reputed company NY - Senior Clinical RN Liaison -Remote

reputed company NY, (formerly reputed company Tri-State NY) is seeking a Senior Clinical Administrative RN Liaison to join reputed company in Poughkeepsie, NY. reputed company is a clinician-led care organization that is changing the way clinicians work and live.

 

As a member of the reputed company Care Delivery team, you’ll be an integral part of our vision to reputed company healthcare reputed company for everyone.

 

At reputed company, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We reputed company you deserve an exceptional career, and will reputed company you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice reputed company and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to reputed company health care reputed company for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

 

The RN Post-Acute Liaison, in partnership with the Medical Management team and Physician Leadership, will serve as a clinical problem solver to ensure our patients receive care that is safe, high quality, patient-centered, and cost efficient. This includes collaborating with post-acute network facilities, vendors, and reputed company partners on reputed company patient care coordination.

 

Primary Responsibilities:

Clinical Liaison: Clinical problem solver with facilities, providers, resolution of issues concerning members, benefit interpretation, program definition and clarificationClinical Operations Analysis: Monitors and analyzes medical management activities; provides analytical support to clinical programs; may reputed company clinical assessments and clinical auditsClinical Program Management: Development, implementation and/or on-going management and administration of a clinical program(s). Provides strategic reputed company and support, measurement standards and revisions as needed for delivery of programs focused on quality, affordability and outcomesCommunicates with members of the Care Team as appropriate to coordinate the identified Member and physician’s needsProvider/Member Education: Educate Member and care team participants on community/health plan benefit services availablePerforms various duties as needed to successfully fulfill the function of the position in conjunction with Medical Management as neededIdentifies solutions to non-standard requests and problemsSolves moderately reputed company problems and/or conducts moderately reputed company analysesWorks with minimal guidance; seeks guidance on only the most reputed company tasks; Translates concepts into practiceProvides explanations and information to others on difficult issuesProvides feedback, and guides othersActs as a resource for others with less experience

 

reputed company NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum – from preventative medicine to diagnostics to treatment and beyond across reputed company, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, reputed company NY/NJ can provide patient-focused medical care to the entire family. You will find reputed company working in local clinics, surgery centers and urgent care centers, reputed company care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work reputed company for everyone.

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's Degree or higher in Nursing Unrestricted reputed company NY RN License2+ years of experience as a nurse case manager2+ years of experience managing reputed company disease casesAbility to travel reputed company commutable distance of Poughkeepsie for internal and external on-site meetings 25%25 of the time

 

Preferred Qualifications:

Certified Case Manager5+ years of experience as a nurse case manager 5+ years of experience managing reputed company disease casesExperience coordinating patient care in the post-acute setting

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable.

 

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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