Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is to collaborate with clients in developing innovative solutions for accessing healthcare, increasing independence, and connecting community resources in the most cost-effective manner. As the nation's most trusted partners in removing community barriers, we prioritize the wellbeing of the communities we serve through philanthropy. Nationwide, our diverse employee base is always willing to give back and contribute. As a Woman-Owned Business Enterprise (WBE) certified by the Women's Business Enterprise National Council, we are committed to maintaining and empowering a diverse workforce. Simply put, we are passionate about what we do and it shows. MTM has been recognized with numerous awards and accolades, including Mogul's Top 100 Innovators in Diversity & Inclusion (2017). The St. Louis Business Journal Healthiest Employers (2020), Best Places to Work (2019), Fastest-Growing Private Companies (2017), Top Family Owned Business (2016) and Top Five Largest Women-Owned Business (2020) What Will Your Job Look Like? The Clinical Liaison plays a critical role with the direct oversight of the utilization review team as well as reporting of Utilization Management activities. The Clinical Liaison will also be responsible for providing outreach and education to diverse audiences through presentations, trainings, one-on-one meetings, networking, events, e-activity and other outreach strategies. Responsibilities: Mentor, develop and oversee the Utilization Review team Ensure utilization team are reviewing medical justification and Common Medical Marketing Area forms accurately and timely Day to day oversight, monitoring, and analysis of all activities related to Utilization Management activities to ensure business outcomes and goals are defined and met Ensure all program activities are being performed accurately and consistently to ensure the program’s ongoing contractual and institutional compliance Manage budget for Utilization Management Adhere to MTM policies and procedures and identified quality and compliance standards Conduct presentations for internal and external stakeholders both in person or via webinar Lead outreach projects and initiatives Provide onboarding and continual education to facilities and stakeholders Work with facilities and stakeholders to resolve issues of concern Act as an expert resource and spokesperson for MTM Facilitate communication, as well as meetings, between internal and external stakeholders Provide regular follow-up with outreach audiences to ensure they are equipped and trained on MTM processes Provide necessary data and information to MTM staff assisting in the continuous monitoring and coordination of Utilization Management processes Develop, implement, review and revise policies and procedures Other duties as assigned All you need is... Bachelor’s Degree in nursing Registered professional Nurse (RN) or Nurse Practitioner Licensed, registered Nurse in good standing in New York State Previous experience working with Medicaid and or State programs Experience in outreach is a distinct advantage Advanced experience with Microsoft Word, Microsoft Excel, Microsoft Outlook, Power Point, Database Even better if you have... Experience in healthcare, utilization management and/or clinical oversight preferred In-depth knowledge of Utilization Management and Ambulance Utilization Management processes Ability to possess and learn methodologies related to the research and application of governmental regulations Demonstrated ethical and sound judgement based on facts Demonstrated excellent interpersonal skills Ability to schedule, organize and prioritize multiple tasks Strong communication skills Excellent time management and organizational skills Ability to teach, coach, motivate and lead Positive attitude, ability to work well with others and independently Detail oriented with the ability to meet competing deadlines Comfortability with working with minimal supervision and maintaining multiple responsibilities A high level of initiative Ability to maintain high level of confidentiality Knowledge of budgets and cost analysis Regular attendance MTM Incentives Paid vacation Holiday Pay Health and Life Insurance Plans Dental and Vision Plans 401(k) Onsite Gym Wellness Screenings Birthday Holiday Training Development Casual Dress Environment Scholarship Program Healthy Market Free Coffee *These benefits may not be available at all locations Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact People & Culture at (636) 561-5686 or talent@mtm-inc.net