Registered Nurse-Care Coordinator-Remote

HireOps Staffing, LLC; Santa Fe (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare staffing company in New Mexico is seeking a qualified medical management professional to conduct health education programs and manage clinical data for government healthcare programs. The ideal candidate holds an RN or equivalent license and has relevant clinical and wellness experience. Strong communication and analytical skills are essential for this role. This position may involve travel within the assigned territory.

Qualifications

• 3 years direct clinical care experience in a clinical setting.
• Valid unrestricted license in the state of operations.
• Knowledge of health and wellness marketplace trends.

Responsibilities

• Conduct medical management and health education programs for customers.
• Gather and analyze data for regulatory reports.
• Represent the company to members.

Skills

Clinical care experience

Communication skills

Data analysis

PC proficiency

Bilingual in English and Spanish

Education

Registered Nurse (RN) or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Overview

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 data for regulatory reports. This position will represent the company to members.

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.

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.
• Ability and willingness to travel within assigned territory.
• PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.

Preferred 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.