Clinical Consultant Job Description Template
Our company is looking for a Clinical Consultant to join our team.
Responsibilities:
- Strong organizational and prioritization skills and capability to work across multiple teams;
- Document current in-market operational processes and resources;
- Create and drive Care Partner operational and risk mitigation plans;
- Other duties and responsibilities as assigned;
- Review dashboard metrics (quality, financial, operational) and translate into an applied framework with actionable information;
- Assist in-market team with business operational initiatives to drive efficiency;
- Once problems identified, actively build out current process framework, problems, develop solutions and drive forward execution plan;
- Program management support for Bright Health’s cross functional network keepage prevention strategy and cross functional team;
- Understand the KPIs and how to achieve them within each market;
- Track and help assist with cross-functional dependent work that impacts in-market teams;
- Willingness to think creatively and solve problems;
- Ability to thrive in the excitement and fast paced environment of a rapidly growing organization;
- Continually improve network steerage strategies and best practices through working with key stakeholders;
- Work across functions to manage end to end network keepage activities;
- Work across functions to manage end to end network keepage activities.
Requirements:
- current RN license;
- BSN required; CNN preferred;
- 70 percent travel;
- At least 5 years’ dialysis experience, preferably in all areas (acute, chronic, PD);
- Minimum of Bachelor of Science in nursing or related field, master’s degree preferred from an approved nursing program, active RN license;
- Ability to travel up to 100%
- Ability to adapt to a rapidly changing working environment;
- Certification in Homecare diagnosis coding and/or OASIS preferred;
- Ability to work independently, with minimal direction and oversight as well as part of a team;
- Experience with compliance audits and clinical documentation review. Strong quantitative and analytic skills;
- Excellent leadership, inter-personal, written and presentation skills;
- Working knowledge of CMS home health and hospice regulations, including conditions of participation and reimbursement requirements.