Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
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HireOps Staffing
12 jobs near Columbus, OH
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
New
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. * Analytical ...
Job Title Remote after training. Fully onsite to start/training for 8 weeks, workers are allowed to Work from Home, but it wouldn't be until after they complete all 8 weeks of initial training and ...
Job Title Remote after training. Fully onsite to start/training for 8 weeks, workers are allowed to Work from Home, but it wouldn't be until after they complete all 8 weeks of initial training and ...
Data Entry - Health Insurance Company
Albuquerque, NM · On-site
$17.80/hr
Description: Remote after training. Fully onsite to start/training for 8 weeks, workers are allowed to Work from Home, but it wouldn't be until after they complete all 8 weeks of initial training and ...
Data Entry - Health Insurance Company
Albuquerque, NM · On-site
$17.80/hr
Description: Remote after training. Fully onsite to start/training for 8 weeks, workers are allowed to Work from Home, but it wouldn't be until after they complete all 8 weeks of initial training and ...
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate ...
$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate ...
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using ...
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using ...
Job description
Medical Management And Health Education Program Coordinator
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for regulatory reports. This position will represent the company to members.
Job Qualifications:
- Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license.
- Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
- Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians.
- Knowledge of the health and wellness marketplace and employer trends.
- Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
- Analytical experience including medical data analysis.
- Ability and willingness to travel within assigned territory.
- PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
Preferred Job Qualifications:
- 3 years clinical experience.
- Patient education experience.
- Condition Management experience.
- Bilingual in English and Spanish.
- Transition of Care experience.
- Experience in managing complex or catastrophic cases.
- Certification in Case Management, Training, Project Management or nationally recognized health care certification.
About HireOps Staffing
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