RN Lead, Healthcare Services (Remote)

About the role

This RN will act as a Lead in Healthcare Services supporting our “AZ, FL, ID, IA, GA, KY, MI, NE, NM, OH, TX, UT, WI, WA, NY” Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient.

Responsibilities

• Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
• Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
• TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members.
• Mileage is reimbursed as part of our benefit package.
• Schedule: Monday through Friday 8:00AM to 5:00PM CST (No weekends, no nights, no holidays, no call.)

Qualifications

• At least 4 years experience in health care, and at least 2 years of managed care experienced in utilization management
• Registered Nurse (RN) ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsive in all forms of communication.
• Ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Skills

• Excellent computer skills
• Attention to detail
• Excellent problem-solving and critical-thinking skills
• Strong verbal and written communication skills
• Microsoft Office suite/applicable software program(s) proficiency

Benefits

• Mileage is reimbursed as part of our benefit package.

Pay

• Pay Range: $26.14 - $56.64 / HOURLY

Schedule

• Monday through Friday 8:00AM to 5:00PM CST (No weekends, no nights, no holidays, no call.)