The position is work from home with field visits. JOB PURPOSE: 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. #J-18808-Ljbffr
...in whole or in part by money provided through the State and Federal Government. Additionally, some Social Service Program positions may be funded... ...PURPOSE: Under the general direction of the Registered Nurse Manager, the Psychiatric Licensed Vocational Nurse provides...
...documents to the Card Networks. Maintains and audits contact information within Card Network portals. Maintains customer service Smartsheet information. Registers Service Providers / Third Party Agents per Card Network requirements. Maintains / Updates internal...
...Description Job Description FX Logistics, LLC, a high growth asset light logistics company located near Gainesville, GA has open Traffic Coordinator positions. These positions report the operations manager and are responsible for communication with the third-party...
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...Pullet Farm Manager Opal Foods is accepting applications for the position of Pullet Farm Manager for our Iowa Falls, IA location. The... ...degree in related field may be substituted for some of the required work experience. ~ Working knowledge of Microsoft Office products...