Address
Form of work
SalaryJOB SUMMARY/PURPOSE
- Assesses, plans, implements, coordinates, monitors and evaluates options and services to meet an individual’s health needs. Applies knowledge of applicable regulations, identifies resources (internal or community partners) and eliminates barriers where possible. Provides care management interventions and seamless support across transitions of care. Works with cases that have a low to moderate level of service intensity.
DEPARTMENT DESCRIPTION
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
EXPERIENCE/EDUCATION/QUALIFICATIONS
- BSN preferred.
- One (1) year clinical nursing experience required.
- Experience or training in the following required:
- Health care delivery systems and/or managed care patients.
- Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced).
- Experience in the following preferred:
- Case management.
- Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
Job Type: Contract
Salary: $2,900.00 - $3,100.00 per week
Schedule:
- Day shift
Work setting:
- Clinic
- Remote
Work Location: In person
