RN Case Manager - Sault Saint Marie, Michigan (Hybrid) - Homeward
Sault Ste. Marie, MI
About the Job
Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.
Our vision is care that enables everyone to achieve their best health. So, we're creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.
As a public benefit corporation and Certified B Corp™, Homeward's mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.
Homeward is co-founded by a leadership team that defined and delivered Livongo's products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.
The Opportunity
Join us in tackling healthcare for rural America! We're seeking a full-time RN Case Manager passionate about having a positive societal impact and using technology for good – solving issues of health inequity for communities that have been perennially underserved in Chippewa, Eastern Mackinac, and Eastern Luce counties.
Homeward offers unique career opportunities that underscore our vision and values, recognizing what matters most to our clinical team – time with their patients. Our care delivery model and value-based arrangements are designed to minimize administrative burden and optimize professional satisfaction, and we offer a unique combination of benefits, compensation, and rewards that are highly valued by our employees, including generous cash compensation (base + incentive), equity grants, tuition and student loan repayment, workplace flexibility, and numerous other tangible and intangible benefits.
Benefits
- Medical, dental, and vision insurance with 100% of monthly premium covered for employees
- Competitive salary and possible equity grant
- Ongoing bonus opportunities
- Travel reimbursement
- Loan repayment support
- Company-sponsored 401k plan + match
- Flexible paid time off
- Clinical guidelines and comprehensive training provided
Compensation may vary depending on a number of factors, including a candidate's qualifications, skills, location, competencies and experience. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work at Homeward Health. This role is eligible for an annual bonus, stock options, as well as a comprehensive benefits package.
What You'll Do
- Initiate communication with members on completing pre-appointment requirements (e.g., registration forms, lab tests, x-rays, etc.)
- Under the supervision of a provider, lead all aspects of care management for patients with chronic disease and annual preventative screening diagnostics and care
- Demonstrate comfort with providing in-person and virtual care
- Initiate encounters with patients to prepare for the visit; coordinate patient flow with virtual encounters in preparation for the visit; gather and document pertinent data (vitals, medications, allergies) from the patient and enter information into the medical record
- Maintain complete and accurate patient records by documenting chief complaints and conditions, verifying medical history, allergies, medications, vitals, and all patient interactions and treatments administered
- Perform basic procedures and tests, including venipuncture
- Facilitate the processing of prescriptions by performing a complete review of medications with the patient, completing prior authorizations, and updating the medication list with changes as appropriate
- Manage quality measure requirements for CMS, including but not limited to HEDIS, adult preventative, and STARS
- Manage risk adjustment (HCC Coding) for a panel of members with in a specific care team
- Set up patient rooms for mobile clinic visits, set up necessary equipment, instruments, and supplies, and clean as appropriate
- Assists providers with examination, treatment, and basic procedures as necessary
What You Bring
- Registered Nurse degree from an accredited school of nursing
- Licensed/eligible to practice in the United States
- Passion for delivering care in rural America
- Experience working on a small, fast-paced team is a plus
- Experience working with connected devices/loT is a plus
- Experience with medical or health data is a plus
- Experience with various EHR platforms (Epic, Cerner, Athena, etc.)
What Shapes Our Company:
- Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
- Compassion and empathy
- Curiosity and an eagerness to listen
- Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
- Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact
- Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view
- Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!
At Homeward, we believe that a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you do not have experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.