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RN Medically Fragile Pediatric Liaison

Rego Park, New York Apply Now Job ID 1146577 Category Health Insurance Operations Organization Fidelis Care Schedule Full-time
Description:
Provides training, clinical consultation, and practice transformation support to child and youth serving providers. Responsible for resolving issues for members, such as access to care issues, by liaising between providers, members, and internal departments. Identifies opportunities and implements pilots and programs that improve quality of care.

Provider Training and Consultation
Facilitate resolution of member and provider escalated issues
Member and provider communications
State Required Reporting
Facilitation and/or attendance at stakeholder meetings.

Additional responsibilities include: 
  • Interfaces with NYS systems that serve Medically Fragile children including but not limited to Medical, OPWDD, Child Welfare, Educational and others in order to ensure member and population specific needs are achieved
  • Engages with UM/CM staff, as well as Health Homes and HCBS Providers, specific to access and utilization of services for MFC
Qualifications:
Education/License
  • Associate's Degree required. 
  • RN license required.
Experience:
  • Two years clinical setting/direct patient care experience required

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.
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  • Health Insurance Operations, New York, New York, United StatesRemove

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