Bilingual Clinical Guide: Case Manager; Gold Care

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.

• 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

• An unrestricted compact RN license

• RN Complex Case Management experience

• Strong knowledge of interdisciplinary team work

• Comfort with participating in interdisciplinary discussions

• A minimum of 5 years of direct clinical experience in acute care,

• (critical care, ICU, ED or other high acuity specialties )

• 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

Salary Range: $80,000 - $95,000

SNP:
Special Needs Plans

ICP:
Individualized Care Plan

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…