KECH Inc. · 2 days ago
Remote Disease Condition Manager, RN
United States
Full-time
Remote
Mid Level
$45/hr - $51/hr
3+ years exp
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No H1B
Security Clearance Required
Insider Connection @KECH Inc.
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Responsibilities
Assess beneficiaries to identify medical, physical, and psychosocial needs to support the beneficiaries’ overall goals of care.
Ensure and evaluate clinical appropriateness of care plan by incorporating assessment findings against evidence-based guidelines, clinical reasoning and clinical practice guidelines.
Provide education and coaching specific to the beneficiary needs to prevent to prevent exacerbations or worsening chronic conditions.
Manage activities necessary to ensure appropriate utilization and access to resources while maintaining optimal standards of care.
Review, identify and assist with identification and facilitation of resources related to health disparities identified through SDOH assessment.
Participates in the development of measurable outcomes, ensures measure are in place to monitor the impact of programs and services on the health status of beneficiaries being managed.
Facilitate transfer of beneficiary between the different regions and within the regions by collaborating with the military liaison to support the transition with minimal disruption.
Adhere to URAC standards, TRICARE policy, contractual requirements, and nationally recognized practice standards.
Regular and reliable attendance. Must be flexible to work an 8-hour shift between 9 AM ET and 12 AM ET Monday through Friday, and available for occasional OT.
Qualification
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Required
Current, unrestricted Registered Nurse licensure to independently work within scope of practice within state of residence.
The ability to obtain multi-state licensure if a resident in a NCL state.
Three (3) or more years of clinical experience.
Experience in case management, care coordination or discharge planning in an acute, ambulatory or specialty disease management program settings in a healthcare system or managed care organization (MCO).
Proficiency in Microsoft Office Suite.
Exceptional oral and written communication skills, and strong organizational skills.
Candidates must pass an extensive background check and credit check to begin work.
Candidates must be eligible to obtain a government security clearance and cannot be delinquent on any Federal debt.
Preferred
Disease Management experience with a managed care organization (MCO).
Bachelor’s degree in related health field.
Knowledge of government healthcare programs, TRICARE, and Medicare/Medicaid.
Benefits
VACATION: 80 hours
HOLIDAYS: 6 + 1 floating holiday: New Year's Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, and Christmas Day.
Full medical, dental, vision, and life benefits available.
EAP program
401k with matching
AD&D insurance
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance
Company
KECH Inc.
At KECH, our objective is to bring expertise, innovation, and improved productivity into every facet of a successful contact center and service desk operation.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Chris Carpenter
Founder, and CEO
Company data provided by crunchbase
