As a Care Coordinator for the business, you would help individuals maximize their health and quality of life through healthcare benefits. Enjoy working onsite in this contract with a team dedicated to supporting health and wellness by putting your previous RN experience in case management, utilization review, and care coordination to work.
Contract Duration: 6 Months +
Required Skills & Experience
Bachelor's Degree
Experience in case management, utilization review, and care coordination.
Active License in good standing as a Registered Nurse (RN)
State of Alabama licensure as a Registered Nurse OR Multi-State licensure as a Registered Nurse (Compact)
Minimum of three years of clinical experience in medical/surgical health care fields, a psychiatric, and/or an obstetrical setting
Effective verbal and written communication skills with providers, subscribers and group representatives
Experience analyzing and making informed decisions in an autonomous setting
Experience in a position interpreting and communicating information orally and written with all levels of staff internal and external
Experience in a position requiring independent decision making skills
Willingness to work a flexible schedule in order to provide telephone coverage
Willingness to travel up to 10% of the time as needed
Desired Skills & Experience
Experience in a position using negotiation skills preferred
Experience in a position presenting information in formal and informal settings preferred
Certified Case Manager preferred
What You Will Be Doing
Daily Responsibilities
Develop, coordinate, and administer activities related to Member Management Programs.
Communicate effectively with all members of the healthcare delivery system and group representatives.
Conduct individual member assessments and coordinate case management activities.
Evaluate member needs and develop alternative treatment plans to maximize contract benefits and provide quality care.
Interpret and communicate information orally and in writing with internal and external staff.
Analyze information and make informed decisions independently and autonomously.
Present information in formal and informal settings (preferred).
Utilize negotiation skills in member management activities (preferred).
Work a flexible schedule to provide telephone coverage as needed.
Travel up to 10% of the time to fulfill job responsibilities.
Maintain licensure and participate in ongoing education.
Collaborate with providers, subscribers, and group representatives to support health and wellness services.
Numbers & Facts
Location
Birmingham, AL
Skills
Analysis Skillsunmatched
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Clinical Medicineunmatched
Communication Skillsunmatched
Health Planunmatched
Healthcareunmatched
Needs Assessmentunmatched
Negotiation Skillsunmatched
Operating Room Nursingunmatched
Organizational Skillsunmatched
Presentation/Verbal Skillsunmatched
Psychiatry and Mental Healthunmatched
Registered Nurse (RN)unmatched
Telephone Skillsunmatched
Treatment Planunmatched
Utilization Managementunmatched
Willing to Travelunmatched
Writing Skillsunmatched
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