Registered Nurse-Case Manager-Remote

• Conduct medical management and health education programs for government healthcare program customers.
• Gather, analyze, and provide data for regulatory reports.
• Represent the company to members.

Job Qualifications

• Registered Nurse (RN) with 3 years direct clinical care, OR Licensed Professional Counselor (LPC) / Licensed Master Social Worker (LMSW).
• Current, valid, unrestricted license in the state of operations (or reciprocity).
• 3 years wellness or managed care experience presenting clinical issues with members/physicians.
• Knowledge of the health and wellness marketplace and employer trends.
• Strong verbal and written communication skills.
• Analytical experience including medical data analysis.
• Ability and willingness to travel within assigned territory.
• PC proficiency including Word, Excel, PowerPoint, databases, and Web-based applications.

Preferred Job Qualifications

• 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 healthcare certification.