Registered Nurse-Case Manager -Remote Job at HireOps Staffing LLC, Chicago, IL

a3NiWldWRUE3c3ZpVjd3UHRMRUI0YVU3SXc9PQ==
  • HireOps Staffing LLC
  • Chicago, IL

Job Description

This is a remote/work from home role, but field visits are required in assigned territory to conduct face to face health screenings and assessments.


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.
* Current IL driver's license, transportation and applicable insurance. (for IL)
* 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.

Job Tags

Permanent employment,

Similar Jobs

University of Minnesota

Post - associate - soil Job at University of Minnesota

 ...communication skills. Excellent ability for independent as well as collaborative research. Able to download, process and interpret MODIS and Sentinel-2 satellite imagery relevant to soil erosion and estimation of crop residue cover. Able to use Geographic Information Systems... 

The Center for Elders' Independence

EHR Applications Analyst Job at The Center for Elders' Independence

DescriptionThe Position: The EHR Applications Analyst will support eClinicalWorks for all centers.The incumbent will work with the entire...  ...setting requiredCertification in current EHR technology, EPIC, eCW, Cerner, Allscripts, Siemens, GE Centricity etc.Licensed... 

PS Seasoning

Sales Internship Job at PS Seasoning

Are you majoring in Business Management, Sales, Marketing, or a similar field? Join the team as a Summer 2024 Intern! Our Interns gain real world experience, working side by side with our Sales, Marketing and Customer Service teams. As an intern at PS Seasoning you will...

77 Consultants

Flight Scheduler- Aviation Job at 77 Consultants

 ...Scheduler is responsible for ensuring safe and efficient operational control over aviation flights in compliance with applicable...  ...operational capabilities, such as weather, airport facilities, air traffic control, and aircraft performance, and share this information... 

DTE Eng Corp Svcs LLC

Finance Associate I - Controller - CFO Organization Job at DTE Eng Corp Svcs LLC

 ...DTEs emergency response to storms or other events that impact service to our customers. Job Summary ***Job Code to be used in CFO only*** Performs corporate and strategic business unit financial functions. Duties involve recording transactions, account reconciliations...