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Clinical Nurse Liaison

Company: Centene Corporation
Location: Columbia
Posted on: March 27, 2020

Job Description:

Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams Implement and manage procedures for tracking, identifying and problem-solving operational issues Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new products Act as the clinical representative in various meetings Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction Serve as a resource and liaison on utilization, quality improvement, and case management activities Partner with various staff, along with internal and external departments on provider education and outreach Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data, and quality incentive payments Support community and member initiatives with a focus on at risk targets 50% travel required Education/Experience: LPN or LVN license. RN license preferred. 4 years of clinical nursing experience, preferably in a large primary care office or clinic setting working with Medicaid or the uninsured. Experience in conflict management or data reporting and evaluation. Experience working in managed care, utilization management, case management, or quality improvement preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Columbia , Clinical Nurse Liaison, Healthcare , Columbia, South Carolina

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