Registered Nurse (RN) - Manager, Clinic
Paradigm
Houston, TX

Clinical Referral Manager - RN

Paradigm is looking for a full-time, remote Clinical Referral Manager. This position is accountable for driving revenue growth by implementing processes to analyze and direct enterprise referrals for consideration for service via a risk bearing product. Duties and responsibilities include, but are not limited to: * Evaluate incoming and existing referrals to determine appropriate product placement based on specified criteria. * Assess clinical conditions, treatment plans, and required resources. * Escalate referrals that need additional or advanced services. * Identify key stakeholders; build and maintain strong relationships with stakeholders to ensure effective handling of catastrophic referrals. * Provide education and support to customers regarding Paradigm products and services. * Analyze referrals, develop strategies to increase the scope of referrals, and track and maintain data on referral conversions. EDUCATION & EXPERIENCE REQUIRED: * Registered Nurse (with active, unencumbered license) * Minimum of 3-5 years' experience in catastrophic case management, referral intake or sales * Experience in insurance preferred. * Intermediate to advanced level computer experience and Windows software, proficient in Microsoft product suite with advanced skills in Excel. KNOWLEDGE SKILLS & ABILITIES: * Exceptional critical-thinking and creative problem-solving skills with proven ability to collaborate with others to identify alternatives and drive to resolution. * Strong communication and facilitation skills including the ability to resolve issues and build consensus among groups of diverse internal/external stakeholders. * Ability to deliver effective presentations to internal and external customers. * Ability to work effectively autonomously and/or in a matrixed environment. * Ability to review and assess complex medical records and convey pertinent information to non-medical stakeholders.