Physician Engagement Nurse (LPN or RN)

Location: Queens, NY, United States
Date Posted: 08-24-2017
 
  • Responsible for physician engagement throughout Queens , Brooklyn and Jamaica county of NY  
  • Scheduled 2 to 3 practice visits per day and provide cost comparative reports for primary care and specialist’s providers.
  • Delivered our Care coordination plan value based care initiative to practics.
  • Reviewed physician reports such as: gaps in care, emergency room and hospitalization utilization and use of high cost brand name drugs vs generic medications, encourage value based care via cost containment at site of service and document feedback via clinical transformation tool.
  • Performed data auditing cross walk via multiple excel spreadsheets. (Create formulas, sort, filter, freeze cells, and merge data).
  • Escalated provider complaints to provider relation representatives.
  • Documented and reported suspicious activity via fraud line and prepared corrective action plan reports.
  • Formulated effective care plans that would result in positive clinical outcomes as well as researched and reported medical adverse events and medication contraindications to quality review board and network providers.
  • Developed and maintained relationships with the staff and physicians that I was assigned (PCMH) patient centered medical home to ensure a cooperative and collaborative care coordination process.
  • 50-60% travelling required 
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