Clinical Nurse Manager

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Carisk Partners

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 2011

⚕️ Assurance santé

🤝 B2B

💰 Private equity en 2024-01

Healthcare Insurance • B2B

Carisk Partners est une entreprise spécialisée dans le transfert de risques et la coordination des soins, axée sur la gestion des cas de compensation des travailleurs aigus, catastrophiques et complexes, ainsi que sur la santé comportementale. La société offre des services de bout en bout pour les assureurs, les entités gouvernementales, les sponsors de régimes auto-assurés et d'autres organisations de soins gérés, combinant des approches cliniques propriétaires (Pathways™ 2 Recovery), des services de santé comportementale et MBHO, ainsi que des solutions technologiques telles qu'une plateforme intelligente, l'imagerie, l'intégrité des paiements et des produits de transfert de risques spécialisés pour améliorer les résultats et gérer les coûts.

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.

🎯 Exigences

• 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).

🏖️ Avantages

• 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!