Pediatric Case Manager

Company: Medica
Location: Minnetonka
Posted on: March 26, 2020

Job Description:

Medica's Case managers provide a member-centered, evidence based model of care across multiple products. Case Management program aims to serve the members with highest needs and help them navigate the health system. The program is designed to telephonically serve them by understanding each individual's care goals, coordinate care across multiple providers and assist with finding community resources to support their needs and goals.----These actions enable the case manager to reduce the illness burden for individuals and their families while decreasing healthcare cost.--Deliverables are related to process-oriented outcomes:All members with complex illness are fully aware of their plan of careAll providers caring for our members with complex illness are fully aware of the plan of careAll Medica care management services assisting with the case are fully aware of the plan of careOutcomes are comprehensive plan-of-care-driven--Requirements:Associate or Bachelor degree in Nursing5+ years of clinical/acute care experience; pediatric experience requiredExperience working with vulnerable and complex populations in a clinical, home care or telephonic environment; direct case management experience strongly preferredExperience and at ease working with various populations: multiple age groups, ethnic and socioeconomic backgrounds, medical, surgical backgrounds and a generalized level of understanding across specialty care areas--Experience managing multiple computer systems and tools--Licensure/Certification:Current, unrestricted RN license in MNCCM Certification preferred, however not required--Skills/Abilities:Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, prescriptive.General working knowledge of how various health care services link together (the health care continuum)Excels in communication with physicians and health care providers.Excellent internal and external customer service skills, strong decision making skillsAbility to think creatively and be comfortable taking the lead in negotiating and accessing resourcesAbility to have positive impact on team by modeling and supporting changeUnderstand, articulate and support the organization's mission, vision, goals and strategyWork efficiently towards department benchmarksExcellent verbal and written skills and the ability to present in a group settingAbility to work positively in a fluid, ever-changing environmentAbility to thrive in fast-paced setting and make decisions under stress and manage multiple complex issues on a daily basis

Keywords: Medica, Minnetonka , Pediatric Case Manager, Executive , Minnetonka, Minnesota