Connecticut Licensed Clinical Nurse Navigator

Job Summary

A company is looking for a Clinical Nurse Navigator Medicare Advantage Risk and Care Integration RN Remote in EST.

Key Responsibilities

• Perform RN level review of clinical documentation to validate chronic condition capture and appropriate HCC support
• Ensure closed loop follow up on identified condition screening and care gaps, collaborating with members and care teams
• Support new Medicare Advantage member engagement and facilitate connection to the attributed Care Team

Required Qualifications

• Current, unrestricted Registered Nurse (RN) license in Connecticut (CT), New York (NY), or New Jersey (NJ)
• 5+ years of clinical practice experience
• Reside within the Eastern Standard Time Zone
• Experience working in a provider-based or physician (MD) office setting
• Proficiency with Microsoft Office applications, including Word, Outlook, Excel, and PowerPoint