About The Position

The Clinical Operations Nurse is responsible for completing telephonic patient evaluations and assessments for WellSky’s various payer programs. The role covers Pacific time zone hours and involves assessing patients, documenting visits, communicating follow-up plans, and coordinating with internal and external stakeholders. The nurse also contributes to program planning, protocol development, performance reporting, and continuous improvement.

Requirements

  • At least 2–4 years of related work experience.
  • Bachelor’s degree or equivalent work experience.
  • Active RN licensure.
  • At least 2 years of experience in emergency departments.
  • Willingness to work additional or irregular hours as needed.
  • Ability to sit and view a computer screen for extended periods.

Nice To Haves

  • Experience in acute, ACO, or post-acute care facility care coordination, discharge planning, social services, disease management, population health, home health, and/or post-acute care facilities.

Responsibilities

  • Conduct telephonic assessments to determine patients’ level of care in accordance with program protocols.
  • Participate in solution and program planning meetings, contributing to the development of protocols, procedures, and policies.
  • Review and analyze patient assessments to identify trends, opportunities, and areas for improvement.
  • Schedule and perform telephonic visits, document assessments, and communicate follow-up plans within established timelines.
  • Collaborate with internal and external stakeholders to ensure timely and accurate patient visits and address scheduling needs.
  • Assist with reporting on program progress, outcomes, and other key performance indicators as required.
  • Perform other job duties as assigned.
  • Work in accordance with applicable security policies and procedures to safeguard company and client information.

Benefits

  • Medical and prescription drug benefits
  • Dental benefits
  • Vision benefits
  • Mental health support through EAP
  • Paid time off
  • 13 paid holidays
  • 100% vested 401(k) retirement plan
  • Educational assistance up to $2,500 per year
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