Nurse Advocate - Greater Cleveland area

Job Summary

SYNERGY HEALTHCARE is seeking an experienced Case Manager to serve as a Nurse Advocate for new clients and their employees in the greater Cleveland area. The ideal candidate will be located there, with occasional travel to OH/PA for client visits.

Key Responsibilities

• Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
• Work with members to identify their healthcare needs and provide clinical support.
• Liaison with TPAs and insurance companies to resolve claim and billing issues.
• Educate members on their healthcare benefits and how to effectively utilize them.
• Advocate for members to improve healthcare outcomes, including referrals to specialists and timely access to care.
• Collaborate with other healthcare professionals to ensure seamless coordination of care.
• Maintain accurate and up-to-date records of member interactions and healthcare interventions.
• Conduct client-facing reporting and potentially limited travel to client worksites.
• Review Health Risk Assessments to encourage lifestyle modifications and improve overall wellness.

Qualifications

• Active nursing license with a BSN degree preferred.
• Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
• CCM certification or eligibility.
• Commitment to take the CCM exam within the first year.
• In-depth knowledge of the healthcare and insurance systems.
• Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.
• Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.
• Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
• Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
• Proficiency in using electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.

Benefits

This is a full-time, benefits-eligible, salaried position offering competitive pay, PTO, and paid holidays. Synergy also provides a flexible schedule with half-day Fridays!

Contact

To apply, please contact Dean Kiradjieff at deank@synergyhealthcare.com.

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