Holistic Health Specialist

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🌽 Illinois, New Mexico, +2 more states – Remote

🌽 Illinois – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🤠 Texas – Remote

💵 $61.5k - $136.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Health Care Service Corporation

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10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 Description

• responsible for performing a variety of functions and is a single source of contact for members, health care personnel and all other entities involved in managing care • identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual’s health needs • promotes quality and cost-effective outcomes; and serves as liaison to physicians and members • determining member assignment of treatment, and pre-admission/post-discharge counseling for an acute condition • establish relationship with the members • handle immediate post discharge follow-up or until all short-term care needs are met • provide education/local resource information and encourage member (self) education • functioning in a clinical care advisory role, assessing members for wellness education and disease management • introduces members to our website tools, educates members regarding wellness and specific conditions, and facilitates the coordination of care for identified members • provide oversight to holistic health coordinators

🎯 Requirements

• Registered Nurse (RN) with current, valid, unrestricted license in state of operations • 2 years of clinical practice experience of direct clinical care to the customer • 1 year of experience in care management/condition management in a health insurance/managed care setting • PC proficiency to include Word, Excel, Lotus Notes and database experience • Clear and concise verbal and written communication skills • Familiarity of ancillary services including HHC, SNF, Hospice, etc • Analytical skills • Decision making skills and sound clinical judgment to provide oversight of other staff • Must have an active and unrestricted Compact Nursing license • Case Management experience is needed • Experience in managing complex or catastrophic health cases • Specialty clinical experience in intensive care medicine, orthopedic, NICU/pediatric, oncology, diabetic member management, obstetric (low to high risk maternity management)

🏖️ Benefits

• health and wellness benefits • 401(k) savings plan • pension plan • paid time off • paid parental leave • disability insurance • supplemental life insurance • employee assistance program • paid holidays • tuition reimbursement