Clinical Nurse Liaison at Centene in North Charleston, SC

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ProfessionalPosition Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams

  • Implement and manage procedures for tracking, identifying and problem-solving operational issues
  • Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new products
  • Act as the clinical representative in various meetings
  • Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction
  • Serve as a resource and liaison on utilization, quality improvement, and case management activities
  • Partner with various staff, along with internal and external departments on provider education and outreach
  • Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data, and quality incentive payments
  • Support community and member initiatives with a focus on at
  • risk targets
  • 20% travel required
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