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Clinical Specialist - CERTIFIED CASE MANAGER (CCM) NEEDED
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Richardson, Texas |
About this job
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.
**********$5,000 SIGN ON BONUS**********
***CCM OR 1 OF THE URAC RECOGNIZED CASE MANAGEMENT CERTIFICATIONS IS MANDATORY FOR THIS POSITION***
BASIC FUNCTION: This position is responsible for conducting medical management and health education programs for corporate customers to influence the members health choices and behaviors, to maintain cost containment, and to ensure appropriate services are being obtained and utilized. This position is accountable for determining if medical programs are needed (Case Management, Condition Management, Behavioral Health, Pharmacy, CCEI, LSM, SB). This position develops spreadsheets of medical management outcomes, composes job aids and trains/mentors/provides oversight of clinical and non-clinical staff.
JOB REQUIREMENTS: 1) Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting. 2) Registered Nurse (RN) with 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. 3) Plus 2 years Condition Management and or Case Management experience. 4) Experience in managing complex or catastrophic cases. 5) Knowledge of the health and wellness marketplace and employer trends. 6) Verbal and written communication skills including interfacing with internal staff/management and external vendors and community resources. 7) Analytical experience including medical data analysis. 8) PC proficiency to include Word, Excel, and Web based applications. 9) Organizational skills for maintaining a library of interventions and outcomes.
10) Certified Case Manager (CCM), or one of the URAC Recognized Case Management Certifications is mandatory for this position.
PREFERRED JOB REQUIREMENTS: 1) 3 years clinical experience. 2) Patient education experience. 3) Bilingual in English and Spanish.
LI-POST
**********$5,000 SIGN ON BONUS**********
***CCM OR 1 OF THE URAC RECOGNIZED CASE MANAGEMENT CERTIFICATIONS IS MANDATORY FOR THIS POSITION***
BASIC FUNCTION: This position is responsible for conducting medical management and health education programs for corporate customers to influence the members health choices and behaviors, to maintain cost containment, and to ensure appropriate services are being obtained and utilized. This position is accountable for determining if medical programs are needed (Case Management, Condition Management, Behavioral Health, Pharmacy, CCEI, LSM, SB). This position develops spreadsheets of medical management outcomes, composes job aids and trains/mentors/provides oversight of clinical and non-clinical staff.
JOB REQUIREMENTS: 1) Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting. 2) Registered Nurse (RN) with 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. 3) Plus 2 years Condition Management and or Case Management experience. 4) Experience in managing complex or catastrophic cases. 5) Knowledge of the health and wellness marketplace and employer trends. 6) Verbal and written communication skills including interfacing with internal staff/management and external vendors and community resources. 7) Analytical experience including medical data analysis. 8) PC proficiency to include Word, Excel, and Web based applications. 9) Organizational skills for maintaining a library of interventions and outcomes.
10) Certified Case Manager (CCM), or one of the URAC Recognized Case Management Certifications is mandatory for this position.
PREFERRED JOB REQUIREMENTS: 1) 3 years clinical experience. 2) Patient education experience. 3) Bilingual in English and Spanish.
LI-POST
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