$30 - $35
As a Care Coordinator for the business you would help individuals maximize their health and quality of life through healthcare benefits. This is a contract opportunity for a Registered Nurse to join a team dedicated to supporting health and wellness through comprehensive member management programs.
Contract Duration: 6 Months Required Skills & Experience
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Bachelor's Degree
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Experience in case management, utilization review, and care coordination.
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Active License in good standing as a Registered Nurse (RN)
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State of Alabama licensure as a Registered Nurse OR Multi-State licensure as a Registered Nurse (Compact)
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Minimum of three years of clinical experience in medical/surgical health care fields, a psychiatric, and/or an obstetrical setting
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Effective verbal and written communication skills with providers, subscribers and group representatives
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Experience analyzing and making informed decisions in an autonomous setting
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Experience in a position interpreting and communicating information orally and written with all levels of staff internal and external
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Experience in a position requiring independent decision making skills
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Willingness to work a flexible schedule in order to provide telephone coverage
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Willingness to travel up to 10% of the time as needed
Desired Skills & Experience
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Experience in a position using negotiation skills preferred
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Experience in a position presenting information in formal and informal settings preferred
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Certified Case Manager preferred
What You Will Be Doing
Daily Responsibilities
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Develop, coordinate, and administer activities related to Member Management Programs.
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Communicate effectively with all members of the healthcare delivery system and group representatives.
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Conduct individual member assessments and coordinate case management activities.
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Evaluate member needs and develop alternative treatment plans to maximize contract benefits and provide quality care.
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Interpret and communicate information orally and in writing with internal and external staff.
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Analyze information and make informed decisions independently and autonomously.
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Present information in formal and informal settings (preferred).
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Utilize negotiation skills in member management activities (preferred).
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Work a flexible schedule to provide telephone coverage as needed.
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Travel up to 10% of the time to fulfill job responsibilities.
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Maintain licensure and participate in ongoing education.
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Collaborate with providers, subscribers, and group representatives to support health and wellness services.
