Registered Nurse-Case Manager-Remote $52/hr

hireops; Cicero (IL); Hybrid; USD 60,000 - 80,000; Full time

Job summary

hireops is seeking to fill a work-from-home position with field visits for conducting medical management and health education programs for government health care customers.

The ideal candidate will have 3 years of clinical care experience and a relevant license. Responsibilities include data analysis for reports and direct representation of the company to members.

Travel within the assigned territory and proficiency in Microsoft Office applications are required.

Qualifications

• 3 years of direct clinical care experience.
• Current and valid license in the state of operations.
• 3 years of wellness or managed care experience.

Responsibilities

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

Skills

Clinical care

Communication skills

Analytical skills

PC proficiency

Education

Registered Nurse (RN) / Licensed Professional Counselor (LPC) / Licensed Master Social Worker (LMSW)

Tools

Microsoft Word

Microsoft Excel

Microsoft 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 data 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.