Job Description:

• Mon-Thurs- 8:30AM-8PM(employee would work two evening shifts per week (still an 8 hour day) Friday, 8:30am-5pm.
• Contract position only will be required to train onsite, then can move to remote.
• Additional skill set: Prefer LPN – long term care, med-surg, care management, disease management, home health background strongly preferred. Need very strong computer and telephone skills to succeed.

Responsibilities:

• Assists with implementation of health management activities/programs
• Assists with implementation of health management activities/programs for membership. Coordinates all aspects of assigned programs. Facilitates program to participants and focuses emphasis on high-risk members. Follows/updates established procedures. Conducts research and analysis of reports (monthly, quarterly, annually).
• Assists with the development of strategies to increase effectiveness of and participation in health management programs. Establishes/maintains effective communications with provider network, group, representatives, and members.
• Provides health coaching telephonically or in person for assigned health programs. Utilizes all data systems containing patient information and documents information appropriately.
• Assists with the identification of areas for which there is a need for health management programs. Monitors quality indicators and develops programs to positively impact areas where improvement is warranted. Develops patient/provider educational materials for members/providers.

Experience:

• 1 year clinical in defined specialty and/or facilitating health education and prevention programs; OR, 2 years experience in Health Administration, or health-related field.

Skills:

• Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service and organizational skills.
• Demonstrated proficiency in spelling, punctuation, and grammar skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills.
• Ability to handle confidential or sensitive information with discretion.
• Required Software and Tools: Microsoft Office. Preferred Skills and Abilities: Understanding of HMO operations/benefit programs, how it relates to health management coverage. Knowledge of the quality improvement process.
• Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Work Environment: Typical office environment.

Education:

• Graduate of an approved LPN program and 2 years experience in maternity management healthcare environment. OR graduate of an approved LPN program and 2 years experience in diabetes management healthcare environment.

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity,

national origin, disability, or status as a protected veteran.

Recruiter' detail:

Name: Pragya Singh

Email: dxdbd@qn5es6r.com

Internal Job ID: 25-38147