HireOps Staffing - Rock Island, IL

posted 5 days ago

Full-time - Mid Level
Remote - Rock Island, IL

About the position

The Registered Nurse - Case Manager position is a remote role that involves conducting medical management and health education programs for customers enrolled in government health care programs. The role requires field visits to perform face-to-face health screenings and assessments, either in-home or at facility sites. The case manager will gather, analyze, and provide data for regulatory reports while representing the company to its members.

Responsibilities

  • Conduct medical management and health education programs for customers on government health care programs.
  • Perform face-to-face health screenings and assessments in assigned territory.
  • Gather, analyze, and provide data for regulatory reports.
  • Represent the company to members and communicate medical needs effectively.

Requirements

  • Registered Nurse (RN) with 3 years of direct clinical care experience in a clinical setting, or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with 2 years of clinical practice.
  • Current, valid, unrestricted RN license in the state of operations or reciprocity.
  • 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
  • Strong verbal and written communication skills for discussing medical needs with members and interfacing with internal staff and external vendors.
  • Analytical experience including medical data analysis.
  • Current IL driver's license, transportation, and applicable insurance.

Nice-to-haves

  • 3 years of 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.

Benefits

  • Competitive hourly wage of $45 - $52.
  • Remote work flexibility with required field visits.
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