Case Management Nurse

Dallas, IA - USA

Hourly Salary: $ 39 - 45

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

Hi were Oscar. Were hiring a Case Management Nurse to join our Case Mangement team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family.

About the role:

You will educate members on improving health outcomes assist with transitions from care settings participate in process improvement and other pilot programs as they arise and work with support teams to ensure exceptional care for our members.

You will report into the Associate Director Clinical.

Work Location: This is a remote position open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $39.28 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

Assist in the coordination of care across a variety of settings (inpatient outpatient post acute ER home care)
Actively reach out to members undergoing difficult health challenges and develop care plans
Proactively reach out to hospital case managers to assist with discharge planning
Communicate with members via phone or secure messaging to provide education on health conditions new medications and procedures.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Active unrestricted RN licensure from the United States in state OR active compact multistate unrestricted RN license
Ability to obtain additional state licenses to meet business needs
2 years of clinical experience to include payer hospital outpatient or community based care management
1 years of experience in Care Coordination and Navigation

Bonus points:

CCM Certification
Bilingual in Spanish and/or creole reading writing speaking
BSN
Working knowledge of Milliman Guidelines

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. Were on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts within the base pay set forth above are determined by factors including your relevant skills education and experience. Full-time employees are eligible for benefits including: medical dental and vision benefits 11 paid holidays paid sick time paid parental leave 401(k) plan participation life and disability insurance and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications without regard to applicants disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known.

California Residents: For information about our collection use and disclosure of applicants personal information as well as applicants rights over their personal information please see our .

Required Experience:

Hi were Oscar. Were hiring a Case Management Nurse to join our Case Mangement team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would...