Complex Case Manager III

Required Qualifications: Bachelor's degree in Nursing or equivalent work experience in related field, plus 5 years of work experience beyond degree of clinical/acute care nursing Current, unrestricted RN license in the state of residence Preferred Qualifications: Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire    Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred Knowledge of managed care principles and regulatory guidelines preferred Proficiency in electronic health records and care management software Skills & Abilities: Professional demeanor: Engaging, persistent and assertive. Empathetic, pragmatic, and 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 skills Ability to think creatively and be comfortable taking the lead in negotiating and accessing resources Ability to have positive impact on team by modeling and supporting change Understand, articulate and support the organization’s mission, vision, goals and strategy Work efficiently towards department benchmarks Excellent verbal and written skills and the ability to present in a group setting Ability to work positively in a fluid, ever-changing environment Ability to thrive in a fast-paced setting, make decisions under stress, and manage multiple complex issues on a daily basis  This position is a Remote role. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI

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