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Remote Clinician Specialist (UM), Multiple Locations - Remote Eligible

Develop and implement clinical documentation to improve quality and efficiency in healthcare practices.
Remote
Mid-Level
$67.4k-$121.3k USD per year
1 week ago
Centene

Centene

Transforming the health of the communities we serve, one person at a time

✨ About The Role

- The Clinician Specialist will provide clinical and operational support to the department related to utilization management and case management - Responsibilities include drafting clinical guidelines, monitoring department SOPs, and developing member and provider letters - The role involves researching industry best practices to contribute to the development of guidelines, policies, and procedures - The Clinician Specialist will measure and evaluate department performance, summarize data, and communicate progress to management - Additional duties include collaborating with department trainer and supervisory staff, reviewing regulatory updates, and participating in department projects

⚡ Requirements

- Ideal candidate will have a Master's degree in a related field and 3-5 years of relevant experience - Experience with MCG clinical guidelines is required for this role - Strong organizational skills and ability to develop and implement clinical documentation - Ability to collaborate with internal stakeholders and assist in policy development and modification - Detail-oriented individual with the ability to measure and evaluate effectiveness of workflows and processes
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Remote Clinician Specialist (UM), Multiple Locations - Remote Eligible
Remote
$67.4k-$121.3k USD per year
Remote
About Centene
Transforming the health of the communities we serve, one person at a time