Clinical Nurse Manager

🕒 2 dias atrás

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Carisk Partners

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2011

⚕️ Seguro de Saúde

🤝 B2B

💰 Private equity em 2024-01

Healthcare Insurance • B2B

A Carisk Partners é uma empresa especializada em transferência de riscos e coordenação de cuidados, focada em gerenciar casos de compensação de trabalhadores agudos, catastróficos e complexos, além de saúde comportamental. A empresa fornece serviços completos para seguradoras, entidades governamentais, patrocinadores de planos auto-segurados e outras organizações de cuidado gerenciado, combinando abordagens clínicas proprietárias (Pathways™ 2 Recovery), serviços de saúde comportamental e MBHO, bem como soluções tecnológicas como um centro de intercâmbio inteligente, imagem, integridade de pagamentos e produtos especializados em transferência de riscos para melhorar os resultados e gerenciar custos.

Descrição

• Overseeing referral assignments made by care coordination assistant, assuring proper caseload distribution. • Tracking of report submission by direct reports to QA and assuring any necessary training needs are addressed with each associate in a timely manner. • Reporting of KPIs to larger clinical leadership team to reflect areas of opportunities and strengths within clinical care coordination team. • Critical clinical analysis of patient case active problems, risks, and barriers. • Monthly 1:1 meeting with direct reports to properly align on how associate is tracking against set departmental goals as well as provision of feedback on associate strengths. • Management and tracking of associate deadlines related to care coordination plan development, report submission, and contract deadlines with associated closure report. • Escalation and tracking of any user system challenges reported within the team. • Collaboration with other members of clinical leadership to proactively identify associate barriers, root cause analysis, and implementation of solution in conjunction with the clinical leadership team.

🎯 Requisitos

• Strong clinical skillset, including diagnostic reasoning. • Strong medical writing, editing, and formatting skills. • Strong knowledge of Case Management Systems and/or Electronic Medical Record Systems. • Strong knowledge of Microsoft Office suite, including Word and Excel. • Attention to detail in written and verbal communications. • Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN). • Experience in Workers’ Compensation 3-5 years minimum, including catastrophic case management. • Management experience in managed care environment (preferred).

🏖️ Benefícios

• 10 Paid Company Holidays • Paid Time Off • Competitive Medical, Dental, and Vision Insurance • Company Sponsored Life Insurance • Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits • 401(k) Retirement Plan with Company Match • ClassPass Wellness Program • Employee Discount Program • Flexible and Hybrid Schedule Options* • Internal Education Programs and Tuition Reimbursement Options • Internal Advancement Opportunities • Company-Wide Diversity and Holiday Celebrations • Best Places to Work Award Recipient 5 years in a row!