Christian Care Ministry
RN Care Manager
Christian Care Ministry, Melbourne, Florida, United States, 32935
The salary range for this role is $64,000 - $87,000
Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 5% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
Candidates must be willing and able to work onsite at least 3 days per week in our Melbourne, FL office.
This is a full-time position, Monday - Friday from 8:00 a.m. - 5:00 p.m.
Who We Are
At Christian Care Ministry (CCM) we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.
The Team
Everyone at Christian Care Ministry agrees to our Statement of Faith which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God to the best of our ability.
The Role
The RN Care Manager serves as the key point of contact and coordinator of care to members experiencing an acute, catastrophic, or costly health care event. The RN Care Manager assists members and their providers in best navigating and utilizing the Medi-Share provisions and provider network for improved clinical outcomes, clinically substantiated courses of treatment, timely and improved access to cost-effective care, and greater member satisfaction.
Essential Job Duties & ResponsibilitiesPerforms within licensed scope of nursing practice and under the direction of the Sr. Director, Clinical ServicesIdentifies, screens, and enrolls members meeting criteria into Care Management ServicesEducates members and providers (as appropriate) regarding the Medi-Share provisions and processesConfirms member's condition and plan of care are eligible for sharing based on Medi-Share and FDA/CMS approved evidence-based clinical management guidelines; suggests resources for those conditions/plan of care not eligible for sharingIdentifies, educates, and facilitates member participation in appropriate member stewardship including, but not limited to patient assistance programs for medication, laboratory, and genetic testingProvides disease/condition specific clinical education to include multimedia resources, if availableIdentifies opportunities for and facilitates transitional carePartners with organizational resources to facilitate effective and cost-efficient outcomes for membersDelivers accurate and comprehensible verbal and written communication to external customers while complying with organizational HIPAA requirementsDocuments case work, all telephone conversations, correspondence, and tasks completely and accurately in appropriate IT systemsMaintains and independently manages assigned caseload and departmental workflows within agreed service levelsPresents accurate, complete, and concise case information to Sr. Director, Clinical Services within agreed upon service levelsCompletes medically related special projects independently as assigned with minimal supervisionAttends all required departmental and organizational meetingsPrays with members and providers as appropriateContributes to the exercise and expression of the Ministry's Christian beliefsEssential Skills & Abilities
Expert knowledge of all Medi-Share program guidelines and processesExcellent ability to communicate effectively with internal and external customers of all types in written, oral, telephonic, and digital formats that build engagement, interest, and facilitate positive outcomesExcellent researching, analytical, and critical-thinking skillsAdvanced planning and organizational skills; works effectively without supervisionAdvanced skill with Microsoft Office (Word, Excel, Outlook)Excellent computer skills - ability to access, research and use multiple software programs simultaneously and keyboard skills of at least 35 words per minuteAbility to collaborate effectively and professionally with interdisciplinary team members, members/patients, families, providers, facilities and other employees and departmentsAbility to comply with HIPAA and PHI requirements and all call compliance rules and regulationsStrong ability to work independently and with a team regularly.Ability to handle conflict situations effectivelyStrong ability to adapt to changing processesExcellent ability to provide all content within a biblical frameworkCore Competencies/Demonstrable Behaviors
Collaborates - builds partnerships and works collaboratively with others to meetManages Conflict - handles conflict situations effectively. This role requires patiently and respectfully accepting and responding to members and providers who do not agree with the determinations presented to themInterpersonal Savvy - relates openly and comfortably with a diverse group of people. Must be able to communicate effectively and build engagement across all audiencesDrives Results - consistently achieves results even under tough circumstancesSituational Adaptability - adapting approach and demeanor in real time to match the shifting demands of differentCourage - ability to have tough conversations and deliver accurate advice and decisionsForward Thinking - the ability to anticipate the implications and consequences of situations and take appropriate action to be prepared for possible contingenciesInitiative - identifying what needs to be done with a willingness to take actionEducation and/or Experience
Registered nurse with a current unrestricted multi-state compact license or willingness to pursueBachelor of Science in Nursing (strongly preferred) or health-related field (required)Cardiovascular, Medical/surgical, orthopedic, pediatrics, and/or transplant clinical experience required3+ years nursing experience required; acute and catastrophic care highly preferred2+ years of case management and/or utilization management and transitional care/discharge planning experienceHave or willing to obtain a certification in either case management or managed care nursing within two yearsIncentives & Benefits
We work hard to serve our members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.
Employees are eligible to receive annual incentive pay based on individual and organizational performance.
For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:
100% paid Medical for employees/99% for familyGenerous employer Health Savings Account (HSA) contributionsEmployer-paid Life Insurance (3x salary) and Long-term Disability Insurance6 weeks of paid parental leave (for both mom and dad)Dental - two plans to choose fromVisionShort-term DisabilityAccident, Critical Illness, Hospital Indemnity401(k) - up to 4% match on ROTH or Traditional contributionsGenerous paid-time off and 11 paid holidaysWellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/moEmployee Assistance Program including no cost, in-person mental health visits and employee discountsMonetary Anniversary Awards ProgramMonetary Birthday Awards
Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 5% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.
