Senior Clinical Health Coordinator
5 days ago
About Hines & Associates Inc.
Hines & Associates Inc. is a nationwide leader in personalized managed health care, dedicated to delivering comprehensive services with exceptional program excellence and cost containment.
Job Summary
We are seeking a skilled Registered Nurse to fill the role of Senior Clinical Health Coordinator/Care Management Specialist RN. In this key position, you will utilize your clinical nursing experience to develop and implement effective care plans for patients with chronic medical conditions.
Responsibilities:
- Conduct telephonic assessments to identify patient needs and develop individualized coaching plans
- Collaborate with physicians, providers, and payers to facilitate quality, timely, and efficient medical care across the healthcare continuum
- Implement disease management plans by coordinating resources, including community resources, healthcare providers, and significant others
- Improve health outcomes and quality of life for individuals with chronic health conditions through patient self-management education and motivational interviewing principles/techniques
- Demonstrate ability to communicate effectively with TPAs, insurers, physicians, patient/family, and other healthcare providers
- Act as an advocate, maintain privacy and confidentiality, promote safety, and comply with policies and procedures, URAC standards, and other regulatory standards
- Provide good customer relations by promoting goodwill and understanding between claimants, payers, providers, and professional staff
Requirements:
- Registered nurse with current unrestricted license to practice in the state or in a state with licensure reciprocity
- Minimum of 2 years full-time equivalent of direct clinical care to consumers
- Basic typing/computer knowledge with minimum keyboarding speed of 35 WPM
- Possibility of obtaining certification in CCM or CHC
Benefits:
- Competitive salary range: $85,000 - $110,000 per year
- Paid holidays and time off
- No weekends or holidays
- Up to 2 days per week remote work option
- Medical, dental, vision, long-term care, short-term disability, long-term disability, and company-paid life insurance benefits
About Us
Hines & Associates Inc. welcomes diversity and is an equal opportunity employer. All qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability, or protected veteran status.
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