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The Clinical Quality and Enhanced Care Management/Community Supports Oversight Nurse is responsible for establishing and strengthening relationships with ECM and Community Supports providers to ensure quality of care and regulatory compliance standards are met. They will partner closely with the State Programs Team, Provider Network Operations and Compliance departments to establish clinical oversight review standards for ECM/CS providers, review care plans and escalate concerns, as needed. The position will be responsible for ensuring providers meet DHCS regulations, SFHP policies and procedures. They will also act as the Clinical liaison between SFHP and ECM and Community Supports providers and assist providers with complex members, as needed. They will work collaboratively with all levels and departments of San Francisco Health Plan and represent the State Programs Team.
This is a temporary position with the possibility of converting to a full-time employee.
Salary: $60 to $65 per hour
WHAT YOU WILL DO
WHAT YOU WILL BRING
Full Time
$94k-116k (estimate)
05/12/2024
07/10/2024