Job Summary

A global healthcare company has an open position for a Telecommute Specialized Clinical Programs Case Manager in San Antonio.

Individual must be able to fulfill the following responsibilities:

• Performing individual health risk questionnaires assists with individualized care plan design
• Performing initial review of member’s health records and current health status
• Performing medication reconciliation

Position Requirements Include:

• Current, unrestricted RN license, specific to the state of Texas
• 5+ years of managed care and/or care management experience
• 5+ years of clinical experience
• Knowledge of managed care, medical terminology
• Proficient experience in Medicare and Medicaid population
• Experience carrying caseload of members