Registered Nurse-Care Coordinator
New
H
HireOps StaffingManaged care
United StatesFull-TimeMiddle
Salary52 USD per hour
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Job Details
- Languages
- Bilingual in English and Spanish.
- Experience
- Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license. Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
- Required Skills
- Microsoft ExcelPowerPoint
Requirements
- Hold an RN qualification with 3 years of direct clinical care in a clinical setting, or hold an LPC or LMSW; the LPC or LMSW pathway includes 2 years of clinical practice to obtain the license.
- Hold a current, valid, unrestricted license in the state of operations or reciprocity.
- For compact licensees changing permanent residence to the state of operations, obtain active, unrestricted RN licensure there within 90 days of hire.
- Have 3 years of wellness or managed care experience presenting clinical issues to members and 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 willing and able to travel within the assigned territory.
- Be proficient with Word, Excel, PowerPoint, databases, and web-based applications.
- Preferred: 3 years of clinical experience, patient education experience, condition management experience, or transition of care experience.
- Preferred: Experience managing complex or catastrophic cases.
- Preferred: Certification in case management, training, project management, or a nationally recognized health care certification.
- Preferred: Bilingual in English and Spanish.
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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