Overview:
A Clinical Nurse Lead oversees the development, implementation and management of a health benefit program. They provide leadership in managing cases, events and diseases.
Key Responsibilities:
- Coordinate caseload patient's care throughout the continuum of care
- Develop programs to reduce financial and health risks for high-risk individuals
- Monitor and evaluate the effects of case management on patient populations
- Prepare cost analysis reports to determine claim/cost data and utilization rates
- Make recommendations based on data analysis for benefit structure and pharmacy formulary
Requirements:
- Associate's Degree in Nursing
- 3 to 5 years of experience
- RN License in state of employment or compact
- BLS
Work Type: Full Time