案例经理（CCM）
Case Manager (CCM)
你好，我们是Oscar。我们正在招聘一名案例经理加入我们的复杂案例管理团队。
Oscar是一家以完整技术平台和对服务会员的执着专注而建立的首家健康保险公司。我们于2012年创立Oscar，旨在打造我们自己希望拥有的健康保险公司——一家像家人中的医生一样的公司。
关于该职位：
案例经理将与Oscar各团队协作，提供高质量的护理并改善会员的健康结果。在该职位中，案例经理将教育会员、评估健康的社会决定因素（SDOH），并为个人连接社区资源，同时根据需要参与流程改进计划和新试点项目。
你将向我们的临床项目经理汇报。
工作地点：这是一个远程职位，面向以下州的候选人：亚利桑那州；佛罗里达州；佐治亚州；伊利诺伊州；爱荷华州；堪萨斯州；密歇根州；密苏里州；内布拉斯加州；新泽西州；北卡罗来纳州；俄亥俄州；宾夕法尼亚州；南卡罗来纳州；田纳西州；德克萨斯州；弗吉尼亚州。虽然你的日常工作将在家办公完成，但可能需要偶尔出差参加团队会议和公司活动。
薪资透明：在加利福尼亚州、康涅狄格州、新泽西州、纽约州和华盛顿州，该职位的基本薪资为：每年75,348至98,894美元。在其他所有地区，该职位的基本薪资为：每年67,813至89,005美元。你还有资格享受员工福利，每年可累计15天的带薪假期。
职责：
- 在不同护理环境（住院、门诊、急诊或居家护理）中协调护理，同时保持严格的保密性和高标准的专业性。
- 与会员和医疗提供者合作，应对复杂的健康挑战，制定个性化的护理计划以实现更好的临床结果。
- 通过将会员与定制的社区支持资源联系起来，评估并解决健康的社会决定因素（SDOH）。
- 提供危机干预支持，并作为专职会员倡导者，解决护理和治疗依从性的障碍。
- 通过电话、安全消息或面对面的方式直接与会员沟通，提供有关健康状况、出院、医疗程序和新处方的教育。
- 遵守所有适用的法律和法规。
- 其他指派的责任。
要求：
- 至少2年的临床经验，包括医院、门诊或基于社区的护理管理经验。
- 至少2年的经验
查看英文原文
Hi, we're Oscar. We're hiring a Case Manager to join our Complex Case Management team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Case Manager collaborates across Oscar teams to deliver high-quality care and improve member health outcomes. In this role, the Case Manager will educate members, evaluate Social Determinants of Health (SDOH), and connect individuals with community resources while contributing to process improvement initiatives and new pilot programs as required.
You will report into our Manager, Clinical Programs.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio;Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813- $89,005. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
- Coordinate care across settings (inpatient, outpatient, ER, or home care) while maintaining strict confidentiality and high professional standards.
- Partner with members and providers to navigate complex health challenges and create personalized care plans that create better clinical outcomes.
- Assess and address Social Determinants of Health (SDOH) by connecting members with tailored community support resources.
- Provide crisis intervention support and act as a dedicated member advocate to resolve barriers to care and treatment compliance.
- Engage directly with members by phone, secure messaging, or in-person, to provide education on health conditions, hospital discharges, medical procedures, and new prescriptions.
- Compliance with all applicable laws and regulations.
- Other responsibilities as assigned.
Requirements:
- 2+ years of clinical experience to include hospital, outpatient or community-based care management.
- 2+ years of experience working directly with patients with chronic medical conditions (e..g diabetes, COPD, hypertension), demonstrating a solid understanding of disease trajectories, common treatment regimens, and symptom management.
- 1+ years experience Care Coordination and Navigation.
- Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license or Masters in Social Work (MSW) from a graduate of a Nationally Accredited School approved by the Council on Social Work Education.
Bonus points:
- BSN
- Licensed Master Social Worker or Licensed Clinical Social Worker
- CCM Certification
- Case Management experience
- Complex Case Management certification
- Bilingual skills (Spanish)
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.