Care Manager
Posted on 3/31/2023
Experience Level
Desired Skills
  • Associate's degree in Nursing, Bachelor's degree preferred
  • Minimum 2 years of experience in medical management clinical functions
  • Working knowledge of MCG, InterQual, and NCQA standards
  • Assessment of the medical, social, and behavioral needs of an assigned population
  • Care Plan development and prioritization to transition members to optimal levels of health and self-management
  • Capacity to coordinate interdisciplinary team meetings as required
  • Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population
  • Provide transition of care interventions as required 10% 6. 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
  • Capacity to adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting
  • Able to ensure member communication and notices are composed in a manner consistent with regulatory standards
  • Adheres to the Policies and Procedures set forth by the Quality Management Committee
  • 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
  • Some travel may be required
Bright Health

1,001-5,000 employees

Affordable personalized health insurance
Company Overview
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.
  • 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
Company Core Values
  • Be brave - Challenge the status quo with curiosity, courage, and tenacity
  • Be brilliant - Deliver predictable excellence with a learning mindset
  • Be accountable - Live by your word, always
  • Be inclusive - Value all voices and contributions to achieve big things
  • Be collaborative - Fearlessly partner with all people