Quality Outreach Case Manager III

Medica is a nonprofit health plan with over a million members. We're a team that owns our work with accountability, makes data-driven decisions, and celebrates collaboration. We're looking for a Quality Outreach Case Manager to work with members, collaborate with care teams, and support providers.

Requirements

• Conducting regularly scheduled member outreach calls to address utilization gaps
• Coordinating and managing care for members with chronic conditions
• Evaluating and documenting member health status, risk levels, complication progression, and reasons for non-adherence with care plans
• Providing education, reinforcement, and motivational coaching to reengage member commitment to clinical direction
• Helping members secure medications, transportation, specialist referrals, payment support, or other potential socioeconomic barriers to care

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Relocation Assistance