Case Manager
你好，我们是奥斯卡。我们正在聘请一个案例经理加入我们的护理服务 - 临床团队。奥斯卡是第一家建立在全新技术平台和不地关注为成员提供服务的医疗保险公司。我们于2012年开始创建了奥斯卡，以创造一种我们想要为自己做的人类健康保险公司，像家庭医生一样。关于角色：该案例经纪人合作跨奥斯卡团队提供高质量的护理并改善会员健康结果。在这个角色中，案例经理将教育成员，评估社会决定性健康 (SDOH),并与社区资源联系个人，同时有助于改善流程的举措和新的试点计划。你将报告到案例管理监督员。工作地点：本职位是完全远离的，并且为居住在美国的候选人开放，不包括阿拉斯加；德拉华州；夏威夷；路易那纳州；蒙大拿；北达科塔；俄克拉荷马州；西弗吉尼亚州；怀奥明州；以及美国领土。日常工作从家办公室完成，偶尔需要前往团队会议和公司活动。#LI-Remote PayTransparency: 美国加利福尼亚州，康涅狄格州，新泽西州，纽约州和华盛顿州的基本工资为：每年75,894美元。其他所有地方的基本工价是：67,813美元 - $89,004美元。你还可以获得员工福利和每月假期收益率在一年15天。责任：· 在保持严密保密和高专业标准的情况下协调各种环境 （入院患者，外科医生，急诊医疗）的护理。· 与会员和提供商合作，解决复杂挑战并创建更好的临床结果的个性化保健计划。·通过将成员与定制社区支持资源联系起来，评估和解决健康社会决定因素 (SDOH). ·提供危机干预支持并作为专门的会员倡导者来解决护理和治疗遵守障碍。·直接通过电话，安全信息或亲身接触会员，为提供有关卫生条件，退院，医疗程序以及新处方的教育。·遵守所有适用的法律法规。·其他职责。要求：· 2年以上临床经验，包括医院，外诊或社区保健管理 · 2年以上经验，直接与患者合作
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Hi, we're Oscar. We're hiring a Case Manager to join our Care Delivery - Clinical 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 the Case Management supervisor.
Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. Daily work is completed from your home office, with occasional travel required for team meetings and company events. #LI-Remote
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,894- $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,004 per year. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
- Coordinate care across settings (inpatient, outpatient, ER, 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 drive 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 via 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 duties 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 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.