Knowledge of fiscal management and humanresource management techniques. Bachelor of Science degree, in Nursing, Management, Business Administration or related field required. 8 years of experience in managed care and/or disease/utilization management.
Maintaining member/worker communication. Qualifications for this position include: Associate's or Bachelor's degree in human services field. Experience working with persons who are elderly or disabled. Strong communication skills.
A company that offers a platform that provides physicians with custom resources for patient management is seeking a Telecommute Registered Nurse Care Coordinator. Individual must be able to fulfill the following responsibilities:
Engaging specialty resources as needed to achieve optimal resolution. Required Skills: Registered Nurse with current, valid New York state licensure. Ability to effectively manage a minimum caseload of 35 files. Ability to demonstrate accuracy and thoroughness.
1+ years of experience working directly with individuals who meet the MLTSS target population. Demonstrated ability to communicate with members who have complex medical needs. RN or Bachelors degree in a health or human services field with at least two years of experience.
Skills and Requirements Include: Associate or BS in nursing or bachelors degree in a health or human services related field. 2+ years full time equivalent of direct clinical care to consumers. Current, unrestricted license or certification.
A non-profit organization is in need of a Telecommute Community Resource Navigation Specialist. Candidates will be responsible for the following: Gaining an understanding of each inquirer's situation. Developing and maintaining rapport with inquirers. Helping inquirers build an actions plan.
Core Responsibilities Include: Promoting appropriate, effective, and efficient use of health care resources. Reviewing the clinical care and treatment plans. Taking unlisted codes and associating them to pricing. Position Requirements Include: 5 years of clinical RN experience.
Minimum 2 years experience post degree. Knowledge of DSM V or most current diagnostic edition. Knowledge and experience in inpatient and/or outpatient setting. Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Assisting in guiding patient to community and health plan directed resources. Must meet the following requirements for consideration: 1+ years' experience working with substance use disorder, mental health or recovery work setting.