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Clinical Market Director Nurse Practitioner - Partially Remote
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Part-time
Remote
- This organization is a Medicare Advantage Institutional Special Needs Health Plan (ISNP) for long-term nursing home residents.
- The organization operates an integrated health plan care management platform designed to improve clinical outcomes and reduce unnecessary medical interventions for long-term care beneficiaries in skilled nursing facilities (SNFs).
- The Market Director of Clinical Services is a nurse practitioner role reporting to the Regional Vice President.
- The Market Director is responsible for achieving clinical, medical loss ratio, and quality goals and serves as the local market ISNP expert, providing education, support, and coaching of the clinical team.
- The Market Director also serves as the risk manager for the local market plan and, overall, is responsible for the clinical performance of the market, including HEDIS / Stars ratings, admissions per 1k, documentation and coding accuracy, medication therapy management (MTM) review rates, and more.
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