The Registered Nurse Clinical Care Manager serves as a liaison between Healthmap, provider practices, and members to improve health outcomes through the Kidney Management Program
Job Summary
The Registered Nurse Clinical Care Manager serves as a liaison between Healthmap, provider practices, and members to improve health outcomes through the Kidney Management Program.
Responsibilities include developing new business relationships, identifying opportunities for performance improvement, and educating providers on chronic kidney disease interventions.
The role requires maintaining thorough documentation compliant with NCQA standards and HIPAA privacy laws while managing a specific caseload.
Matching Summary
The Registered Nurse Clinical Care Manager serves as a liaison between Healthmap, provider practices, and members to improve health outcomes through the Kidney Management Program.
Skills & Requirements
Must-have
Active unrestricted RN license
6+ years of RN experience
3+ years in case management
Valid driver's license required
Regular travel within assigned region
Nice-to-have
Experience building provider relationships
Outpatient or hospital care coordination
Knowledge of HEDIS/STAR measures
Chronic kidney disease expertise
Strong critical thinking skills
Key Requirements
Bachelor's degree required
Current Tuberculosis test or chest X-ray
Proof of immunizations including Hepatitis B and MMR