Site logo

Calibrated Healthcare is looking for experienced PHRN Nurses to join our team … if you are searching for career opportunities, company that has good culture and healthy environment plus a (temporary) work from home arrangement …. then join our team!!!

ESSENTIAL FUNCTIONS

  • Under the general direction of the RN CM, responsible for the execution of care plan interventions for an assigned group of patients.
  • Responsible for accurate and timely completion of the data collection processes for an assigned group of patients.
  • Responsible for providing evidenced-based self-management strategies, health coaching, and health education to the assigned population.
  • Responsible for updating the care plan based on care coordination activities for members open to case management.
  • Conducts ongoing follow-up with the individual, family and/or family caregiver in the evaluation of care coordination activities
  • Responsible for adherence to the policies and procedures for the Contact Center; to include, but not limited to, managing the outbound call queue to collect data for health risk assessments, coordinate care for care gap closures, or specialty referral tracking.
  • Responsible for transition of care outreach, coordination, and information exchange per policies and procedures.
  • Ensures compliance with desktop procedures for appropriate documentation

JOB SKILLS

  • Core Competencies: Ethics and Values, Customer Focus, Action-Oriented, Learning on the Fly, Manage/Measure Work, Drive for Results, Priority Setting, Timely Decision-Making, Organizing, Functional and Technical Skills
  • Demonstrated ability to work together across professions and individuals to improve health outcomes.
  • Computer Proficiency (MS Word, MS Excel, MS Outlook, Video Conferencing)
  • Capacity to interpret evidenced based guidelines (Interqual and/or Milliman criteria sets), health plan/client specific chronic care guidelines, and policies/procedures
  • Knowledge of NCQA, DMHC, and state requirements for case management

REQUIREMENTS

  • Bachelor degree in Nursing
  • Active PHRN License
  • Previous case management, utilization review, CPO working experience, health services experience is an advantageHealth insurance

Job Type: Full-time

Salary: Php25,000.00 – Php40,000.00 per month

Benefits:

  • Health insurance
  • Life insurance

Schedule:

  • 8 hour shift

Experience:

  • CPO Industry: 1 year (Preferred)

Language:

  • English (Required)

License/Certification:

  • PHRN License (Required)
Job Overview
We use cookies to improve your experience on our website. By browsing this website, you agree to our use of cookies.

Sign in

Sign Up

Forgotten Password

Job Quick Search

Share