Insurance Case Manager Jobs in Winona, MN (NOW HIRING)

Scheduled Weekly Hours:

We're not just filling positions, we're building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.

Major Responsibilities Include:

• Will have a deep understanding of the MBSAQIP accreditation standards and will partner with the Medical Directors of Bariatric Surgery and Obesity Medicine.

• Develops systems for financial analysis, variance reporting, dashboards/benchmarking, budgeting (cost centers, programs, new initiatives, outreach, charges/coding/RVUs) to enhance efficiency and planning

• Completes business case analysis and return on investment for the General Surgery Service line's technology projects and programs as well as for additional staff due to process changes and/or growth

• Operationalizes the General Surgery Service line's Project Management, GHS business initiatives as they relate to General Surgery Service line's business initiatives

• Completes business analysis functions to ensure appropriate utilization of resources. Assures staff compliance with training, education, accreditation, and licensure data

• Ensures compliance with regulatory standards (MBSAQIP, Joint Commission), policies and procedures, confidentiality standards practice guidelines, standards of care

• Supports and implements GHS organizational and departmental mission and strategic plan

• Fosters positive working relationships and promotes collaborative practice within the team and with other departments

• Financially evaluates and conducts market research regarding the development of new programs and services

• Pursues relevant educational opportunities to maintain or enhance professional knowledge and meet team/department needs
  

What's Available:

• 1.0 FTE

• Schedule: Monday-Friday Days typically 8:00am-5:00pm

• Location: Onsite in La Crosse, WI Main Campus with some occasional support in Onalaska or other clinic locations as business needs permit.

• Compensation: Starting at $74,000 with opportunity for higher pay based on relevant work experience
  

What You'll Need:

• Education: Bachelor's degree in Health related field

• Experience: At least 5 years' experience in a healthcare organization with 3 years' experience in project management, regulatory compliance, or healthcare leadership

• Prior experience in bariatric surgery program coordination and

  Experience with clinical registries or quality databases, preferred

• License/ Certification: Licensed health care professional as required by regulatory body, required at time of hire.

• RN, RD, or other clinical background relevant to bariatric surgery, quality, or perioperative care, desired.

• Excellent communication and presentation skills.

• Experience with data analysis, Microsoft Excel, PowerBI and SlicerDicer, preferred.

• Ability to work onsite in La Crosse, WI required
  

In addition to the rewarding work, you'll receive:

• A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated

• Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member

• Substantial retirement contribution including a 401k match & annual discretionary base contribution

• Work-Life Balance: Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need

• Professional Development:Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center

• Additional Employee Discounts and PerksOther benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!

If you are looking to be a part of a stable and mission driven organization, we welcome you to apply!

PRACTICES AND PROMOTES BEHAVIOR CONSISTENT WITH THE MISSION, VISION AND VALUES:

Mission:Together, we inspire your best life by relentlessly caring, learning and innovating.
Vision:Leading with love, we courageously commit to a future of healthy people and thriving communities.
Values:Belonging, Respect, Excellence, Accountability, Teamwork, Humility

Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future.

Equal Opportunity Employer