Registered Nurse-Case Manager-Remote $52/hr

Remote Full-time
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.
Apply Now →

Similar Jobs

Social Worker Virtual LMSW

Remote Full-time

Art Lead

Remote Full-time

Data Analyst (Healthcare Preferred) - Remote

Remote Full-time

Promote Project is hiring: Character Concept Artist in California

Remote Full-time

Hard Surface Concept Artist (contractor) | Keywords Studios Plc | Remote (United States)

Remote Full-time

Lead Data Analyst - Product Analytics

Remote Full-time

Experienced Part-Time Data Entry Claims Intake Processor – Remote Opportunity with Flexible Hours and Growth Potential at Blithequark

Remote Full-time

Billing and Follow-up Representative-II (MGPS Medical Billing & Follow-up - Medicare/Medicare Advantage Payors) - PFS (Remote)

Remote Full-time

Manager - Supply Chain Data Analyst

Remote Full-time

Remote Paralegal Sign on Bonus

Remote Full-time

Logistics Coordinator

Remote Full-time

Technology Sales - Account Executive, (Remote)

Remote Full-time

Expert Product Line Manager - Jordan Energy Apparel

Remote Full-time

Costco Hiring Near Me , Costco Seasonal Data Entry , Costco

Remote Full-time

**Experienced Customer Support – Data Entry Professional – Part-Time Remote Jobs at blithequark**

Remote Full-time

Data Scientist-POC

Remote Full-time

Join Today: Aetna Jobs In Atlanta

Remote Full-time

**Experienced Customer Success Manager – Leadership Intelligence Platform Deployment and Client Satisfaction**

Remote Full-time

Data Entry Trainer in Taylor, TX in Clinical Pathology Laboratories (job Id: 1680319879)

Remote Full-time

Experienced Remote Data Entry Research Panelist – Flexible Work from Home Opportunity with blithequark

Remote Full-time
← Back to Home