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Remote Clinical Outreach Coordinator (LPN / RN)

Company: The Execu - Search Group
Location: Newark
Posted on: June 22, 2022

Job Description:

A healthcare services network in New Jersey is currently seeking a new -Licensed Practical Nurse (LPN) and/or licensed Registered Nurse (RN) to join their staff Remotely as their new -Clinical Outreach Coordinator. In this role, the Remote Clinical Outreach Coordinator (LPN / RN) will be responsible for conducting clinical member outreach calls as well as taking inbound calls as it relates to all Quality Outreach Initiatives. - Responsibilities: The Remote Clinical Outreach Coordinator (LPN / RN) -will:

  • Receive -incoming calls from members emanating from quality outreach initiatives, -such as mailings, emails, phone calls, etc.
  • Make -outgoing calls to educate members on the importance of closing gaps in care such as appropriate testing, periodical checkups, immunizations, counseling and provide health education materials
  • Maintain accurate member records from outreaches, such as incoming calls, successful outreaches, member issues, and member roadblocks
  • Act as a liaison with providers, members and outside community resources by assisting with scheduling an appointment, warm transfers to member services, etc.
  • Assure understanding level of each member by providing clear and complete information in accordance with company guidelines
  • Administer Rewards and Incentive programs for both Medicaid and Medicare members by sending out rewards, confirm member demographics, and educate members in regards to the R&I Program
  • Refer members to a Clinical Quality Nurses, as necessary
  • Perform other duties, as needed Qualifications:
    • 2+ years of Clinical experience
    • Associate's and/or Bachelor's in Nursing and/or a Health-related field
    • Active NJS Licensed Practical Nurse (LPN) and/or licensed Registered Nurse (RN)
    • Knowledge of Chronic Disease Management.
    • Computer savvy
    • Microsoft Office Suite proficient (Excel, PowerPoint, Word, etc.)
    • Solid problem solving and time management skills
    • Great interpersonal skills
    • Excellent communication skills (written and verbal)
    • Strong attention to detail
    • Highly organized Desired Skills:
      • 2+ years of experience in Case Management, Community Health, Medicaid, Medicare, and/or Health Insurance environment
      • Knowledge of the Managed Care or Health Insurance Industry
      • Knowledge of the standards of practice for Care Managers, Coordination of Services, and Delivery of Services

Keywords: The Execu - Search Group, Newark , Remote Clinical Outreach Coordinator (LPN / RN), Healthcare , Newark, New Jersey

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