Workaholics4Hire.com

Location: Telecommuting

Case Manager – RN Required – Telecommuting Opportunity! – Dallas, TX

As a Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating.  This may include case management, disease management, coordination of care and medical management consulting.  You will also be responsible for providing health education, coaching and treatment decision support for members. Case Managers work in a variety of settings: in the community providing proactive care coordination to individuals and support to their families or in telephonic care management position.

Primary responsibilities:

* Making outbound calls to assess members’ current health status

* Identifying gaps or barriers in treatment plans

* Providing patient education to assist with self management

* Interacting with Medical Directors on challenging cases

* Coordinating care for members

* Making referrals to outside sources

* Coordinating services as needed (home health, DME, etc)

* Educating members on disease processes

* Encouraging members to make healthy lifestyle changes

* Documenting and tracking findings

* Utilizing Milliman criteria to determine if patients are in the correct hospital setting

* Making “welcome home” calls to ensure that discharged member receive the necessary services and resources

This is a telecommuting position – you can work from anywhere in the United States!

[Company] is part of the family of companies that make [Company] one of the leaders across most major segments of the US health care system.

When you work with [Company], what you do matters. It’s that simple… and it’s that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Qualifications:

* Current, unrestricted RN license in the State

* 3+ years experience in a hospital setting, acute care, direct care experience

* Computer proficiency (Word, Excel, Outlook, Internet)

* Excellent communication skills

* Ability to work independently

* Strong organizational skills and multitasking abilities will be keys to success

Additional Assets Preferred:

* BSN

* A background in managed care

* Case Management experience

* Certified Case Manager (CCM)

* Experience/exposure with discharge planning

* Experience in utilization review, concurrent review and/or risk management

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

[Company] is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

How To Apply For This Work At Home Job

For full contact details, click this link to visit the site where this ad originally appeared: Monster.com

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