Registered Nurse - Care Coordinator

New
H
HireOps StaffingHealthcare management
United StatesFull-TimeMiddle
Salary52 USD per hour
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Job Details

Languages
Bilingual in English and Spanish (preferred).
Experience
3 years direct clinical care to the consumer in a clinical setting; plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
Required Skills
Microsoft ExcelPowerPoint

Requirements

  • Hold a Registered Nurse (RN), Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) qualification.
  • For the RN pathway, have 3 years of direct clinical care to consumers in a clinical setting.
  • For the LPC or LMSW pathway, have 2 years of clinical practice to obtain the license.
  • Hold a current, valid, unrestricted license in the state of operations or reciprocity.
  • Compact licensees changing permanent residence to the state of operations must obtain active, unrestricted RN licensure in that state within 90 days of hire.
  • Have 3 years of wellness or managed care experience presenting clinical issues with members or physicians.
  • Know the health and wellness marketplace and employer trends.
  • Have verbal and written communication skills for discussing medical needs with members and interfacing with internal staff, management, external vendors, and community resources.
  • Have analytical experience, including medical data analysis.
  • Be proficient with Word, Excel, PowerPoint, databases, and web-based applications.
  • Preferred: patient education, condition management, transition of care, or complex or catastrophic case management experience.
  • Preferred: case management, training, project management, or nationally recognized health care certification.

Responsibilities

  • Conduct medical management programs for customers on government health care programs.
  • Conduct health education programs for customers on government health care programs.
  • Gather data for regulatory reports.
  • Analyze data for regulatory reports.
  • Provide data for regulatory reports.
  • Represent the company to members.
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52 USD per hour
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