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

WkRpTWxiOG1oTnJzZER2bENudE1CaXpWaEE9PQ==
  • Spectrum Healthcare Resources
  • Honolulu, HI

Job Description

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

Job Tags

Work at office, Work from home,

Similar Jobs

LaSalle Network

Copywriter Job at LaSalle Network

Our client is seeking atalented Copywriter to create clear, engaging content that brings the brand to life across digital campaigns, product marketing, and thought leadership. This role partners closely with designers, marketers, and product teams to deliver compelling...

LaSante Health Center

Social Media Coordinator Job at LaSante Health Center

 ...LaSante Health Center is seeking a creative and tech-savvy Social Media Coordinator to enhance our digital presence and engage our community. Open to part-time or remote/in-person hybrid schedule. Responsibilities: Manage and create content for social media platforms... 

Bill Seidle's Nissan

Receptionist Job at Bill Seidle's Nissan

 ...coming calls and direct them to the correct personnelor department, and to assist management with administrative duties. No previous experience required. Training will be provided. Part-Time or Full-Time. Bi-lingual English and Spanish preferred. Our dealership is on the... 

TalentOla

Pega Developer Job at TalentOla

Pega Developer Location: Tampa, FL (Onsite-5 Days) Experience: 8+ Years Mandate: Certified Pega Developer (PRPC 8.X) 3 Years banking client 4 years US experience Job Description: We are seeking an experienced Pega Developer...

Wyndy

Part-Time Babysitter for Two Children Job at Wyndy

We are a family newly moved to the Rice Military area in Houston, TX, seeking a reliable part-time sitter for our daughters, ages 9 and 4, both of whom speak Turkish and English. The position involves school pickups, occasional activity transportation, homework assistance...