Registered Nurse-Case Manager
New
H
HireOps StaffingHealthcare
United StatesFull-TimeManager
Salary45 USD per hour
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Job Details
- Languages
- Bilingual in English and Spanish is preferred.
- Experience
- 3 years direct clinical care; 3 years wellness or managed care experience.
- Required Skills
- Data AnalysisMicrosoft ExcelPowerPoint
Requirements
- Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW).
- Current, valid, unrestricted license in the state of operations (or reciprocity).
- 3 years direct clinical care in a clinical setting (or 2 years clinical practice for LPC/LMSW).
- 3 years wellness or managed care experience.
- Knowledge of the health and wellness marketplace and employer trends.
- Analytical experience including medical data analysis.
- PC proficiency to include Word, Excel, PowerPoint, database experience, and Web-based applications.
- Ability and willingness to travel within assigned territory.
Responsibilities
- Conduct medical management and health education programs for customers on government health care programs.
- Gather, analyze, and provide data for regulatory reports.
- Represent the company to members.
- Present clinical issues to members and physicians.
- Interface with internal staff, management, external vendors, and community resources.
- Perform medical data analysis.
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