Skip Navigation

Clinical Nurse Liaison

Carolina Complete Health Charlotte, North Carolina

As a member of the Centene Medical Management/Health Services team, you’ll help innovate and execute strategies that redefine the industry standard for improving the lives and health of people. We’re a team of skilled physicians, nurses, pharmacists, social workers and health service experts who use our advanced clinical analytics to implement award winning programs, develop care, deliver partnerships, and work directly with our members to achieve outcomes that set us apart as industry leaders. Together, we’re transforming the health of communities, one person at a time.

Back to Job Navigation (Overview)

What does it take?

What are the qualities that will help you achieve success in this role at Centene?

Success Profile

  • Detail-oriented
  • Trustworthy
  • Personable
  • Quick-thinking
  • Multi-tasker
  • Good listener

Back to Job Navigation (Success)

Our Medical Roles

Clinical & Nursing Opportunities at Centene

Our Clinical team is at the forefront of our purpose-driven work. Learn more about how you can help transform the health of our communities, one person at a time.

Overall Medical Management

A member of the Centene Medical Management team, we innovate and execute strategies that redefine the industry standard for improving the lives and health of people.

Concurrent Review Nurse

To ensure our members get the best quality of care, you’ll assess acute member health conditions, treatment and intervention options, and match them with providers, community and health plan resources.

Prior Authorization Nurse

You’ll ensure our members get the best quality services, assistive devices, and equipment to promote optimal health and independence in the community and help promote health and independence.

Care Manager

Working directly with members, interdisciplinary care team, providers and data analytics, you’ll identify member health risks and conditions and intervention and service options.

LTSS Program Specialist/Program Specialist Field Based

Working directly with our most vulnerable members, you’ll identify individual member health risks and opportunities to enhance independence, quality of life and community engagement.

Referral Specialist

You’ll use our data systems to directly assist providers, requesting services and treatments for our members.

Medical Director

To help support the individual needs of members and develop programs that address issues, you’ll review population health data, help design clinical programs, and develop care delivery partnerships.

Back to Job Navigation (Our Medical Roles)

Responsibilities

Job ID 1152887

Category Clinical & Nursing
Schedule Full-time
Description:
Position Purpose: 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
  • 50% travel required
  • Qualifications:

    For North Carolina only: Must reside in North Carolina
    Education/Experience: 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.

     

    For North Carolina only: Must reside in North Carolina.



    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Apply Now

    Check out this location

    See what's near our Charlotte location.

    View Map

    Back to Job Navigation (Map)

    Quote

    “Centene is an exciting company to work for, the pace at which we’re growing allows numerous advancement opportunities. Also, we foster an environment that supports and offers numerous leadership growth opportunities.”

    - Esmeralda Baig, SVP Operations, Complex Care Products

    “I assisted with one of the Provider fairs in the community. Seeing how much we care for our community and our patients was very eye opening.”

    - Julie Boulch, Director, Business Implementation Health Plan Initiatives

    Back to Job Navigation (Testimonials)

    Our Awards

    Centene is consistently recognized for how well we treat our members, our people, and the communities we serve.

    Honored to be Honored

    Back to Job Navigation (Our Awards)

    Our Hiring Process

    Learn more about our hiring process and discover other helpful information for applicants.

    Learn More
    “Flexibility is key. Centene is a company of change.”

    Ashley Collier

    Started as a Referral Specialist, now a Project Manager IV

    See Ashley's career path

    Sign up for Job Alerts

    Join our Talent Network and get Centene news and job alerts delivered to your inbox.

    Areas of InterestSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Clinical & Nursing, Charlotte, North Carolina, United StatesRemove

    Back to Job Navigation (Job Alerts)

    Match Your Skills

    Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile.

    Start Matching