"Bright Health is leading the charge in the formation of truly collaborative relationships with our Care Partner Networks." We collaborate with Care Partners to make healthcare simpler, personal, and more affordable. Join us in making healthcare right. Together. We are thrilled to officially announce that we will begin offering our innovative Health Plan Care Partner Model in 13 new markets, across 7 states in 2020! This new expansion brings Bright Health’s footprint to a total of 22 markets in 12 states. Due to the rapid growth, we are currently looking for Case Managers in Lee Summit/Kansas City, MO! As well as a Case Management Manager. If you are anyone you know is interested, please apply through our website.
Work telephonically with members, their providers and applicable care teams to develop personal care plans associated with medical, behavioral and/or social situations.
Identify and conduct interventions to advance member care plans, coordinate care and close clinical gaps.
Collaborate with Provider Relations, Market Management teams and Care Partner representatives in the management of members’ care plans.
Collaborate with organizational leaders, including, but not limited to Network Navigation, Product, Clinical Program Management and Market Performance to identify opportunities for service improvement, including further integration with Bright’s Care Partners where appropriate.
Provide feedback to Program Management team with respect to program design, efficiency, efficacy and member/provider satisfaction.
Support the development and maintenance of standard operating procedures related to corresponding clinical program functions.
Manage individual workplan and prioritize time to meet key deliverables.
Other duties and responsibilities as assigned.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
Associate's or Bachelor’s Degree in a related field required
Three (3) or more years of clinical and/or case management experience required
Prior experience with URAC accreditation preferred, but not required
Mental Health and Substance Use Disorder experience preferred
Ability to evaluate complicated problems and isolate contributing factors
Effective communication skills
Leads through influence and example
Strong operational mindset and use data to draw insights
Thrives on driving results in a collaborative environment using critical thinking skills
LICENSURES AND CERTIFICATIONS
An unrestricted Registered Nurse (RN), Licensed Practical Nurse (LPN) or
Social Worker, License preferred not required
About Bright Health
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
Bright Health is tripling its footprint in 2019 to offer a variety of health insurance plans to more individuals. Bright Health operates health insurance offerings across Individual and Family Plan segments and the Medicare Advantage space in Alabama, Arizona, Colorado, Ohio, New York and Tennessee.
We’re Making Healthcare Right. Together.
We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consu...mers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.