Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Population Health Care Manager RN will be responsible for coordinating and facilitating comprehensive care for chronic conditions, medical complexities, mental health, and those with psychosocial issues through provider education and collaboration.
The role involves working across healthcare providers to advocate for members and educate providers, ensure effective communication, and monitor member progress to promote positive outcomes and improve overall well-being.
This role is ideal for someone with strong clinical and case management skills, a passion for chronic disease management, and the ability to engage with diverse populations and healthcare teams to improve member outcomes.
Key Responsibilities:
- Develop and implement pilot programs for population health initiatives
- Analyze member data to understand their health status
- Create educational resources and presentations about chronic conditions and condition management initiatives
- Assess member needs and coordinate services across healthcare providers
- Advocate for members to ensure they receive accurate and appropriate resources and care
- Utilize various communication platforms for care coordination and collaboration
- Assist providers with managing members with chronic conditions
- Participate in community-based initiatives related to care management
- Educate members and providers on managing conditions and establishing self-management goals
- Develop resources to help members and providers optimize healthcare using community resources
- Identify areas for improvement in processes and documentation
- Perform care management with members, including development of personalized care plans and monitoring progress
Required Qualifications:
- Resides in Maricopa County, Arizona
- Active and unrestricted AZ state RN licensure
- 5+ years' experience as an RN
- 1+ year of experience with speaking with members in-person, over the phone, or virtually
- Willingness to travel within Maricopa County 10%-25% of the time to provider locations
Preferred Qualifications:
- Managed care experience
- Case/care management experience
- Excellent problem-solving and decision-making
- Medical terminology knowledge
- Strong digital literacy and communication tools
- Ability to work with diverse groups and handle sensitive information
- Strong organizational, prioritization, and flexibility skills
- Customer relations and critical thinking skills
- Attention to detail and ability to analyze and plan effectively
- Bachelor's degree
Benefits:
- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources
Pay Range:
- $60,522.00 - $129,615.00