Case Management Coordinator II - Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX

Case Management Coordinator II - Blue Cross Blue Shield of IL, MT, NM, OK & TX - Richardson, TX -

This place is chargeable for performing concurrent evaluate in accordance with accepted division standards; performing discharge planning and figuring out alternate remedy packages that present medically vital probably value efficient providers; consulting with physicians, suppliers, members, and different assets, as applicable, to evaluate, plan, facilitate implementation, coordinate, monitor, and consider choices and providers required to satisfy a person’s well being wants, utilizing communication and obtainable assets to advertise high quality, value efficient outcomes; serving as liaison to physicians, and members; serving as preceptor for much less skilled employees.

JOB REQUIREMENTS:

• Register Nurse (RN) with present, legitimate, unrestricted license in state of operations or reciprocity.


• 2 years of medical expertise of direct medical care to the buyer.


• 1 yr expertise in well being insurance/managed care.


• Buyer Service oriented.


• PC proficiency to incorporate Phrase, Excel, Lotus Notes and database expertise.


• Clear and concise verbal and written communication expertise.

PREFERRED JOB REQUIREMENTS:

• three years medical expertise.


• Expertise in Illness Management.


• Expertise in managing complicated or catastrophic instances.


• Working towards CM certification or Superior diploma.


• Information of medical management insurance policies and procedures.


• Bilingual in Spanish/English.

APPLY THIS JOB HERE

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