate care across inpatient, outpatient, post-acute, emergency room, and home care settings.
  • Reach out to members experiencing complex health challenges and develop care plans.
  • Contact hospital case managers to support discharge planning.
  • Educate members by phone or secure messaging about health conditions, new medications, and procedures.
  • Assist members with transitions from one care setting to another.
  • Participate in process improvement initiatives and pilot programs as needed.
  • Work with support teams to deliver exceptional care to members.
  • Comply with all applicable laws and regulations.
  • Perform other duties as assigned.

Requirements

  • Active, unrestricted RN licensure in the United States in the relevant state, or an active compact multistate unrestricted RN license.
  • Ability to obtain additional state licenses as business needs require.
  • 2+ years of clinical experience in payer, hospital, outpatient, or community-based care management.
  • 1+ years of experience in care coordination and navigation.
  • CCM certification preferred.
  • Bilingual ability in Spanish and/or Creole, including reading, writing, and speaking, preferred.
  • BSN preferred.
  • Working knowledge of Milliman Guidelines preferred.

Benefits

  • Base pay of $39.28 to $45.94 per hour.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision benefits.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

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