Cell Therapy Case Manager
Orca BioSalary not specified
Full Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health InsuranceIndustries
Requirements
- An unrestricted compact RN license
- A minimum of 4 years of RN Case Management experience
- Prior case management experience within an interdisciplinary team
- Comfort with participating in interdisciplinary discussions
Responsibilities
- Develop trusting long-term patient relationships that truly transform patients’ lives and empower you to do the best work of your career supported by technology and data tools
- Conducting holistic assessments to identify comorbid conditions, functional status, ED/hospitalization history, medications, psychosocial factors, and member values and preferences
- Developing care plans in partnership with the interdisciplinary team, members and their caregivers, with a focus on the members priorities - problems, goals, interventions - while continuously evaluating the member’s progress
- Ensuring smooth transitions of care for patients in the hospital or recently discharged, seeking to minimize readmissions working with complex DME & Home Health needs
- Supporting chronic disease management, using motivational interviewing and teach back method techniques, which includes coaching, remote monitoring, educating members on their chronic conditions in plain language including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements
- Execution and Oversight of SNP ICPs for members enrolled in Complex Care
- Oversight of care coordinators in certain aspects of the care model
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the salary range for the Clinical Guide: Case Manager role?
The salary range is $80,000 - $95,000. The actual base salary offered will depend on various factors, and more details on compensation and total rewards will be provided during the interview process.
Is this position remote?
Yes, this is a remote position.
What are the required skills and experience for this role?
Required qualifications include an unrestricted compact RN license, a minimum of 4 years of RN Case Management experience, and prior case management experience within an interdisciplinary team, with comfort participating in interdisciplinary discussions.
What is the team structure like at Devoted Health's Complex Care Department?
The Complex Care Department is a highly collaborative, multidisciplinary team of geriatricians, nurse practitioners, case managers, social workers, and community health workers united by the mission to build a better care delivery system for complex members.
What makes a strong candidate for this case manager position?
Strong candidates will have the required RN license and experience, plus desired skills like health insurance experience (especially Medicare Advantage), working with complex patients, managing high call volumes, and enjoying phone-based patient care with strong assessment skills.
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees
Benefits
Comprehensive health plan
401(k) retirement plan
Generous vacation and holiday time
Lyra mental health resources
Time off to vote
Risks
Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.
Potential regulatory changes affecting Medicare Advantage plans by CMS.
Rising healthcare costs could impact the affordability of Devoted Health's plans.
Differentiation
Devoted Health offers personalized assistance through Devoted Health Guides for member support.
The company emphasizes preventive care with its Devoted Dollars rewards program.
Devoted Health integrates virtual and in-home care with top local providers.
Upsides
Devoted Health raised $287 million in Series E funding in 2024.
The company expanded Medicare Advantage plans to eight new states in 2023.
Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.
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