Position Title: Care Manager (RN)
Work Location: Remote US (except CA)
Assignment Duration: 6 months potential to extend to convert
Work Arrangement: Remote 9:30AM-6PM EST
Position Summary: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
To facilitate with ScriptMed cloud (a new Operating System) training and implementation.

Key Responsibilities:
 

• Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.
• Take inbound and make outbound calls.
• Work collaboratively with other departments and the physician’s office to ensure best patient outcomes.
• Manage emails, messages, and trainings daily.
• Participate in trainings and meetings as needed.
  
  Qualification & Experience:

  Candidate Requirements
  Education/Certification	Required: Associate’s degree in nursing			Preferred:
  Licensure	Required: Current State’s RN license			Preferred:
  Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.  Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.   Nice to haves: Strong communication skills, Proficient technology skills. Disqualifiers:   Performance indicators: Must be able to manage daily tasks with a high quality of work. - Goals will be given to the candidate to help them work towards the department’s expectations for success.
  Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.
  		2	Knowledge of utilization management principles and healthcare managed care.
  		3

 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $44.30/hr.