RN Case Management-Medical Management Specialist - Waco, Texas - NurseRecruiter.com

Per Diem Nursing Job in
Waco , Texas

  • Employer: CRS Group
  • Profession: Registered Nurse
  • Specialty: Case Manager / Utilization Review
  • Compensation: $29-$33 hourly

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RN Case Management position with a Leading Health Insurance Corporation

Remote to start

Duration: 6-month contract (possible contract to hire)

***Temple/Killeen/Fort Hood area***

This position is responsible for conducting medical management and health education programs for customers on government health care programs.
Currently with the COVID-19 Contingency Plan in effect, there is no travel for this position. Once the plan is lifted, travel will be up to 1.5-2 hours away home office.
Provide oversight of member's living in the community, long term care facilities, and supportive living facilities, by collaborating with those entities to make sure member is adhering to facility, physician and MCO plans of care.
Ensure members have the proper supports in place, such as home delivered meals, homemaker services, adult day services and durable medical equipment to manage medical conditions and member needs.
Report incidents of abuse, neglect or gaps in services to proper agencies, making sure member is safe and maintained during such occurrences.
Encouraging members about physical and behavioral health condition maintenance and follow up, to nurture their overall health
Provide oversight of member's living in the community, long term care facilities, and supportive living facilities, by collaborating with those entities to make sure member is adhering to facility, physician and MCO plans of care.
Educating and encouraging members about physical and behavioral health condition maintenance and follow up, to nurture their overall health and well-being.

Job Requirements

Registered Nurse (RN), LCSW, LCPC, and would also consider LSW and LPC
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.
Current TX driver's license, transportation and applicable insurance.
Ability and willingness to travel within assigned territory.

Location

Waco, Texas

Employment Type

Per Diem

Compensation

$29-$33 hourly

Employer

CRS Group

Date Posted

May 18th, 2021

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