REGISTERED NURSE - CASE MANAGER - REMOTE
Company: HireOps Staffing LLC
Location: Chicago
Posted on: October 25, 2024
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Job Description:
This is a remote/work from home role, but field visits are
required in assigned territory to conduct face to face health
screenings and assessments. In home or at facility sites.
JOB PURPOSE:
This position is responsible for conducting medical management and
health education programs for customers on government health care
programs. Accountabilities include gathering, analyzing and
providing date for regulatory reports. This position will represent
the company to members.
JOB QUALIFICATIONS:
*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.
* Current, valid, unrestricted license in the state of operations
(or reciprocity). For compact licensee changing permanent residence
to state of operations, you must obtain active, unrestricted RN
licensure in the state of operations within 90 days of hire.
* Plus 3 years wellness or managed care experience presenting
clinical issues with members/physicians.
* Knowledge of the health and wellness marketplace and employer
trends.
* Verbal and written communication skills including discussing
medical needs with members and interfacing with internal
staff/management and external vendors and community resources.
* Analytical experience including medical data analysis.
* Current IL driver's license, transportation and applicable
insurance. (for IL)
* Ability and willingness to travel within assigned territory.
* PC proficiency to include Word, Excel, and PowerPoint, database
experience and Web based applications.
PREFERRED JOB QUALIFICATIONS:
* 3 years clinical experience.
* Patient education experience.
* Condition Management experience.
* Bilingual in English and Spanish.
* Transition of Care experience.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management or
nationally recognized health care certification.
Keywords: HireOps Staffing LLC, Racine , REGISTERED NURSE - CASE MANAGER - REMOTE, Executive , Chicago, Wisconsin
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