STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Customer/1 Programmer Analyst for a contract opportunity with one of our largest clients located in St. Louis, MO / REMOTE!

Title: Customer/1 Programmer Analyst
Location: Fully Remote
Duration: 18+ Months
Role Type: W2 Contract Engagement

Role Summary

Customer/1 CIS Domain Knowledgeable expertise to design, code, test and implement modifications to the CIS Customer/1 System to support multiple project implementations and maintenance of the Customer/1 application:

• Update/Create Technical & Detail Functional Designs and Architecture Specifications for new programs and/or changes to existing programs.
• Provide Customer/1 CIS Domain Knowledgeable resource to design and/or code modifications to the CIS Customer/1 System.
• Identify any impacts to related C/1 interfaces.
• Perform Unit, System and/or Integration testing on the developed code and document and fix defects.
• Perform knowledge transfer sessions when appropriate.

Requirements:

CSS Customer Support resource with more than 5 years of experience in at least 10 of the following CUSTOMER/1 application disciplines:

• Billing
• Bill Print
• Bill Presentment
• Billing WFMS
• Budget Billing
• Cancel/Rebill
• Deregulation
• EDI (810’s,867’s and 820’s)
• Prebill
• Estimations
• Gas Transport Billing
• Net Metering
• Interval Billing
• Lighting
• Bill Determinants
• Tariff Modeling
• Summary Billing

*Beware of scams. S3 never asks for money during its onboarding process

Title: RN Case Manager – Compact License
Duration: Contract (long term)
Location(s): Remote (Compact States)

*100% remote – must reside in a state that is part of the Nurse Compact (multi-state-licensure)*

• Must have diverse case management experience; hospice, hospital, home care, medical (acute care, ER, ICU, Med-surg, etc.).
• Case management experience
• Must have multi state compact license

ROLE SUMMARY

The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the online messaging platform. The Care Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum. They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally.
• Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members’ health across the care continuum.
• Assess the member’s health, psychosocial needs, cultural preferences, and support systems.
• Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes.
• Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).
• Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
• Advocate for members and promote self-advocacy.
• Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
• Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
• Accurately document interactions that support management of the member.
• Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
• Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
• Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
• Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.

EDUCATION AND EXPERIENCE

• Nursing Diploma or Associate’s degree in nursing required.
• Bachelor’s degree in nursing strongly preferred.
• 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
• 1 year of case management experience in a managed care setting strongly preferred.
• Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

• Current, active, and unrestricted Registered Nurse license required (Compact License)
• Certification in Case Management (CCM) required or to be obtained within 18 months of hire
• Certification in Chronic Care Professional (CCP) preferred

*Beware of scams. S3 never asks for money during its onboarding process