Remotery

Special Operations Nurse Case Manager

Posted 16 hours ago

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Gather, organize, document, and convey data for primary health assessments and comprehensive medical histories.

• Create time-sensitive treatment plans for specific case-managed patients or populations.

• Conduct patient assessments via telephone adhering to established protocols.

• Prioritize patient care and monitor as well as evaluate progress towards defined goals.

• Deliver coordinated, efficient, and effective healthcare to beneficiaries.

• Supervise discharge-planning initiatives.

• Aid healthcare finders in identifying patient referral requirements.

• Negotiate, draft, finalize, and manage product/service agreements.

• Implement utilization review criteria and report quality or risk management concerns.

• Utilize VA/DOD Clinical Practice Guidelines to standardize care delivery.

• Assess healthcare financial aspects and population health resource considerations.

• Employ research tools to analyze practices, opportunities, and outcomes.

• Manage information systems and technology for communication regarding individual or population health and outcomes.

• Gather, track, trend, and analyze data utilizing computers and software applications.

• Design and deliver computer-generated outcome analyses, educational programs, and project presentations.

• Leverage pharmaceutical knowledge to assess effects, side effects, and complications.

• Adhere to KBR safety, quality assurance, attendance, training, and other organizational requirements.

• Undertake additional assignments and duties as necessary.


⛳️ Requirements

• U.S. Citizenship is mandatory.

• Secret Clearance or Top Secret Clearance, or the capability to obtain a clearance.

• Possess a current, full, active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker in any U.S. State, the District of Columbia, Guam, Puerto Rico, or the U.S. Virgin Islands.

• At least two (2) years of nursing or case management experience is required.

• Certification as a case manager from a recognized certifying organization is necessary, or the candidate must obtain certification within the first year of employment.

• Proven ability to comprehend diagnoses.

• Familiarity with patient education principles and management of complex medical, psychosocial, and financial issues.

• Capability to seek feedback from peers, professional colleagues, clients, and outcomes research.

• Proficient in consulting with healthcare providers and negotiating with external providers.

• May be required to acquire and maintain clinical practice privileges.

• Ensure compliance with credentialing requirements in good standing at a local MTF.

• Excellent oral and written communication skills in English.

• Strong skills in team coordination, facilitation, and communication.

• Knowledge of local, state, and federal laws and regulations, professional codes of ethics, and practice standards.

• Must hold a current Basic Cardiac Life Support (BCLS) certification from the American Heart Association.

• Compliance with safety, health, environmental, quality assurance, attendance, training, and other organizational requirements is essential.

• Previous military experience is preferred.


🏝️ Benefits

• Relocation assistance provided.

• 401K plan with company matching.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Life insurance coverage.

• AD&D insurance coverage.

• Flexible spending account.

• Disability benefits.

• Paid time off.

• Flexible work schedule.

• Professional training and development opportunities.

• Career advancement paths available.

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