RN Case Manager (Wellbeing Health Advisor)
Company: HCSC
Location: Albuquerque
Posted on: February 20, 2021
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Job Description:
**The is "Work from Home" position in New Mexico**
Job Purpose:
This position will be responsible for focusing on the overall
health of the member by assisting the member with the goal of
increased health and overall wellbeing by developing a one-to-one
relationship with the member. Encourage members to utilize
appropriate resources and web based tools available to them to
access information regarding their condition as well as track
progress towards wellbeing goals. This position is also responsible
for guiding the member through transitions in care, handling a
member's complex needs as well as acute and chronic conditions.
Additionally, this position will receive referrals focusing on
member wellbeing; including diagnosis based, overall medical cost,
identified treatment gaps, frequent Emergency Room utilization,
pre-admission/post-discharge follow-up, etc.
Required Job Qualifications:
* Registered Nurse (RN) with current, valid, unrestricted license
in state of NM
* 2 years of clinical practice experience of direct clinical care
to the consumer
* 1 year of experience in care management/condition management
* PC proficiency to include Word, Excel, Outlook and database
experience
* Clear and concise verbal and written communication skills
* Familiarity of ancillary services including HHC, SNF, Hospice,
etc
* Analytical skills
* Decision making skills and sound clinical judgment to provide
oversight of other staff
Preferred Job Qualifications:
* 3 years of clinical practice experience of direct clinical care
to the consumer
* Experience in managing complex or catastrophic health cases
* Specialty clinical experience in intensive care medicine,
orthopedic, NICU/pediatric, oncology, diabetic member management,
obstetric (low to high risk maternity management)
* Working toward or completion of CCM/CCP/CDE/MCG certification or
Advanced degree
* Knowledge of Milliman Guidelines or similar clinical
guidelines
* Knowledge of medical management policies and procedures
*CA
HCSC is committed to diversity in the workplace and to providing
equal opportunity and affirmative action to employees and
applicants. 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, sex, sexual orientation, gender identity,
national origin, disability, or protected veteran status.
Requirements:
Expertise Nursing Job Type Full-Time Regular Location NM - Grants,
NM - Ruidoso, NM - Las Vegas, NM - Santa Fe, NM - Silver City, NM -
Truth or Consequences, NM - Lovington, NM - Raton, NM - Clovis, NM
- Gallup, NM - Taos, NM - Carlsbad, NM - Springer, NM - Deming, NM
- Hobbs, NM - Roswell, NM - Santa Rosa, NM - Los Alamos, NM -
Portales, NM - Alamogordo, NM - Farmington, NM - Las Cruces, NM -
Espanola, NM - AlbuquerquePandoLogic. Keywords: Medical Case
Manager, Location: Albuquerque, NM - 87131
Keywords: HCSC, Albuquerque , RN Case Manager (Wellbeing Health Advisor), Executive , Albuquerque, New Mexico
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