Managed Care Liaison

Position Type Part time
Hours Per Week 24
Education Level Associate or Bachelors Degree in Nursing
Years Of Experience 2-3
Position Status Now Hiring!
Location Attleboro Massachusetts

Job Responsibilities

Position involves establishing and maintaining a working relationship with insurance case managers to assure authorization for client care. This position interacts closely with clinical supervisory and visiting staff to meet this goal or accomplish this process.

Job Requirements

• Establishes and maintains working relationships with case managers
• Assesses visiting staff clinical data to assure appropriate timely authorizations
• Attends team meetings as needed to clarify specific client care issues
• Presents new information to direct supervisor and visiting staff as needed
• Acts as a resource person to visiting staff
• Participates in orientation of new visiting staff members concerning the requirements of
• Managed care organizations and the responsibilities of visiting staff
• Keeps abreast of the latest information on managed care issues
• Holds individual sessions with staff members to provide teaching and guidance related to managed care issues
• Uses initiation to address staff learning needs
• Performs monthly data collection activities
• Positively contributes to all phases of the Quality Assessment Performance Improvement (QAPI) program. Contributions may include; identification of problem areas; recommendations to address problem areas; data collection; attendance at periodic QAPI meetings or participation in performance improvement projects.
• Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks
• Completes work, care and documentation with accuracy and within Agency time frames
• Requires minimal supervision and is self-directed
• Seeks guidance from supervisor as needed

Job Qualifications

• Current Massachusetts RN License
• Knowledge of case management principles
• Good communication skills
• Proven customer service
• Detail oriented
• Home care experience preferred