Registered Nurse-Case Manager-Remote

HireOps Staffing is hiring a registered nurse case manager for a remote role in the United States. The position handles medical management and health education for customers on government health care programs. You would also represent the company to members.

What you will do

• Run medical management and health education programs for customers on government health care programs.
• Gather, analyze, and provide data for regulatory reports.
• Present clinical issues with members and physicians.
• Discuss medical needs with members.
• Work with internal staff and management, external vendors, and community resources.
• Analyze medical data.
• Travel within your assigned territory as needed.

What they are looking for

• Registered Nurse (RN) with 3 years of direct clinical care to the consumer in a clinical setting, or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), including 2 years of clinical practice to obtain the LPC or LMSW license.
• A current, valid, unrestricted license in the state of operations (or reciprocity). Compact licensees changing permanent residence to the state of operations must obtain active, unrestricted RN licensure in that state within 90 days of hire.
• 3 years of wellness or managed care experience presenting clinical issues with members and physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Verbal and written communication skills, including discussing medical needs with members and working with internal staff, management, external vendors, and community resources.
• Analytical experience, including medical data analysis.
• Ability and willingness to travel within the assigned territory.
• PC proficiency in Word, Excel, and PowerPoint, plus database experience and web-based applications.

Preferred qualifications

• 3 years of clinical experience.
• Patient education experience.
• Condition management experience.
• Bilingual in English and Spanish.
• Transition of care experience.
• Experience managing complex or catastrophic cases.
• Certification in case management, training, project management, or another nationally recognized health care certification.

Pay

$45 per hour.

Location

This is a remote role in the United States. The listing was originally posted on Himalayas.