5 дней назад
Sr. Onsite Clinical Care Navigator (New Bern, NC - CarolinaEast Medical Center)
89 174 - 142 679$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Sr. Onsite Clinical Care Navigator (New Bern, NC - CarolinaEast Medical Center) (Clinical Care/Case Management): Coordinating member care, clinical assessments, utilization reviews, referrals, authorizations, and discharge planning with an accent on multidisciplinary collaboration and individualized care plans. Focus on evaluating medical necessity, addressing physical and behavioral health needs, coordinating community resources, and facilitating safe transitions of care.
Location: Onsite Monday–Friday, 8:00 AM–5:00 PM at CarolinaEast Medical Center in New Bern, North Carolina
Salary: $89,174–$142,679 annually
Company
provides health care coverage and supports care delivery, member health outcomes, and community health programs.
What you will do
- Coordinate care, resources, and services for member populations addressing physical and behavioral health needs.
- Complete comprehensive clinical assessments and develop member-centered treatment, intervention, and discharge plans.
- Perform clinical reviews to assess medical necessity and coordinate services under contractual benefits.
- Collaborate with members, families, providers, physicians, internal partners, and external resources.
- Coordinate equipment, authorizations, referrals, community resources, and funding sources to support safe and effective care transitions.
- Identify barriers to care-plan goals and connect members with appropriate support services.
Requirements
- RN or other applicable clinical licensure required.
- At least 3 years of clinical experience.
- Direct experience and knowledge of case management and utilization management functions and processes.
- Valid US nursing or relevant clinical license required; North Carolina or multistate/compact licensure is required.
- Onsite presence at the assigned facility is required Monday through Friday.
Nice to have
- CCM certification within 12 months of hire.
Culture & Benefits
- Work with a multidisciplinary team focused on health care delivery and community impact.
- Work-life balance, flexibility, and autonomy.
- Medical, dental, and vision coverage with health and wellness programs.
- Parental leave, adoption assistance, and surrogacy assistance.
- Career development programs, tuition reimbursement, paid time off, and a 401(k) match with an annual company contribution.
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