Care Coordinator/RN

About the job

As a Care Coordinator for the business, you would help individuals maximize their health and quality of life through healthcare benefits. Enjoy working onsite in this contract with a team dedicated to supporting health and wellness by putting your previous RN experience in case management, utilization review, and care coordination to work. Contract Duration: 6 Months + Required Skills & Experience

• Bachelor's Degree
• Experience in case management, utilization review, and care coordination.
• Active License in good standing as a Registered Nurse (RN)
• State of Alabama licensure as a Registered Nurse OR Multi-State licensure as a Registered Nurse (Compact)
• Minimum of three years of clinical experience in medical/surgical health care fields, a psychiatric, and/or an obstetrical setting
• Effective verbal and written communication skills with providers, subscribers and group representatives
• Experience analyzing and making informed decisions in an autonomous setting
• Experience in a position interpreting and communicating information orally and written with all levels of staff internal and external
• Experience in a position requiring independent decision making skills
• Willingness to work a flexible schedule in order to provide telephone coverage
• Willingness to travel up to 10% of the time as needed

Desired Skills & Experience

• Experience in a position using negotiation skills preferred
• Experience in a position presenting information in formal and informal settings preferred
• Certified Case Manager preferred

What You Will Be Doing Daily Responsibilities

• Develop, coordinate, and administer activities related to Member Management Programs.
• Communicate effectively with all members of the healthcare delivery system and group representatives.
• Conduct individual member assessments and coordinate case management activities.
• Evaluate member needs and develop alternative treatment plans to maximize contract benefits and provide quality care.
• Interpret and communicate information orally and in writing with internal and external staff.
• Analyze information and make informed decisions independently and autonomously.
• Present information in formal and informal settings (preferred).
• Utilize negotiation skills in member management activities (preferred).
• Work a flexible schedule to provide telephone coverage as needed.
• Travel up to 10% of the time to fulfill job responsibilities.
• Maintain licensure and participate in ongoing education.
• Collaborate with providers, subscribers, and group representatives to support health and wellness services.