Provider Liaison Coordinator - RN (Remote U.S.)

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Provider Liaison Coordinator–RN to join our growing team.

Job Summary:

The Provider Liaison Coordinator – RN:

• Is a key position on the North Dakota Utilization Management contract. It is critical to introduce providers to the Acentra Health system and policies and assist members in ensuring their needs are met. Regular communication will be made with providers and members via multiple mediums.
• Trains providers on our system and educates them on critical submission policies is central to the role, which offers a unique professional growth and development opportunity. This includes being responsible for training activities and available for technical assistance.
• Responsible for working closely with the Program Director and/or Clinical Manager to hold stakeholder meetings and querying providers related to satisfaction.
• Will also work closely with members to address any member concerns or needs.

** This is a Remote based position.  The selected candidate must reside and work in the United States. **

** Work Hours:  Monday – Friday from 8:00 AM – 5:00 PM Eastern

** The selected candidate must be legally authorized to work in the United States, now or in the future, without the need for employer visa sponsorship. **

Job Responsibilities:

• Provide orientation and ongoing technical assistance for new/existing providers.
• Create and Update Provider Manuals and User Guides.
• Create educational training content for members.
• Comprehensive knowledge of the Acentra Health Atrezzo Next Generation (ANG) system and benefit-specific guidelines for all services on the UM contract.
• Provide technical assistance when requested or identified to enrolled providers.
• Develop and conduct provider training sessions as contracted.
• Coordinate provider stakeholder meetings.
• Coordinate provider satisfaction surveys.
• Manage provider email boxes.
• Assist in evaluating provider quality trends and developing tutorials to educate providers.
• Perform ongoing training to providers on how to submit requests utilizing Acentra’s ANG system.

Requirements

Required Qualifications/Experience:

• Associate's Degree in a Human Service/Education field or discipline.
• Unrestricted RN license for the State of North Dakota OR any compact state.
• 1+ years of experience with prior authorization/utilization management and customer service.
• Must demonstrate proficiency in reviewing and analyzing documentation against established standards.
• Possess knowledge of training or workplace learning methodology.
• Be adept at navigating computer applications across multiple screens.
• Show familiarity with adult learning principles.
• Exhibit the ability to maintain confidentiality standards and ensure HIPAA compliance when assessing relevant issues.
• Excellent communication skills, both verbal and written.
• Strong teamwork and collaboration abilities.
• Effective problem-solving skills with a focus on critical thinking.
• Adaptability and flexibility in a dynamic work environment.
• Efficient time management, including the ability to prioritize tasks and meet deadlines.
• Must be proficient in MS Office and (Internet/web navigation).

Preferred Qualifications/Experience:

• Bachelor's or Master’s degree.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.  

Compensation

The pay rate for this position is $36.06 hourly.

“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”