RN Case Manager: Health Plans, Member Education, Travel

hireops; New Mexico; Remote; USD 65,000 - 95,000; Full time

Job summary

hireops in New Mexico is seeking a healthcare professional to conduct medical management and health education for government health care program members. The role involves gathering and analyzing data to support regulatory reporting and communicating with members and internal teams.

The ideal candidate has RN, LPC, or LMSW licensure with relevant clinical experience, strong communication skills, and proficiency in Word/Excel/PowerPoint. Some travel within the assigned territory is required.

Qualifications

• Registered Nurse (RN) with 3 years direct clinical care in a clinical setting, or LPC/LMSW with 2 years clinical practice.
• Current, valid, unrestricted license in the state of operations; reciprocity acceptable.
• 3 years wellness or managed care experience presenting clinical issues with members/physicians.
• Proficiency in Word, Excel, PowerPoint; experience with databases and web-based applications.

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 and coordinate with internal staff and vendors.

Skills

RN license

Clinical experience

Data analysis

Communication skills

Travel willingness

PC skills (Word/Excel/PowerPoint)

Education

RN license (state)

LPC license

LMSW license

Tools

Word

Excel

PowerPoint

Job description

hireops in New Mexico is seeking a healthcare professional to conduct medical management and health education for government health care program members. The role involves gathering and analyzing data to support regulatory reporting and communicating with members and internal teams.

The ideal candidate has RN, LPC, or LMSW licensure with relevant clinical experience, strong communication skills, and proficiency in Word/Excel/PowerPoint. Some travel within the assigned territory is required.