Case Manager

This is a fully remote position, open to applicants in California, +5 more states.

📋 Description

• Collaborate with various teams at Oscar to provide exceptional care and enhance member health outcomes.

• Educate members regarding health conditions, hospital discharges, medical procedures, and new medications.

• Assess Social Determinants of Health and link members to customized community resources.

• Coordinate care across inpatient, outpatient, emergency room, and home-care environments.

• Work alongside members and healthcare providers to address intricate health challenges and develop personalized care plans.

• Offer crisis intervention and advocate for members to overcome barriers to care and ensure treatment compliance.

• Interact with members through phone calls, secure messaging, or face-to-face meetings.

• Participate in initiatives aimed at process improvement and the launch of new pilot programs.

• Report to the Case Management supervisor.

• Adhere to relevant laws and regulations while performing other assigned responsibilities.

⛳️ Requirements

• A minimum of 2 years of clinical experience in hospital, outpatient, or community-based care management.

• At least 2 years of experience working directly with patients suffering from chronic medical conditions, such as diabetes, COPD, or hypertension.

• Over 1 year of experience in care coordination and navigation.

• Possession of an active, unrestricted RN license from the United States in [state], or an active compact multistate unrestricted RN license, or a Master of Social Work (MSW) from a nationally accredited program approved by the Council on Social Work Education.

• Additional qualifications such as a BSN, Licensed Master Social Worker or Licensed Clinical Social Worker, CCM Certification, experience in case management, certification in complex case management, and proficiency in bilingual Spanish are advantageous.

🏝️ Benefits

• Monthly vacation accrual at a rate of 15 days per year.

• Comprehensive medical, dental, and vision benefits.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursement options.

• Occasional travel for team meetings and company events.