- Collect relevant clinical data to support the care planning process
- Care Plan support, intervention, and prioritization to transition members to optimal levels of health and self-management.
- Participate in interdisciplinary team meetings as required
- Collaborate across providers and healthcare settings to ensure optimal quality outcomes for an assigned population
- Provide transition of care interventions as required
- Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population.
- Facilitate linkage to appropriate community resources to address social determinants of health
- Adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting
- Ensure member communication and notices are composed in a manner consistent with regulatory standards.
- Adhere to the Policies and Procedures set forth by the Quality Management Committee.
- Associate's degree in Nursing preferred
- Minimum two (2) years of experience in medical management clinical functions required
- Working knowledge of MCG, InterQual, and NCQA standards required
- An active and unrestricted license as a Licensed Vocational Nurse (LVN) is required
- Certification Managed Care Nursing (CMCN) preferred
- High level of critical thinking and problem-solving skills
- Strong work ethic and overall positive attitude
- Effective communication skills including verbal and written
- Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
- Demonstrated flexibility, organization, and self-motivation
- Highly adaptable to change
- The majority of work responsibilities are performed in a home office setting, carrying out detailed work sitting at a desk/table and working on the computer.
- Some travel may be required.
-
RN Care Manager
2 weeks ago
Wellvana Minneapolis, United StatesJob Type · Full-time · Description · The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. · Through our elevated value-based care programs, we're revitalizing an antiquated system ...
-
Client Care Manager
5 days ago
Home Helpers Minneapolis, United StatesThe Client Care Manager is responsible for ensuring that our clients are receiving the best possible care. They will develop a Care Plan as part of the initial client intake session and keep it up-to-date as a result of subsequent client visits. They will participate in all staff ...
-
Care Team Manager
1 day ago
Row Cal Minneapolis, United StatesCare Team Manager · Location: Plymouth, MN, Hybrid potential but prefer local candidates · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be ...
-
Care Team Manager
4 days ago
Row Cal Minneapolis, United StatesCare Team Manager · Location: Plymouth, MN, Hybrid potential but prefer local candidates · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be a ...
-
Care Team Manager
6 days ago
Row Cal Minneapolis, United StatesJob Description · Job Description · Care Team Manager · Location: Plymouth, MN, Hybrid potential but prefer local candidates · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit th ...
-
Managed Care Intern
2 weeks ago
Target Minneapolis, MN, United States Part timeAs a Fortune 50 company with more than 350,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. · Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who ...
-
RN Care Manager
1 day ago
Point32Health, Inc. Minneapolis, United States Full timeWho We Are · Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Healt ...
-
Care Team Manager
2 days ago
RowCal Minneapolis, United StatesJob Description · Job DescriptionCare Team Manager · Location: Plymouth, MN or Remote · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be a par ...
-
Care Team Manager
5 days ago
RowCal Minneapolis, United StatesCare Team Manager · Location: Plymouth, MN or Remote · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be a partner that cares, collaborates and ...
-
Care Team Manager
6 days ago
RowCal Minneapolis, United StatesJob Description · Job DescriptionCare Team Manager · Location: Plymouth, MN, Hybrid potential but prefer local candidates · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts ...
-
Client Care Manager
5 days ago
Home Helpers Home Care Minneapolis, United States Full timeThe Client Care Manager is responsible for ensuring that our clients are receiving the best possible care. They will develop a Care Plan as part of the initial client intake session and keep it up-to-date as a result of subsequent client visits. They will participate in all staff ...
-
Care Team Manager
3 days ago
RowCal Minneapolis, United StatesCare Team Manager · Location: Plymouth, MN or Remote · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be a partner that cares, collaborates and ...
-
Care Team Manager
5 days ago
RowCal Minneapolis, United StatesJob Description · Job DescriptionCare Team Manager · Location: Plymouth, MN or Remote · RowCal is an HOA and Property Management company founded on doing things better. We do it all with a refreshing, can-do attitude and joyful spirit that puts HOA leaders at ease. We'll be a par ...
-
Lawn Care Branch Manager
6 days ago
Naturescape Cottage Grove, United States**Naturescape** of **Madison, WI** is seeking to hire a **Branch Manager **to lead a developing branch to continued growth and success. Are you looking for a **long-term career in lawn and landscape care** with a** stable,** **family-owned business**? Would you like to be a **val ...
-
District Manager, Eye Care
5 days ago
AbbVie Minneapolis, United StatesCompany Description · AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas ...
-
patient care management coordinator
2 weeks ago
Fairview Health Services Minneapolis, MN , USA, United StatesOverview · Are you an experienced nurse? We at M Health Fairview are looking for you to join our outstanding team This benefits eligible position is a 0.8FTE (64 hours/2 weeks) on the day shift · The RN Care Coordinator position supports the inpatient families at MHealth Masonic ...
-
Landscape Care Account Manager
2 weeks ago
Aspire Solutions Minneapolis, United StatesJob Description · The Landscape Care Account Manager oversees all aspects of General Landscape Management, including sales, production, customer service, estimating, etc. They interact with customers, keep them informed about the maintenance process, and identify upselling oppor ...
-
Landscape Care Account Manager
1 week ago
Aspire Solutions Minneapolis, United StatesJob DescriptionThe Landscape Care Account Manager oversees all aspects of General Landscape Management, including sales, production, customer service, estimating, etc. They interact with customers, keep them informed about the maintenance process, and identify upselling opportuni ...
-
NAM Customer Care Manager
5 days ago
Mozarc Medical Minneapolis, United StatesNAM Customer Care Manager (Hybrid in Minneapolis) · Thursday, April 25, 2024 · At Mozarc Medical, our vision is to reimagine the future of holistic kidney health technology. Established in 2023 out of equal investments from DaVita, a leading provider of kidney care services, an ...
-
NAM Customer Care Manager
6 days ago
Mozarc Medical Minneapolis, United StatesNAM Customer Care Manager (Hybrid in Minneapolis) · Thursday, April 25, 2024 · At Mozarc Medical, our vision is to reimagine the future of holistic kidney health technology. Established in 2023 out of equal investments from DaVita, a leading provider of kidney care services, and ...
Care Manager - Minneapolis, United States - Bright Health
Description
Back to Career Site
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
SCOPE OF ROLEThe role of the Care Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes. The Care Manager is responsible for providing patient centered care across the care continuum.
ROLE RESPONSIBILITIES
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
LICENSURES AND CERTIFICATIONS
PROFESSIONAL COMPETENCIES
WORK ENVIRONMENT
For individuals assigned to a location(s) in California, Bright Health is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant's education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $29.08-$43.61 Hourly.
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.