Job Description
Remote Temporary F/T IL Licensed (RN or LPN) Managed Care Case Managers Needed
Our client, a busy and growing Managed Care MSO. It is an advanced technology-driven health services platform that partners with health systems and clinical networks to bring scale and predictable performance to value-based care. Our client is seeking to hire 3 RNs and one LPN for long-term, temporary, remote full-time positions. Candidates must be IL RNs or LPNs with Managed Care case management experience. Someone coming out of a home health, hospice, worker’s comp, or hospital in-patient setting would not be appropriate for this need. Candidates should have full cycle CM experience in an outpatient setting, either on a payer or provider side.
Our client seeks RNs w/ recent Managed Care, experience dealing with chronic care health issues. These are temporary remote full-time positions working Monday-Friday 8 hours a day between the hours of (8:00am to 6:00pm).
Job Responsibilities
Up to 40 calls per day depending on engagement type/call outcome:
Transition of Care Calls:
· Verify eligibility
· Initial chart/EMR review
· Outreach within 48 hours
· Documentation of discussion/call status in the health plan platform
Condition Management Calls:
· Work the queues for asthma and diabetes
· Identify members that qualify for Tier II programs
· EMR review & Focused outreach
· Documentation of discussion/call status in the health plan platform
Job Requirements
· At least 2 years of recent Managed Care Case Management experience is required.
· 5+ years of Nursing in either Med/Surg/ICU/ER would be beneficial.
· Must be an IL Licensed RN or LPN
· CCM is preferred, but not required.
· Must have full cycle case management experience in an outpatient setting.
· Must have experience dealing with chronic health conditions and determining long-term health care plans.
If you or anyone you know is interested, qualified, and currently seeking employment please send an updated resume to us for immediate review and consideration.
Company DescriptionWe are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements
We are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements
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