RN Case Manager, Miami, FL

Company Name:
Title: RN Case Manager, Miami, FL
Location: MD-Annapolis
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makers--hospitals, health systems, physicians, self-insured employers, and payers--to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Our mission is to "improve Healthcare by increasing Healthcare quality and cost control through the effective deployment of information management and transaction efficiency.'"
Our vision is to provide "Global Support for Local Health Care." By following the principles of mutual respect for patients and families, our Nurses work with participants, providers, employers, health systems and hospitals, payers, professional advisors and communities to identify and coordinate the most appropriate services to address their healthcare needs.
As a technology based company, we have developed a comprehensive, fully integrated, URAC certified web-based medical management software application that combines Conifer's web-based data warehouse and reporting platform with a robust medical management software and workflow system. The result is a seamless and comprehensive database, management and reporting tool that support all levels of medical management interventions; utilization management, case management, and disease management. Our nurses find this application to be a very efficient, easy to navigate and helpful tool as it is integrated with documentation and research materials.
Conifer Health Solutions is currently hiring for a Telecommuting Nurse Case Manager in Miami, FL area.
Ideal candidates are able to:
Utilize innovative tools and provide a wide range of medical management services, which include utilization, case and disease management.
Analyze the data provided through the Value Based Care tools in order to identify gaps in the health of participants and populations, predict participants at risk and improve outcomes.
Work cooperatively with employer groups, physicians, managers, nurses, allied health staff and external agencies.
Residence in Long Island, NY area and licensed in state of New York.
Experience/Skills Requirements:
Registered Nurse license and three to five (3-5) years of diverse clinical experience is required
Bachelor degree in health related field, five (5) years of UM/CM experience, and CCM preferred
Must be comfortable working with various populations & age groups
Strong interest/experience in patient education, quality and care coordination
Strong aptitude for computers- basic level skills will not be sufficient
Spanish speaking is a plus
Ability to attend a 4-day orientation in Annapolis, Maryland (expenses paid)

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