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Research Data Scientist
Contract: Foster City, California, US
Salary Range: 55.00 - 60.00 | Per Hour
Job Code: 363478
End Date: 2025-08-06
Days Left: 27 days, 2 hours left
To discuss more about this job opportunity, please reach out to Deepak Arya (LinkedIn URL - www.linkedin.com/in/deepak-arya-8a79aa22a/), email your updated resume at Email - deepak.arya@collabera.com. Thank you!
Pay rate: $55 - $60/hr.
Industry: Biopharmaceutical
Job Description:
- Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.
- Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.
- Coordinates and assists in implementation of plan for members.
- Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
- Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
- Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
- Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
- Encourages member participation and compliance in the case/disease management program efforts.
- Documents accurately and comprehensively based on the standards of practice and current organization policies.
- Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.
- Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
- Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
- Serves as mentor/trainer to new RN's and other staff as needed.
- Completes other assigned functions as requested by management.
- Core Individual Contributor Competencies Personal and professional attributes that are critical to successful performance for Individual Contributors: Customer Focus Accountable Learn Communicate.
Qualifications:
- Requires an associate's or bachelor's degree (or higher) in nursing and/or a health related field OR accredited diploma nursing school.
- Requires a minimum of two (2) years clinical experience.
- Requires minimum of three (3) years experience in the health care delivery system/industry.
- Requires minimum of two (2) years experience with health care payer experience.
Job Requirement
- Patient care evaluation
- Clinical needs assessment
- Inpatient care management
- Care coordination
- Case management
- Clinical experience
Reach Out to a Recruiter
- Recruiter
- Phone
- Deepak Arya
- deepak.arya@collabera.com
Apply Now
Apply Now
