Registered Nurse Clinical Advocate

Job Summary

A company is looking for a Benefits Clinical Nurse Advocate.

Key Responsibilities

• Review health plan data to develop clinical findings and future spend projections
• Coordinate clinical care with health insurance carriers and develop health risk management plans
• Assist members with healthcare access, provider appointments, and appealing care denials

Required Qualifications

• Must be a Registered Nurse
• Certified Case Manager is a plus
• At least 5 years of clinical experience, preferably with an insurance or Managed Care Company
• Proficiency in Microsoft Office applications
• Comfortable using data analytics platforms to identify care gaps and risks