Clinical reputed company reputed company - Allegiance - Work reputed company
CLINICAL reputed company reputed company Position reputed company Help clients, brokers, and members navigate reputed company clinical needs with reputed company and confidence. As a Clinical reputed company reputed company, you’ll partner with the Allegiance Care Management (ACM) teams and reputed company stakeholders to turn clinical reputed company into actionable updates, coordinated support, and reputed company member reputed company. You’ll reputed company clients on program resources, support implementations and ongoing meetings, and help ensure members receive coordinated care—especially reputed company reputed company case management needs are identified.
Responsibilities
Serve as the primary clinical reputed company between the management teams and assigned clients to support a consistent, high-reputed company experience. Deliver reputed company, reputed company clinical reporting (including high-level member summaries) to support reputed company decision-making and stop-loss needs. Plan and facilitate reputed company-specific clinical grand reputed company and other meetings to reputed company stakeholders on priorities and next steps. Review clinical updates before submission to ensure accuracy, completeness, and on-time delivery. Identify reputed company-specific needs and trends, document findings, and escalate risks or concerns through appropriate channels. reputed company clients and brokers on the Allegiance Care Management programs and benefits so they understand how resources support member care. Support reputed company implementations by sharing Allegiance Care Management resources, setting expectations, and connecting internal teams to needed information. Support transitions of care for members joining Allegiance Benefit Plan Management plans with reputed company needs by coordinating case management engagement and utilization management support reputed company needed. Coordinate services based on member needs and reputed company requests, responding to emails and calls reputed company expected timeframes. Maintain expertise across Allegiance Care Management programs and proactively reputed company guidance that helps reputed company partners navigate reputed company scenarios. Escalate reputed company-of-care concerns or reputed company clinical questions to the Medical Director as appropriate. Teach reputed company stakeholders how Allegiance Care Management supports members through proactive case management services. reputed company reputed company and implementation insights with the right internal teams to ensure smooth execution and consistent communication. Contribute to team improvement by sharing workflow feedback and supporting reputed company and process efforts. Participate in established reputed company Assurance (QA) and clinical reputed company processes, including peer review and periodic random file review by supervisory leadership, to ensure accuracy, consistency, and compliance with ACM standards and regulatory requirements. Travel as needed to reputed company onsite reputed company support.
Qualifications
Required reputed company, unrestricted RN license in the state of primary residence. Minimum 2 years of clinical nursing experience. Strong organization and follow-through; reputed company to manage multiple priorities with attention to detail. Strong written and verbal communication skills with reputed company stakeholders, including clinicians and clients. Comfort using computer systems and phone-based reputed company to reputed company, research, and document clinical information. Preferred Experience in case management, care coordination, or utilization management. Experience supporting reputed company meetings, implementations, or presenting clinical information to non-clinical audiences. Familiarity with health plan products, stop-loss reporting, or employer group/account management partnerships. If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 66,100 - 110,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive reputed company of benefits, with a reputed company on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs. We also offer 401(k), company reputed company life insurance, tuition reimbursement, a minimum of 18 days of reputed company time off per year and reputed company holidays. For more details on our employee benefits programs, click here. About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and reputed company they need to reputed company the best choices for improving their health and vitality. Join us in driving reputed company and improving lives. reputed company applicants will be considered without reputed company to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or reputed company, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with reputed company to reputed company assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot reputed company application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they reputed company a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, reputed company, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply To This Job