Clinical Nurse Manager

🔥 21 hours ago

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Carisk Partners

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2011

⚕️ Healthcare Insurance

🤝 B2B

💰 Private equity on 2024-01

Healthcare Insurance • B2B

Carisk Partners is a specialty risk-transfer and care-coordination company focused on managing acute, catastrophic, and complex workers' compensation and behavioral health cases. The firm provides end-to-end services for insurers, government entities, self-insured plan sponsors and other managed care organizations, combining proprietary clinical approaches (Pathways™ 2 Recovery), behavioral health and MBHO services, and technology-enabled solutions such as an intelligent clearinghouse, imaging, payment integrity, and specialty risk-transfer products to improve outcomes and manage costs.

📋 Description

• 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.

🎯 Requirements

• 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).

🏖️ Benefits

• 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!