Remote Case Management Coordinator (RN) – Delaware

Job Overview

  • Clinical License RN
  • State(s) DE

Full job description

Bachelor’s required: in either Social Work, Nursing, or Education

  • Clinical background required
  • Nursing/Social Work license strongly desired
  • Not looking for new graduates; candidate should have some years of related experience—experience with utilization management, utilization review, hospitality preferred
  • CCM (Cerified Case Manager) preferred
  • Experience in a skilled nursing facility preferred
  • Adult Learning: Theory and Practice
  • Creativity Skills
  • Clinical Systems
  • Company Presentations
  • Medicaid
  • Project Management
  • PowerPoint

Job Description:

  • This job delivers highly complex clinical and systems training courses, ongoing workshops in support of workforce development, technology and/or proprietary business systems, updates or creates course materials to reflect changes in processes or systems and manages the department training effectively to ensure efficient and effective learning.
  • Ensures that educational programs meets with all compliance, regulatory and contractual requirements.
  • Conducts ongoing audit review programs, develops tools to assess current outcomes and trends along with Directors, Managers and Supervisors.
  • Develops educational interventions to maintain contractually mandated standards of care as it applies to existing and future Policies, Workflows, and Systems functions.
  • Responsible for after-action items as outcome of Quarterly State Audit Reviews, Annual MERCER Review and NCQA Review.
  • Develops ongoing educational programs.

Job Type: Contract

Pay: From $30.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift

Work setting:

  • Remote

Education:

  • Bachelor’s (Required)

Experience:

  • Case management: 1 year (Required)
  • Utilization management: 1 year (Required)
  • Skilled nursing facility: 1 year (Required)
  • Medicaid: 1 year (Required)
  • Outbound calling: 1 year (Required)

License/Certification:

  • Clinical Social Worker (Preferred)
  • RN License (Required)

Location:

  • Wilmington, DE (Required)

Work Location: Remote

Thanks for visiting!

The Remote Nurse is a large online community and Job Board specializing in Remote Clinical Jobs for Nurses, Nurse Practitioners, and Physician Assistants.

Follow us!