Full-Time
Care Manager
Affordable personalized health insurance
Junior
Remote
- Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes
- What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative
- If you share our passion for changing healthcare so all people can live healthy, brighter lives - apply to join our team
- Current Licensed Practical Nursing or Licensed Vocational Nurse certificate from an accredited Nursing Program
- Two (2) or more years experience as an LPN/LVN, preferably in a case management setting
- Driver's license, auto insurance, and safe driving history
- One (1) year of healthcare-related experience required
- Awareness and experience with HIPAA requirements for healthcare communications preferred
- Prior experience with URAC/NCQA accreditation preferred
- Bilingual preferred
- Prioritizes and plans work activities; uses time efficiently and can multitask
- Excellent communication skills, both oral and written
- Approaches challenges calmly and objectively to identify the best solution
- Capable communicator that can interact with others at multiple levels within the organization, customers, and providers
- Leads through influence and example
- Strong operational mindset and uses data to draw insights
- Thrives on driving results in a collaborative environment
- Current Licensed Practical Nursing or Licensed Vocational Nurse certificate from an accredited Nursing Program; or equivalent combination of education and experience
- Conducts face-to-face visits with members in both healthcare facilities and in their homes and initiates telephone outreach
- Facilitate “Intakes” and maintain required documentation in EMR web-based application including but not limited to the following: Surveys, Health Risk Assessments, progress notes, and other documentation as required by Bright Health
- Uses all components of the Transition of Care model and nursing process including assessment, triage, planning, implementing, and evaluating care to meet the members' needs
- Provides health maintenance, medication, and disease management education to members and families/caregivers
- Coordinates appropriate member care appointments, community resources, referrals, management program benefits, and special focus programs
- Ensure members' preventive care appointments are scheduled and encourage the member to participate in those appointments
- Maintains compliance with CMS-mandated health risk assessments, care plans, and interdisciplinary care team requirements
- Active participation in Interdisciplinary Care Team presentations, if indicated
- Coordinates continuity of care, prevention, and avoidance of complications, and close clinical treatment and management under the direction of the members' primary healthcare provider(s) and medical directors
- Takes an active role in coordinating and initiating member's access to Bright Health programs and specialty benefits offered beyond traditional Medicare
- Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing patient care
- Works with outside facilities, agencies, and vendors on a routine basis, maintaining positive working relationships
- Supports members and their families/caregivers, and provides compassionate care
- Frequent travel is required for member visits, conferences, community events, health fairs, etc
- Make referrals/linkages to community resources on an individualized basis
- The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer
- Travel, up to 10% of the time may be required
Bright Health's mission is to make healthcare right. They believe quality health insurance should be simple, personal, and affordable. So they design easy-to-understand plans with benefits you'll actually use. Benefit-packed plans and surprisingly low rates mean you can focus on staying happy and healthy.
Company Stage
IPO
Total Funding
$1.7B
Headquarters
Minneapolis, Minnesota
Founded
2015
6 month growth
↓ -27%1 year growth
↓ -33%2 year growth
↓ -46%Benefits
Compensation and retirement - Performance bonus, Stock Options, 401k plan, 401k matching, Commuter assistance plans
Health and wellness - Health insurance, Dental insurance, Vision insurance, Life insurance, Disability insurance, FSA (Flexible Spending Plan), EAP (Employee Assistance Program)
Vacation and time off - Unlimited time off, Paid holidays, Flexible working hours, Maternity benefits, Paternity benefits
Values and quality of life - Public Transportation, Bike parking, Employee groups and committees, Snacks and beverages