Pre-Service Care Coordinator - EviCore - Work at Home

The Registered Nurse responsibilities include but not limited to:


* Perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services including but not limited to Home Health, DME, Care Coordination/Care management.


* Ensure the member is receiving all services or equipment as ordered by the physician.


* Assist with the coordination between providers and members.


* Hours: Monday - Friday; 8:00-5:00 pm, Central Standard Time.


* Position is telephonic and remote


* Weekend, On-Call, and Holiday rotations.

Minimum Education, Licensure and Professional Certification Requirements:


* Current unrestricted Registered Nurse licensure.


* Associate degree or Bachelor Degree in Nursing


* Multistate license preferred

Minimum Experience Required:


* 2+ years of clinical experience


* 2 + years experience in utilization management preferred.


* Home health, SNF, and/or rehab experience desired


* Medicare/Medicaid managed care programs preferred


* Position is remote


* Position is full-time during core business hours with the ability to work any shift between 7 am and 7 pm CST, plus mandatory on-call responsibility after business hours equivalent to approximately two weekends per year.

May require weekend rotation.


* Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing.


* Ability to perform dependable and reliable work schedule is essential ••

Required Skills:


* Time-management : Ability to effectively manage one's time and resources to ensure that work is completed efficiently Excellent organizational skills


* Communication : Ability to provide clear verbal and written information via in-person, email, and phone to customers, co-workers, and leadership


* Critical-Thinking/Decision-making : Ability to choose a course of action or develop appropriate solutions by identifying and understanding issues, problems, and opportunities


* Autonomy : Ability to work independently with little to no supervision


* Proficient in computer literacy skills with the ability to use and troubleshoot Microsoft Word, Excel, Outlook, and PowerPoint with the ability to type 30 wpm preferred


* Experience using videoconferencing systems such as WebEx

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 27 - 41 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

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