Registered Nurse-Care Coordinator -Remote $52/hr

hireops; Elgin (IL); Remote; USD 75,000 - 95,000; Full time

Job summary

hireops seeks a healthcare program professional to conduct medical management and health education for customers on government health care programs. You will gather, analyze, and provide data for regulatory reports and represent the company to members.

Requirements include RN with 3 years of clinical care or LPC/LMSW, active license in the operation state, and 3+ years in wellness or managed care. Strong communication, analytical skills, and proficiency with Word, Excel and PowerPoint are

Qualifications

• RN or LPC/LMSW license with required clinical experience.
• Current, unrestricted license in the state of operations.
• 3+ years wellness or managed care experience.
• Knowledge of the health and wellness marketplace and employer trends.
• Verbal and written communication with members and staff.
• Analytical experience with medical data.
• Willingness to travel within assigned territory.
• PC proficiency with Word, Excel and PowerPoint; database and web apps.

Responsibilities

• Conduct medical management and health education for government healthcare program customers.
• Gather, analyze, and provide data for regulatory reports.
• Represent the company to members and interface with internal staff, vendors and community resources.

Skills

Verbal and written communication

Analytical thinking

Willingness to travel

Education

RN license (state unrestricted)

LPC or LMSW license

Case Management / Project Management certification

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

The position is work from home with field visits.

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.
• * 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.