Population Health Clinical Consultant, Registered Nurse
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Job Description
Population Health Clinical Consultant Registered Nurse at Capital Blue Cross implementing health strategies. Collaborating with teams to enhance member care and health outcomes through data-driven initiatives.
Responsibilities:
- Implement the population health framework for assigned customers and populations of focus
- Develop and maintain knowledge of current customer contract(s) and performance guarantees
- Maintain up-to-date knowledge of the customer’s specific resources
- Develop and maintain an effective working relationship by meeting regularly with customers
- Serve as a liaison between all parties to the population health initiative assigned
- Refer members to the appropriate programs to meet the member’s needs
- Integrate Triple Aim principals to improve member health outcomes and experience of care
- Identifies and reports quality of care issues in accordance with established departmental policies and procedures
Requirements:
- 5 years of clinical experience
- Registered Nurse with active License
- Certification as CCM or CCP is preferred
- Bachelor’s degree in health care is strongly preferred
- Knowledge of managed care products and processes, preferred
- Knowledge of motivational interviewing and behavioral change models, preferred
Benefits:
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off
- Holidays
- Volunteer time off
- Incentive Plan
- Tuition Reimbursement
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