Candidates must be willing and able to work onsite at least 3 days per week in our Melbourne, FL office.
This is a full-time position, Monday - Friday from 8:00 a.m. - 5:00 p.m.
Who We Are
At Christian Care Ministry (CCM) we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.
The Team
Everyone at Christian Care Ministry agrees to our Statement of Faith which outlines our core beliefs. Although we aren't perfect people, we are serving our perfect God to the best of our ability.
The Role
The RN Care Manager serves as the key point of contact and coordinator of care to members experiencing an acute, catastrophic, or costly health care event. The RN Care Manager assists members and their providers in best navigating and utilizing the Medi-Share provisions and provider network for improved clinical outcomes, clinically substantiated courses of treatment, timely and improved access to cost-effective care, and greater member satisfaction.
Essential Job Duties & ResponsibilitiesPerforms within licensed scope of nursing practice and under the direction of the Sr. Director, Clinical ServicesIdentifies, screens, and enrolls members meeting criteria into Care Management ServicesEducates members and providers (as appropriate) regarding the Medi-Share provisions and processesConfirms member's condition and plan of care are eligible for sharing based on Medi-Share and FDA/CMS approved evidence-based clinical management guidelines; suggests resources for those conditions/plan of care not eligible for sharingIdentifies, educates, and facilitates member participation in appropriate member stewardship including, but not limited to patient assistance programs for medication, laboratory, and genetic testingProvides disease/condition specific clinical education to include multimedia resources, if availableIdentifies opportunities for and facilitates transitional carePartners with organizational resources to facilitate effective and cost-efficient outcomes for membersDelivers accurate and comprehensible verbal and written communication to external customers while complying with organizational HIPAA requirementsDocuments case work, all telephone conversations, correspondence, and tasks completely and accurately in appropriate IT systemsMaintains and independently manages assigned caseload and departmental workflows within agreed service levelsPresents accurate, complete, and concise case information to Sr. Director, Clinical Services within agreed upon service levelsCompletes medically related special projects independently as assigned with minimal supervisionAttends all required departmental and organizational meetingsPrays with members and providers as appropriateContributes to the exercise and expression of the Ministry's Christian beliefsEssential Skills & Abilities
Expert knowledge of all Medi-Share program guidelines and processesExcellent ability to communicate effectively with internal and external customers of all types in written, oral, telephonic, and digital formats that build engagement, interest, and facilitate positive outcomesExcellent researching, analytical, and critical-thinking skillsAdvanced planning and organizational skills; works effectively without supervisionAdvanced skill with Microsoft Office (Word, Excel, Outlook)Excellent computer skills - ability to access, research and use multiple software programs simultaneously and keyboard skills of at least 35 words per minuteAbility to collaborate effectively and professionally with interdisciplinary team members, members/patients, families, providers, facilities and other employees and departmentsAbility to comply with HIPAA and PHI requirements and all call compliance rules and regulationsStrong ability to work independently and with a team regularly.Ability to handle conflict situations effectivelyStrong ability to adapt to changing processesExcellent ability to provide all content within a biblical frameworkCore Competencies/Demonstrable Behaviors
Collaborates - builds partnerships and works collaboratively with others to meetManages Conflict - handles conflict situations effectively. This role requires patiently and respectfully accepting and responding to members and providers who do not agree with the determinations presented to themInterpersonal Savvy - relates openly and comfortably with a diverse group of people. Must be able to communicate effectively and build engagement across all audiencesDrives Results - consistently achieves results even under tough circumstancesSituational Adaptability - adapting approach and demeanor in real time to match the shifting demands of differentCourage - ability to have tough conversations and deliver accurate advice and decisionsForward Thinking - the ability to anticipate the implications and consequences of situations and take appropriate action to be prepared for possible contingenciesInitiative - identifying what needs to be done with a willingness to take actionEducation and/or Experience
Registered nurse with a current unrestricted multi-state compact license or willingness to pursueBachelor of Science in Nursing (strongly preferred) or health-related field (required)Cardiovascular, Medical/surgical, orthopedic, pediatrics, and/or transplant clinical experience required3+ years nursing experience required; acute and catastrophic care highly preferred2+ years of case management and/or utilization management and transitional care/discharge planning experienceHave or willing to obtain a certification in either case management or managed care nursing within two yearsIncentives & Benefits
We work hard to serve our members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.
Employees are eligible to receive annual incentive pay based on individual and organizational performance.
For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:
100% paid Medical for employees/99% for familyGenerous employer Health Savings Account (HSA) contributionsEmployer-paid Life Insurance (3x salary) and Long-term Disability Insurance6 weeks of paid parental leave (for both mom and dad)Dental - two plans to choose fromVisionShort-term DisabilityAccident, Critical Illness, Hospital Indemnity401(k) - up to 4% match on ROTH or Traditional contributionsGenerous paid-time off and 11 paid holidaysWellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/moEmployee Assistance Program including no cost, in-person mental health visits and employee discountsMonetary Anniversary Awards ProgramMonetary Birthday Awards