Job Description

The Clinical Liaison RN, whose role is to assist the VP of clinical operations and network management to further development of the network. Besides adding clinical expertise, this position will assist with the further refinement of the network by assisting to develop the “anchor hospital concept” by adding clinical expertise to the team evaluating gap analysis. Working collaboratively with the VP to fulfill the business and medical management needs and initiatives.  

This position will assist with the optimization and integration of these areas: member services, network management, provider and member relations, marketing, training/development, resource management, as it may relate to the SFV campus. The Clinical Liaison RN will assist with accelerating the process of the “anchor hospital” and other network strengthening opportunities.  

This position must be able understand the managed care, prior authorization and physician relationship building.  In summary, this position will assist the SFV campus/region in the creation of an effective and efficient care delivery system by providing clinical support to the network management team.

Qualifications

• Must hold a BSN or equivalent.
• Minimum of 2 years relevant work experience in a managed care setting, health plan or large medical group administration.
• Knowledge of the prior authorization process.
• Knowledge of contracting principles/tools. (preferred)
• Excellent verbal and written communication skills.
• Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)

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