Registered Nurse-Case Manager-Remote $52/hr

HireOps Staffing, LLC; Gurnee (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare staffing company seeks an experienced professional to conduct medical management and health education programs. This position requires a valid nursing license and experience in clinical settings. The role involves data analysis and direct communication with members. Candidates with bilingual skills in English and Spanish are preferred. This is a work-from-home position with some field visits.

Qualifications

• 3 years of direct clinical care experience.
• Valid, unrestricted license in the state of operations required.
• 3 years 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

Medical data analysis

PC proficiency

Education

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

Tools

Word

Excel

PowerPoint

Job description

Overview

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.