Clinical Solutions Specialist - General Medicine
Skills
AdoptionClinical ServicesContinuumDecision SupportEasily AdaptableEvolutionLean Six Sigma
What the job involves
The main requirements, responsibilities and hiring steps.
Requirements
- Nursing degree BSN or higher preferred RN license required
- Minimum 3 years of experience in clinical care delivery care management or clinical program design
- Experience in value-based care or population health preferred
- Project management certification lean six sigma or related certification preferred
- Proficiency in project management tools and methodology
- Prior experience building adult care solutions and workflows
- Strong understanding of care delivery across diverse populations and settings
- Familiarity with social determinants of health and their impact on care delivery
- Experience developing workflows and care models with clinical and non-clinical teams
- Proficiency in EMR software and workflow documentation
- Clinical education and training experience especially for nurses and care teams
- Understanding of Medicare and Medicaid reimbursement structures
- Ability to travel to various markets as needed
- Competent in Microsoft Office Suite and Visio for process design
Nice to have
- Collaboration
- Teamwork
- Problem Solving
- Decision Making
- Communication
- Influence
- Adaptability
- Flexibility
- Attention to Detail
- Leadership
- Accountability
- Patient-Centered Care
- Efficiency
- Time Management
- Training
- Education
Day to day
- Design, implement, and evaluate clinical care solutions that improve patient outcomes and support value-based care initiatives
- Work with clinical, quality, technology, and business teams to build scalable patient-centered workflows across adult care settings
- Develop evidence-based approaches for chronic disease management clinical triage transitions of care and readmission avoidance
- Create SOPs job aids training materials and data-driven process improvements that support safe efficient care delivery