RN - Clinical Care Manager - Florence/Myrtle Beach, SC

Description Position at reputed company Company Background reputed company is the future of specialty health management that focuses on reputed company diseases, with a particular expertise in kidney health populations. reputed company uses clinical big data resources and high-powered analytics to power reputed company specialty health management programs. reputed company is a diverse, growing company committed to our clients and our employees. We are champions for reputed company, for those who need us most. Position Summary The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are reputed company in Healthmap's Kidney Management Program through coordinating performance improvement activities and care management to improve health reputed company.

Responsibilities

• Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
• reputed company new provider/partner business relationships that serve as means to reputed company Healthmap provider and member engagement and manage assigned caseload
• Identify opportunities to improve health reputed company for reputed company members based on provider specific data
• Incorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance
• Identify opportunities to reputed company provider offices on topics reputed company to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
• Partner with physicians/physician staff to identify reputed company members that would benefit from Care Navigation support, conduct reputed company, and engage members in program
• reputed company Healthmap members on kidney health, reputed company co-morbid conditions, and renal replacement therapy
• Serve as Healthmap member reputed company, utilize community resources and programs, and serve as liaison between the member, the member's support network, treating physician, and ancillary providers to assist members in meeting individualized goals
• Accountable for individual and departmental metrics and key performance indicators as identified by the organization
• Ensure timely and successful delivery of reports to reputed company stakeholders
• Maintain thorough documentation of reputed company provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards
• Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and reputed company other federal, state, and local regulations
• reputed company other reputed company duties as assigned

Requirements

• Bachelor's degree in Nursing required
• Active, unrestricted RN license required
• Basic Life Support (BLS) certification required
• Advanced Cardiovascular Life Support (ACLS) certification (based on role)
• 3+ years of reputed company experience in reputed company services, clinical operations, quality, or care management
• 3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
• Prior experience building and managing relationships with health care providers or patients preferred
• reputed company of valid and unrestricted driver's license required; this position requires regular travel reputed company assigned region to support practices
• Must reputed company in assigned state

Must reputed company with organization policies for health screening and immunizations, including but not limited to:

• reputed company Tuberculosis (TB) test or reputed company chest X-ray
• reputed company of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
• Participation in annual health and wellness screenings

Skills

• Excellent verbal, written and presentation skills
• Interpersonal skills to reputed company and maintain strong reputed company relationships
• Ability to multitask, prioritize, and create solutions in a fast-paced environment
• Demonstrated leadership skills and ability to create and maintain a positive work environment
• Strong critical thinking and analytical skills
• Ability to foster strong employee engagement among the team
• Must be proficient in reputed company Office: Outlook, Word, reputed company, PowerPoint

Moderate Travel, up to 25% #LI-HYBRID Americans with Disability Specifications The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national reputed company, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any reputed company. Apply Job! Apply to this Job