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Care Coordinator-RN (Telecommuting)

 

Taking Care of Our Nation’s Veterans.

 

It’s Who We Are. It’s What We Do.

 

Do you have a passion for serving those who served?

 

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

 

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

We offer remote work opportunities (AK, AZ, HI, ID, NV, NM, OR, TX, UT, VA, WA and WY only).

Are you our next Care Coordinator RN? 

Coordinates care between VA and community providers for Veterans being evaluated for transplant and monitors case while on the wait list. Calls Veterans for Quality improvement projects, while assessing potential Case Management needs. Reviews BH clinical documentation, using specific clinical criteria to determine potential High Risk cases. Contacts Veterans with recent oncology authorizations, to determine if they need any assistance with their diagnosis. Uses clinical judgement to make a determination as to whether to request the Veteran be referred to Case Management

**Veterans, Reservists, Guardsmen, and military family members are encouraged to apply**

TriWest Care Coordinator-RN: 

·        Utilizes clinical and analytical skills to identify and refer cases to Case Management

·        Communicates with providers, Veterans, VAMCs and facilities to coordinate care for Veterans identified for transplant 

·        Conducts post service calls to Veterans who have been transplanted

·        Conducts complex authorizations for Veterans requiring transplant

·        Supports the BH team with clinical chart reviews to identify Veterans that require early appointing

·        Participates in Clinical Quality improvement projects

·        Participates in team knowledge presentations

·        Identifies and reports potential quality or fraudulent cases to Internal Audit & Corporate Compliance department or Clinical Quality Management for review

·        Participates in focus group studies as requested, including the development and implementation steps

·        Supports other regional hubs as needed

·        Perform other duties as assigned

·        Regular and reliable attendance is required

Are you qualified? 

Required:

·        Registered Nurse, with current unrestricted license in appropriate state or territory of the United States.

·        2+ years’ experience in clinical nursing experience

·        Proficiency in medical data entry, written skills and Microsoft Word

·        Exceptional oral communication skills, strong organizational skills and easily adapts to change

Preferred:

·        3 years clinical experience

·        2+ years Managed Care experience

More about working at TriWest Healthcare Alliance 

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

  • Medical, dental and vision coverage
  • Generous paid time off
  • 401(k) Retirement Savings Plan (with matching)
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
  • Education Reimbursement
  • Paid Volunteer Time

TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.

Are you ready to make a difference in the lives of our nation’s heroes? 

Government
Healthcare
Permanent
Mid-Career
No
Remote

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