- Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs
- Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts
- Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations
- Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve
- 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 resource and liaison on utilization, quality improvement and case management activities
- Performs other duties as assigned
- Complies with all policies and standards
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clinical liaison
3 weeks ago
Ascend Healthcare Management Little Rock, AR, USA, United StatesAscend Healthcare Management - The Clinical Liaison will be responsilbe for building relationships with hospitals, physicians and other referral sources in their territory. The Clinical Liaison will assess patients and communicate to respective facilities on referrals. Being a te ...
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Clinical Community Liaison
3 weeks ago
Res-Care, Inc. Little Rock, United StatesOur Company · Hospice Home Care · Overview · Responsible for managing all aspects of organization marketing including managing the members of the marketing team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer reque ...
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clinical community liaison
3 weeks ago
BrightSpring Health Services LITTLE ROCK, United StatesHospice Home Care · Responsible for managing all aspects of organization marketing including managing the members of the marketing team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and neg ...
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PRN Clinical Liaison
2 weeks ago
LifePoint Hospitals Benton, AR, United States· Facility Name: Saline Memorial · Setting: Inaptient Acute Rehab · FTE: PRN · City/State: Benton, AR · Lifepoint Rehabilitation is a leading provider of acute inpatient rehabilitation services with more than 300 hospital-based rehabilitation units, medical/surgical and outpatie ...
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prn clinical liaison
2 weeks ago
RehabCare Tull, AR , USA, United StatesFacility Name: Saline Memorial · Setting: Inaptient Acute Rehab · FTE: PRN · City/State: Benton, AR · Lifepoint Rehabilitation is a leading provider of acute inpatient rehabilitation services with more than 300 hospital-based rehabilitation units, medical/surgical and outpatient ...
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Clinical Informatics
1 day ago
Southern Tennessee Regional Health System - Pulaski Pulaski, United States Full timeThe Clinical Informatics Specialist (CIS) is a member of the Information Technology Team. He/She reports to the Director of Information Services and works collaboratively with the Chief Nursing officer and the Nursing Administrative Team. The CIS is responsible for operations rel ...
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RN House Supervisor
3 days ago
Southern Tennessee Regional Health System - Pulaski Pulaski, United States Full timeThe Registered Nurse (House Supervisor) is a member of the Nursing Administrative Team. He/She reports to the House Supervisor Director. The House Supervisor is responsible for the coordination of clinical nurse staffing in the absence of the unit director. The house supervisor w ...
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TAH RN House Supervisor
2 weeks ago
Southern Tennessee Regional Health System - Pulaski Pulaski, United States Full timeThe Registered Nurse (House Supervisor) is a member of the Nursing Administrative Team. He/She reports to the House Supervisor Director. The House Supervisor is responsible for the coordination of clinical nurse staffing in the absence of the unit director. The house supervisor w ...
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Medical Science Liasion
1 week ago
Accordance Search Group Little Rock, United StatesThe Medical Science Liaison (MSL) position serves as the primary field-based scientific expert. The MSL will establish and maintain scientific and clinical relationships with medical professionals, researchers, and other members of the scientific community in the therapeutic area ...
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Travel Nurse RN
1 week ago
MedPro Healthcare Staffing Little Rock, AR, United StatesMedPro Healthcare Staffing is seeking a travel nurse RN Pediatrics for a travel nursing job in Little Rock, Arkansas. · Job Description & Requirements · Specialty: Pediatrics · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 ho ...
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Respiratory Sales Representative
2 weeks ago
Viemed Healthcare Inc. Little Rock, United StatesVieMed Healthcare is the largest independent specialized provider of non-invasive ventilation (NIV) in the US home respiratory health care industry. We specialize in treating the most challenging respiratory patients inside the home by pairing the best-in-class technology & equip ...
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Hospice Registered Nurse On Call
4 days ago
Gentiva Hospice Little Rock, United States Full timeOur Company: Gentiva Hospice is a member of the Gentiva family – an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so th ...
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Licensed Practical Nurse or Medical Assistant
2 weeks ago
ARKANSAS HEART HOSPITAL LLC Little Rock, AR, United StatesJob Details · Job Location · Arkansas Heart Hospital Main Clinic - Little Rock, AR · Description · Position Summary · This position is responsible for assisting clinical team members by performing a variety of duties for patients within the scope of practice of an LPN or Medical ...
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Inventory Tech
4 days ago
CHI Mercy Health Little Rock, United StatesRestock supplies and rotate inventory, ensuring accurate inventory levels. Distribute supplies and equipment to patient care areas throughout the hospital. Watch for expirations and slow moving inventory. Act as a liaison between clinical staff and s Inventory, Tech, Healthcare · ...
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Research Assistant Clinical
1 week ago
Arkansas Children's Little Rock, United States**Work Shift:** · Please see job description for details. · **Time Type:** · Full time · **Department:** · CC039191 ACRI Research Programs · **Summary:** · The Research Assistant Clinical will support various research studies, including federal and nonfederal funded grants, clini ...
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Research Assistant-Clinical
3 weeks ago
Arkansas Children's Little Rock, United States**Work Shift:** · Please see job description for details. · **Time Type:** · Full time · **Department:** · CC038123 Ou General · **Summary:** · The Research Assistant Clinical will support various research studies, including federal and nonfederal funded grants, clinical trials, ...
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research assistant-clinical
3 weeks ago
Arkansas Children's Hospital Little Rock, AR, United StatesARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY O ...
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Research Assistant Clinical
1 week ago
Arkansas Children's Hospital Little Rock, United StatesARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY O ...
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Supervisor Service Line Marketing
3 weeks ago
Arkansas Children's Hospital Little Rock, AR, United StatesARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY O ...
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triage rn urology
2 weeks ago
CARTI, Inc. Little Rock, AR , USA, United States· JOB SUMMARY: · The Urology RN is a licensed registered professional nurse who is a clinical expert who provides ethical, evidence-based, safe compassionate nursing care. The Urology focuses on patient safety and the quality of nursing care. The Registered Nurse (RN) is account ...
Behavioral Health Clinical Liaison - Little Rock, United States - Centene Corporation
Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams.
Education/Experience: Master's in Social Work / Behavioral health. 5+ years of experience in managed care, utilization management, case management, or quality improvement
License/Certification: LPC, LCSW
For Behavioral Health: LPC, LCSW, LMHC or LMFT
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.