Lead Nurse Case Manager
argenx
Director, Clinical Services
Mercalis
full-time
Posted on:
Origin: • 🇺🇸 United States • North Carolina
Visit company websiteJob Level
Lead
About the role
- Directing, planning, organizing, supervising, and coordinating clinical services across all clinical services teams
- Monitoring compliance and clinical standards; productivity and quality assurance efforts, meeting contractual and internal performance standards
- Serve as a member of the Senior Clinical Team and work collaboratively to ensure all program operations are integrated and functioning as designed
- Liaise with appropriate external entities and internal Mercalis departments
- Create, analyze and present data and reports as relevant to clinical operations
- Directly supervise and lead nurses who lead clinical team members to provide ongoing coaching and mentorship
- Develop, review and update policies, procedures, process improvement, training, and evaluation to support efficient clinic workflows, productivity, quality improvement and customer service
- Contribute to and monitor clinical budget
- Facilitate and support process improvement initiatives that enhance the patient and health care provider experience
- Maintain a thorough understanding of company Standard Operating Procedures (SOPs), process, and policy requirements
- Participate with clinical leadership to establish and maintain clinical competencies for the clinical teams
- Work with clinical training and clinical QAQC to ensure clinical teams are trained and monitored to meet compliance and program expectations
- Initiate and run internal clinical department meetings as needed
- Contribute to the design of clinical programs with the patient’s experience as the leading priority
- Ensure on time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
Requirements
- A minimum of a bachelor’s degree in Nursing (BSN, RN) with a valid registered and active nursing license in one or more states. Master’s degree preferred
- Minimum of 10 years leading teams in healthcare; 2-3 years of clinical healthcare experience
- Recommended 2-3 years of reimbursement/insurance, healthcare billing, physician office or health insurance processing experience
- Must be a motivated to manage priorities while working independently and cross functionally with a high level of professionalism and integrity
- Must be flexible and have the willingness and ability to respond to changing circumstances and expectations readily punctuality and reliability
- Comfortable with collecting, gathering, and analyzing data to effectively problem solve and make decisions
- Display a high level of professionalism, integrity, maturity, and maintain a positive attitude
- Excellent verbal and written communication and interpersonal skills
- Strong planning, time management, attention to detail and organizational skills
- Comfortable interacting and developing positive relationships with all levels of management and various personalities
- Proficient in MS Office
