LPN Care Coordinator - Remote Job at Spectrum Healthcare Resources, Honolulu, HI

dGVxL3VNWmx0VWhRMDNIMml6S25DT25vNFE9PQ==
  • Spectrum Healthcare Resources
  • Honolulu, HI

Job Description

Posted today

Secret

Unspecified

Unspecified

Honolulu, HI (ON-SITE/OFFICE)

Job Description


Spectrum Healthcare Resources has a potential need for LPN Care Coordinator These will be completely remote positions, working entirely from the Nurse's home. Coordinates transitions of care for TRICARE beneficiaries. Care Coordinators receive inbound calls and make outbound calls to support care coordination needs across the TRICARE West Region. Care Coordinators reports to the Supervisor, Care Coordiantion.



Requirements

  • MUST reside in Hawaii or Alaska ONLY
  • Licensed Practical or Vocational Nurse (LPN/LVN), with current unrestricted license in appropriate state or territory of the United States
  • 2+ years' clinical nursing experience
  • Proficiency in medical data entry, written skills and Microsoft Office
  • Exceptional oral communication skills, strong organizational skills and easily adapts to change
  • Preferred 3 years' clinical experience
  • 2+ years' Managed Care experience
  • Utilizes clinical and analytical skills to identify care coordination needs and facilitate care during any type of transition of care.
  • Communicates with community providers, TRICARE beneficiaries, Military Treatment Facilities (MTF), Veterans, VAMCs and facilities to coordinate care.
  • Ensures authorizations are in place to meet clinical care needs
  • Accurately and completely document coordination activities in the Medical Management System (MMS)
  • Refer cases to other TRICARE programs as indicated
  • Participates in Quality Improvement Projects as indicated in project documents
  • Identifies and reports potential quality or fraudulent cases to Clinical Quality and/or Program Integrity
  • Perform other duties as assigned
  • Regular and reliable attendance is required

Company Overview:


Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.


Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.


EOE/AA/Disability/Vet



Location : Location


US-HI-Honolulu



Recruiter : Full Name: First Last


Alison Johnson



Direct phone number


314-744-4199



Recruiter : Email


Alison_Johnson@spectrumhealth.com

GROUP ID: 10342732

R

Recruiter

APPLY NOW

Job Tags

Work at office, Remote work,

Similar Jobs

V Group Inc.

Lead Java Developer Job at V Group Inc.

 ...~60 months experience developing, implementing and integrating systems related to criminal justice processing at the state or federal level (including but not limited to: disposition processing, fingerprint identification processing, criminal history updating).... 

NX Direct

Junior Account Manager Job at NX Direct

 ...solid business relationships on behalf of some of the most well-respected brands in technology throughout the world. They link a customer's needs with the solutions and products available to them, providing a consultative sales approach that focuses on value and problem... 

Stoneridge at Centerra

Housekeeper/Laundry Aide Job at Stoneridge at Centerra

 ...Employee Assistance Program Our community is looking for a Housekeeper to join our team. Housekeeper Responsibilities:...  ...Responsible for collecting, cleaning and redistributing the community laundry. Responsible for maintaining the commercial laundry in a... 

Pride Health

Fraud Investigator Job at Pride Health

Pride Health is hiring a Special Investigative Unit Investigator for one of its clients in Michigan. This is a 12-week contract with a possible extension, with competitive pay and benefits. This position is remote, but candidates MUST be in Eastern or Central ...

Insight Global

Dispatcher Job at Insight Global

 ...Job Title: Dispatch Agent Location: Cincinnati, OH 45202 Duration: 12-month recurring contract Pay: $20-$22/hr (more for right candidate) Schedule: Onsite M-F 8-5 Required Skills & Experience: 3+ years of level 2 or 3 Help Desk experience Triaging...