The Judge Group is currently seeking CLINICAL CONSULTANT / CASE MANAGEMENT RN for a fantastic healthcare company in UTICA, CA!! This is candidate would be for a permanent placement for one of the nation’s leading healthcare providers!
CLINICAL CONSULTANT / CASE MANAGEMENT RN
This position requires driving participation and AWV utilization from the medical practices that are part of a Health Plan sponsors Network of Providers using Well365 Technology. The position is located in the market where medical practices are located and requires the ability to provide on-site support at practice locations. This job will have the following responsibilities:
Qualifications & Requirements:
Will be responsible for successfully implementing the Well365 Technology application following the standard implementation methodology.
Identify and communicate risks to the project and leadership team to ensure the success of the implementation.
Provide on-site training and support to Practices. Training and support will be face-to-face with clinical and administrative users to ensure adoption and proficient pre-visit, visit and post-visit processes are established that lead to effective use of Well365 Technology.
Assist administrative staff and clinical users on best practices, training, and workflow improvements to increase AWV utilization and member penetration to achieve defined goals and objectives.
Participate in activities to collect and analyze data to help the healthcare network better understand the value proposition, revenue improvement, care coordination, quality metrics, and medical cost savings.
Ensure that all HIPAA Privacy and Security requirements and responsibilities are constantly adhered to.
- A certified Registered Nurse (RN) or other licensed clinician (such as LMSW or a medical technologist) with considerable clinical experience.
Geriatric, Adult Medicine or Family Medicine specialty is a plus.
Proficient with Diagnosis, Billing, and Quality Measures Coding is preferred.
Understanding of Medicare, Medicaid and Health Plan benefit structures.
- Excellent interpersonal skills that include the ability to effectively communicate with physicians, mid-levels and medical office personnel such as Practice and Billing Manager, both verbally and in writing.
- Excellent technical knowledge of computers, software, EMR systems and cell phones.
Electronic Medical Record
Long Term Care
Based on Job Title, Location and Skills
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