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Bilingual Case Manager (Intensive Home Care/ Complex Care)

Company

Devoted Health

Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-09-12
Posted at 9 months ago
Job Description
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
A bit more about this role:
We want to help members navigate the healthcare system in a better and safer way, and case management is critical to achieving this for our most vulnerable and complex members. You'll be responsible for providing telephonic, ongoing case management support to our highest risk members with complex needs, as well as short-term case management in the 30 days post-discharge for members at high risk for readmission. You'll serve as an advocate for these members, coordinating care and ensuring they have the necessary resources and support to achieve better health outcomes. You’ll be helping to build the program while doing so.
Our ideal case manager is caring, compassionate, solution-oriented and enthusiastic about providing an outstanding experience for Devoted Health’s members. They are committed to integrity, excellence, and empowering our most complex members to confidently navigate the healthcare system and live healthier lives. They are ready to innovate, adaptable to a continuously evolving startup environment, and willing to start scrappy, working with the whole Devoted family to create a revolution in how care is delivered.

Responsibilities will include:
  • Engaging with high risk members (primarily telephonically) to understand their needs, supported by technology and data tools.
  • Working with other providers and resources.
  • Preparing members for their inpatient and outpatient treatments.
  • Educating members on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence.
  • Developing care plans in partnership with members and their caregivers - problems, goals, interventions - while continuously evaluating the member’s progress.
  • Explaining complicated medical terms in plain language.
  • Coordinating post-treatment care and DME needs.
  • Collaborating closely with our PCP partners, as well as Devoted Medical Group, to coordinate care and deliver evidence based, effective, and accessible health care.
  • Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our members in meeting their goals.
  • Improving how we work and Providing feedback and advice to help improve the operational processes, software tools, and data capabilities to improve how Devoted does transitions of care case management.
  • Conducting holistic assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and member values and preferences.

Attributes to success:
  • Comfort or interest in working remotely post COVID.
  • You enjoy being on the phone caring for patients.
  • The ability to articulate and break down complex information to ensure patients and caregivers are able to absorb and act on your guidance.
  • A desire to make a change in the healthcare experience: you love to serve and make a difference.
  • The ability to learn quickly from past experiences and implement changes for improvement.
  • You are comfortable working with technology and in a dynamic, startup environment.
  • Strong clinical skills that will help you understand what a patient needs to help her avoid poor health outcomes.
  • Excellent organizational skills which you will use to prioritize and provide need-based levels of engagement with individual patients, communicate and coordinate care needs across various organizations, and ensure none of our members fall through the cracks.
  • Proven success and enjoyment in building relationships with a variety of stakeholders, such as care managers at hospitals and care coordinators at large PCP groups.
  • The ability to adjust your tone and approach to different people in order to build trust and achieve positive outcomes.

Skills and experience:
Must haves:
  • Team player mentality with a can-do attitude.
  • Prior case management experience.
  • An unrestricted RN license.
  • The ability to comfortably multi-task: you’ll be listening, talking and typing all at the same time.
  • A minimum of 4 years of RN experience.
Nice to haves:
  • Health insurance experience, particularly Medicare Advantage.
  • Bilingual in English and Spanish.
Our Total Rewards package includes:
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Employer sponsored health, dental and vision plan with low or no premium
  • $100 monthly mobile or internet stipend
  • Parental leave program
  • 401K program
  • Generous paid time off
  • And more....
  • Stock options for all employees
  • Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.