Clinical Operations Nurse

WellSky (formerly Mediware and Kinnser Software) delivers software and services to transform an ever-growing range of care services worldwide. We anticipate the needs of care providers and communities, empowering them with insights and solutions, so both businesses and communities flourish. Building on a history of excellence and a reputation for quality, WellSky enables providers to deliver exceptional care, improve operational efficiency, reduce cost, and meet the challenges of their rapidly changing industries.

The Clinical Operations Nurse is responsible for completing telephonic patient evaluations and assessments for WellSky's various payer programs. This position must be located in New York or Oklahoma. We invite you to apply today and join us in shaping the future of healthcare!

Cultivate and maintain professional relationships with clients, patients, and stakeholders by providing sensitive and respectful care in line with diversity standards and human dignity. Conduct assessments with patients and providers to identify most appropriate level of care setting, identify potential gaps in care, and coordinate with stakeholders to provide resources to promote best possible outcomes and reduce readmissions. Coordinate and educate program expectations with providers, payers, and members to ensure appropriate referrals and optimized clinical outcomes. Advocate for patient needs through effective communication and service coordination and promote patient self-management and wellness by empowering patients and families to make informed choices and build supportive care systems. Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions. Maintain accurate documentation, stay current on healthcare regulations and practices, and participate in team meetings and orientation activities to promote collaboration and continuous improvement. Perform other job duties as assigned.