Nurse Case Manager @ Sana

Nurse Case Manager

Posted on 2/25/2023

INACTIVE

51-200 employees

Small business employee benefits platform

Company Overview

Sana's mission is to make quality healthcare understandable, accessible and affordable for all. Sana helps small businesses offer high-quality benefits, save on healthcare costs, and avoid expensive employee turnover.

Locations

Remote

Experience Level

Entry

Junior

Mid

Senior

Expert

Desired Skills

Management

Communications

CategoriesNew

Medical, Clinical & Veterinary

Requirements

Bachelor's degree in health related field with at least 3 years of clinical experience. Case management experience preferred
Active and unencumbered licensure as a Registered Nurse in Texas. Compact license preferred. Eligibility for licensure in any US state
Experienced in remote work
Excellent clinical, organizational and communication skills
Entrepreneurial. Self-directed. Excited to build something from scratch
Values-oriented. You care about making our healthcare system work better for people and business owners
Gritty. You aren't worried about getting your hands dirty and working hard when you need to
Comfortable with change. We are a startup and need people who are ok doing things outside of their traditional job description
Comfortable with modern web applications. We are building all of our software in-house and you will be a key constituent in its development
Collaborate cross-functionally with Underwriting and Claims Operations to offer a clinical perspective on certain high cost claimants. Comment end

Responsibilities

Perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating patient-centric care plans designed to optimize member health care across the care continuum
Engage with members (outbound calls and emails) to assess their health status and facilitate care coordination needs
Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs considering both the health care and psychosocial / socioeconomic dimensions of care
Collaborate with primary providers or multidisciplinary teams to align or integrate goals with the case management care plan and drive consistent coordination
Provide patient education on disease processes to assist with self-management
Be a master of member plan benefits to drive referrals to high quality, low cost care partners
Monitor and evaluate effectiveness of the care management plan and adjust as necessary utilizing clinical knowledge and evidence-based guidelines
Make 'welcome home' calls to ensure that discharged members receive the necessary services and resources
Assist in problem solving with providers, claims, or service issues

Our health system is broken, and it’s a huge problem. Costs are rising out of control while the patient experience gets worse. At Sana, we’re passionate about fixing this problem by bringing accessible and affordable health plans to small and medium businesses. We’ve built an innovative team with top talent from across the health insurance and tech industries to create engaging, modern plans for our clients. This allows our customers to offer competitive benefits packages while paying an average of 20% less than traditional plans.

To do this, we have built a new kind of health plan from scratch for employers and their employees. Our customers can offer rich benefits to attract and retain top talent while paying less than traditional plans. Sana uses proprietary technology to cut out waste and a novel financing structure that gives companies money back when claims are low, saving up to 20% on total costs.

We are looking for a hard-working, empathetic person to join our Case Management team. We’re building a team of nurses to guide our members with complex and chronic care needs through the complicated healthcare system to ensure they receive the right care, in the right setting, at the right time. This is a remote position, but we do require that you have unencumbered licensure as a Registered Nurse in Texas, and are eligible for licensure in any US state.

What you will do

Perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating patient-centric care plans designed to optimize member health care across the care continuum
Engage with members (outbound calls and emails) to assess their health status and facilitate care coordination needs.
Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs considering both the health care and psychosocial / socioeconomic dimensions of care
Collaborate with primary providers or multidisciplinary teams to align or integrate goals with the case management care plan and drive consistent coordination
Provide patient education on disease processes to assist with self-management
Be a master of member plan benefits to drive referrals to high quality, low cost care partners
Monitor and evaluate effectiveness of the care management plan and adjust as necessary utilizing clinical knowledge and evidence-based guidelines.
Make ‘welcome home’ calls to ensure that discharged members receive the necessary services and resources
Assist in problem solving with providers, claims, or service issues

About you

Bachelor’s degree in health related field with at least 3 years of clinical experience. Case management experience preferred
Active and unencumbered licensure as a Registered Nurse in Texas. Compact license preferred. Eligibility for licensure in any US state.
Experienced in remote work
Excellent clinical, organizational and communication skills
Entrepreneurial. Self-directed. Excited to build something from scratch
Values-oriented. You care about making our healthcare system work better for people and business owners
Gritty. You aren’t worried about getting your hands dirty and working hard when you need to
Comfortable with change. We are a startup and need people who are ok doing things outside of their traditional job description
Comfortable with modern web applications. We are building all of our software in-house and you will be a key constituent in its development
Collaborate cross-functionally with Underwriting and Claims Operations to offer a clinical perspective on certain high cost claimants. Comment end

About Sana

Sana is a modern health plan solution for small and medium businesses. We use a more efficient financing structure and integrated technology solutions to cut out wasteful spending and get members access to better quality care at lower cost. Founded in 2017, we are an experienced team of engineers, designers and health system operators. We have the financial backing of Silicon Valley venture firms and innovative reinsurance partners. If you are excited about building something new and being a part of fixing our broken healthcare system from the inside, please reach out!