Clinical Nurse Liaison

Centene • New Orleans, LA

404d • $67,413 - $121,285 • Remote

About The Position

The Clinical Nurse Liaison role at Centene is a hybrid position focused on provider outreach in the Baton Rouge and New Orleans areas. The role involves a combination of field visits and remote work, aimed at driving provider performance improvement in various clinical metrics. The liaison will evaluate provider performance, facilitate training, and collaborate with internal and external teams to enhance quality and satisfaction for providers and members alike.

Requirements

• LPN or LVN license; RN license preferred.
• 4+ years of clinical nursing experience, preferably in a large primary care office or clinic setting working with Medicaid or the uninsured.
• Experience in conflict management or data reporting and evaluation.
• Experience working in managed care, utilization management, case management, or quality improvement preferred.

Responsibilities

• 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.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules including remote, hybrid, field, or office work options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree