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SalarySummaCare is a Summa Health entity that offers health insurance in northern Ohio. As a regional, provider-owned health plan, SummaCare is based in Akron, Ohio, and provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 5 out of 5-Star rating for 2023 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.
Care Managers collaborate across a broad continuum of care to assess, plan, implement, coordinate, monitor and evaluate services to support and to meet individual member’s health care needs; coordinates with physicians and other providers to provide optimal care for the member; determines the appropriate level of support from self-management education to end-of-life services; refers to community resources and clinical programs to improve quality of life for the member and to meet organizational goals related to quality outcomes, member experience, and cost-efficiency.
Formal Education Required :
a. Bachelor Degree or may substitute with 4 years of like experience
b. Registered Nurse (RN) state license in good standing.
Experience & Training Required :
a. 3+ years performing same or similar responsibilities. Relevant experience includes: previous industry, care coordination and/or homecare or community agency experience.
Other Skills, Competencies and Qualifications:
a. Typing of 30 Words per Minute with 96% accuracy rate.
b. High: ability to communicate instructional and operational information verbally and in written form that may include correspondence, reports, instructional materials, system designs; ability to provide instruction and guidance required to supervise day-to-day departmental operations; ability to interface with internal staff, mid-upper management professionals, and general public.
c. High: collecting, analyzing data from diverse sources; making recommendations and/or conclusions based on analyses; developing financial, data processing technical reports, procedures, systems that usually affect one department. Proofreading completed work to find and correct errors. Requires excellent attention to detail.
d. Demonstrate knowledge and skills necessary to provide care appropriate to the age of the members serviced.
e. Work cooperatively with team members to accomplish HSM mission and goals.
f. Organize and manage time to accurately complete tasks within designated time frames in fast paced environment.
g. Maintain current knowledge of and comply with regulatory and company policies & procedures.
h. Maintain confidentiality of member health and business information.
i. Flexible: ability to adjust work hours to meet business demands.
j. Frequent overtime work throughout the year, with heavy overtime during peak periods. Occasional travel for most Care Managers which may require use of personal auto to visit a member or provider office, attend meetings, conferences, workshops, and/or seminars. Frequent/weekly travel required for Care Manager positions assigned to hospitals, nursing homes, etc.
k. Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity
Level of Physical Demands:
a. Sit and/or stand for prolonged periods of time
b. Bend, stoop, and stretch.
c. Lift up to 20 pounds.
d. Manual dexterity to operate computer, phone, and standard office machines.
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
