Mainstay Medical
Overview
Join to apply for the
Nurse Case Manager
role at
Mainstay Medical . This role is based out of the San Diego, CA office. Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical low back pain. The company is headquartered in Dublin, Ireland, with subsidiaries in Ireland, the United States, Australia, Germany, and the Netherlands.
Base pay range:
$82,000.00/yr - $110,000.00/yr
Position Responsibilities
Acts as a subject matter expert on ReActiv8®, conducts clinical review of patient’s medical records, assuring complete and quality case documentation for all levels of review.
Provides education for patients and family members on the ReActiv8® system, therapy and the prior authorization process.
In conjunction with the Therapy Managers, oversees patients progress to implant, navigating, evaluating and driving the most effective pathway to approval, while making necessary adjustments.
Possesses strong understanding of patient documentation and logs all interactions and outcomes accurately within a cloud or web-based system.
Acts as a liaison between physicians, their office staff, and patients, leveraging empathy, warmth and a customer service mindset in all interactions including field teams.
Advocates for patients’ needs and preferences while respecting patient confidentiality.
Facilitates communication and coordination among team members, facilitating regular pipeline calls to ensure cases progress forward toward pull through.
Develops, implements, and manages a plan of action for each patient in collaboration with the Therapy Manager (TM) and patient. Demonstrates strong documentation skills within a web or cloud-based system.
Collaborates with team and field teams to remove or address patient barriers, aligning internal and external resources to facilitate the implant process.
Works with patients and care providers to ensure quick and easy access to surgical scheduling and implantation of ReActiv8®.
Manages multiple priorities and deadlines simultaneously, handling a high patient volume.
Ensures compliance with policies, in particular patient confidentiality (HIPAA), in all Mainstay Medical interactions.
Provides clear and effective communication via multiple methods (in-person, in-writing, on the phone, and in front of small and mid-sized audiences).
Demonstrates ability to work independently and as part of a team that values collaboration and openness while balancing workloads to prioritize patients.
Shows strong acumen and desire to critically evaluate caseloads, bringing forward insights and opportunities via KPIs.
Willingness to shift work schedule to a different time-zone as business dictates.
Willingness to assist others in Commercial Operations with patients and/or special projects as requested from both inside and outside the department.
Qualifications
BSN, RN, or equivalent required.
Experience in care coordination, case management, and some knowledge of insurance.
Experience in direct patient care, in medical office or hospital setting with coding and prior authorization experience.
Knowledge of health insurance industry practices/functions to include Medicare, Medicaid, and all types of commercial and managed care organization’s coverage policies.
Skilled in patient engagement and interaction; experience in patient education.
Strong organizational skills with keen eye and attention to detail.
Clear written and verbal communication skills—both in-person, in-writing and over the phone.
Strong abilities in Microsoft Word, Outlook, Excel, PowerPoint.
3+ years of experience working with a cloud or web-based documentation system.
Strong problem solver capable of finding solutions to challenges or process gaps.
Demonstrates interactions maintaining a caring, empathetic, and patient-centric approach in all interactions.
Compensation and Benefits The salary range for this position is $82,000 to $110,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience. The total compensation package includes medical, dental, vision, financial, and other benefits, as well as equity.
Legal and Equal Employment Opportunity Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.
Seniority level Mid-Senior level
Employment type Full-time
Job function Health Care Provider
Industries Medical Equipment Manufacturing
Referrals increase your chances of interviewing at Mainstay Medical by 2x.
#J-18808-Ljbffr
Nurse Case Manager
role at
Mainstay Medical . This role is based out of the San Diego, CA office. Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical low back pain. The company is headquartered in Dublin, Ireland, with subsidiaries in Ireland, the United States, Australia, Germany, and the Netherlands.
Base pay range:
$82,000.00/yr - $110,000.00/yr
Position Responsibilities
Acts as a subject matter expert on ReActiv8®, conducts clinical review of patient’s medical records, assuring complete and quality case documentation for all levels of review.
Provides education for patients and family members on the ReActiv8® system, therapy and the prior authorization process.
In conjunction with the Therapy Managers, oversees patients progress to implant, navigating, evaluating and driving the most effective pathway to approval, while making necessary adjustments.
Possesses strong understanding of patient documentation and logs all interactions and outcomes accurately within a cloud or web-based system.
Acts as a liaison between physicians, their office staff, and patients, leveraging empathy, warmth and a customer service mindset in all interactions including field teams.
Advocates for patients’ needs and preferences while respecting patient confidentiality.
Facilitates communication and coordination among team members, facilitating regular pipeline calls to ensure cases progress forward toward pull through.
Develops, implements, and manages a plan of action for each patient in collaboration with the Therapy Manager (TM) and patient. Demonstrates strong documentation skills within a web or cloud-based system.
Collaborates with team and field teams to remove or address patient barriers, aligning internal and external resources to facilitate the implant process.
Works with patients and care providers to ensure quick and easy access to surgical scheduling and implantation of ReActiv8®.
Manages multiple priorities and deadlines simultaneously, handling a high patient volume.
Ensures compliance with policies, in particular patient confidentiality (HIPAA), in all Mainstay Medical interactions.
Provides clear and effective communication via multiple methods (in-person, in-writing, on the phone, and in front of small and mid-sized audiences).
Demonstrates ability to work independently and as part of a team that values collaboration and openness while balancing workloads to prioritize patients.
Shows strong acumen and desire to critically evaluate caseloads, bringing forward insights and opportunities via KPIs.
Willingness to shift work schedule to a different time-zone as business dictates.
Willingness to assist others in Commercial Operations with patients and/or special projects as requested from both inside and outside the department.
Qualifications
BSN, RN, or equivalent required.
Experience in care coordination, case management, and some knowledge of insurance.
Experience in direct patient care, in medical office or hospital setting with coding and prior authorization experience.
Knowledge of health insurance industry practices/functions to include Medicare, Medicaid, and all types of commercial and managed care organization’s coverage policies.
Skilled in patient engagement and interaction; experience in patient education.
Strong organizational skills with keen eye and attention to detail.
Clear written and verbal communication skills—both in-person, in-writing and over the phone.
Strong abilities in Microsoft Word, Outlook, Excel, PowerPoint.
3+ years of experience working with a cloud or web-based documentation system.
Strong problem solver capable of finding solutions to challenges or process gaps.
Demonstrates interactions maintaining a caring, empathetic, and patient-centric approach in all interactions.
Compensation and Benefits The salary range for this position is $82,000 to $110,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience. The total compensation package includes medical, dental, vision, financial, and other benefits, as well as equity.
Legal and Equal Employment Opportunity Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.
Seniority level Mid-Senior level
Employment type Full-time
Job function Health Care Provider
Industries Medical Equipment Manufacturing
Referrals increase your chances of interviewing at Mainstay Medical by 2x.
#J-18808-Ljbffr