Bilingual Telephonic Nurse Case Manager
Alliance Healthcare Solutions - Twinsburg, OH

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Alliance Healthcare Solutions is the premier staffing service for Allied and Nursing Professionals in Northeast Ohio. We are currently recruiting for a top performer in the area of: Bilingual Clinical Nure Coordinator

The Clinical Nurse Care Coordinator is responsible for supporting the clinical functions of the company in accordance with the company's policies and practices. This position will be responsible for performing Comprehensive Medication Reviews (CMR) for members enrolled in the Medication Therapy Management (MTM) program and discussing patient safety and adherence concerns with identified members during the CMR while maintaining the exceptional level of professionalism and customer service standards that Envision has attained within the pharmacy benefit management industry. This position reports to the Pharmacy Manager Clinical Programs and has no direct reports.

*$200 Referral Bonus Offer*

· Fluent understanding of Spanish
· Bachelor’s degree strongly preferred
· Active RN license in good standing, without restrictions in the State of CA, FL or OH
· Minimum 2 to 5 years’ experience in a clinical setting
· A knowledgeable individual with appropriate industry experience, preferably in the healthcare, insurance or PBM industry
· Previous experience in case management/disease management, as well as utilization management
· Telephonic case management experience preferred
· Demonstrated understanding of clinical programs
· Medicare Part D knowledge strongly preferred
· Strong data analysis and presentation skills
· Pharmacy claim analysis experience preferred
· Project management experience preferred
· Ability to exercise considerable judgment, maintain confidentiality, and act in a diplomatic
· manner
· Bilingual in English and Spanish advantageous
· Ability to independently identify, research and resolve issues
· Effective verbal and written communication skills
· A decisive individual who possesses a detail oriented perspective
· Sound technical skills, analytical ability, good judgment, and strong operational focus
· Ability to work with peers in a team effort
· Demonstrated ability to manage multiple priorities and deadlines
· A well-organized and self-directed individual who is able to work with minimal amount of
· Capability to efficiently complete tasks in a fast paced environment
· Ability to work extended hours, weekends, and holidays pursuant with industry demands
· Proficient in Microsoft Office and industry related software programs

Indeed - 8 months ago - save job
About this company
We make our employees a top priority! As an employee, Alliance Healthcare will provide you with the same level of care and dedication that...