Clinical Operations Nurse

The Clinical Operations Nurse will complete telephonic patient evaluations and assessments for payer programs, cultivating professional relationships with clients, patients, and stakeholders. Responsibilities include conducting assessments to identify care needs and coordinate resources, educating providers and members on program expectations, and advocating for patient needs. The role involves collaborating with case managers, physicians, and medical directors for seamless care transitions, maintaining accurate documentation, staying current on healthcare regulations, and participating in team meetings for continuous improvement.