Registered Nurse-Care Coordinator-Remote

HireOps Staffing, LLC; Santa Fe (NM); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated healthcare professional to lead medical management and health education initiatives. This role involves engaging with customers on government health care programs, ensuring compliance through data analysis and reporting. Ideal candidates will possess a strong clinical background, excellent communication skills, and a passion for improving health outcomes. Join a dynamic team where your expertise will directly impact the well-being of community members, and enjoy a fulfilling career in a supportive environment that values your contributions.

Qualifications

• 3 years of direct clinical care in a clinical setting required.
• Current, valid, unrestricted license in the state of operations.

Responsibilities

• Conduct medical management and health education programs.
• Gather and analyze data for regulatory reports.

Skills

Verbal and written communication skills

Analytical experience

Knowledge of health and wellness marketplace

PC proficiency (Word, Excel, PowerPoint)

Ability and willingness to travel

Education

Registered Nurse (RN)

Licensed Professional Counselor (LPC)

Licensed Master Social Worker (LMSW)

Tools

Database experience

Web based applications

Job description

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.

JOB QUALIFICATIONS:

1. 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.
2. 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.
3. Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
4. Knowledge of the health and wellness marketplace and employer trends.
5. Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
6. Analytical experience including medical data analysis.
7. Ability and willingness to travel within assigned territory.
8. PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.

PREFERRED JOB QUALIFICATIONS:

1. 3 years clinical experience.
2. Patient education experience.
3. Condition Management experience.
4. Bilingual in English and Spanish.
5. Transition of Care experience.
6. Experience in managing complex or catastrophic cases.
7. Certification in Case Management, Training, Project Management or nationally recognized health care certification.