Registered Nurse – Case Manager

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🔥 0 minutes ago

🗣️🇪🇸 Spanish Required

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Logo of HireOps

HireOps

11 - 50 employees

Founded 2021

👥 HR Tech

🎯 Recruiter

☁️ SaaS

HR Tech • Recruitment • SaaS

HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.

📋 Description

• 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.

🎯 Requirements

• 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. • Ability and willingness to travel within assigned territory. • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications. • 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.

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