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Clinical Support Liaison

2 months ago

Brentwood, Tennessee, United States IVX Health Full time
About IVX Health

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.

About the Role

This position will play a critical role in maintaining strong relationships with our major health system partners, ensuring seamless patient care transitions, and facilitating efficient referral processes. The Clinical Support Liaison will collaborate closely with our Operations Leadership and Business Development Managers to optimize account management strategies while leveraging their clinical expertise and knowledge of payer requirements.

Responsibilities
  • Patient Continuity of Care: Ensure continuity of patient care by facilitating the timely transfer of medical records and information between healthcare providers and IVX internal stakeholders, such as the prior authorization department.
  • Coordinate with internal teams to streamline referral processes and minimize delays in patient appointments and treatments.
  • Clinical Expertise and Payor Knowledge: Utilize clinical background and understanding of payer medical necessity criteria to support discussions with healthcare providers regarding authorization of prescribed biologics to support patient care.
  • Stay informed about payer policies, reimbursement guidelines, and formulary restrictions to facilitate discussions on drug coverage and authorization processes.
  • Hospital Visits and Relationship Building: Regularly visit partner hospitals to establish and maintain strong relationships with key stakeholders, including physicians, nurses, case managers, and administrative staff.
Benefits

At IVX Health, we value our team members and strive to provide comprehensive benefits that support their overall wellbeing. Our benefits package includes:

  • Comprehensive Medical, Dental, and Vision Insurance
  • Flexible Savings Options
  • Supplemental Health Protection Plans
  • Dependent Care Flexible Spending Account
  • Voluntary Short-Term and Long-Term Disability Coverage
  • Fertility Healthcare and Family Building Benefits
  • Life and AD&D Insurance
  • Free Counseling Services and Resources
  • Education Assistance
  • CEU Library
  • Charitable Giving Match and Volunteer PTO Program
  • Employee Referral Bonus Program
  • 401(k) Plan with Company Match
Qualifications

The ideal candidate will possess:

  • Strong problem-solving skills, organizational skills, and attention to detail
  • Strong oral and written communication skills
  • Ability to work across the organization and identify potential areas of overlap or friction when processes are changed or implemented
  • Ability to effectively communicate with both field-level employees and leadership
  • Ability to collaborate effectively with internal and external employees at all levels
  • Attention to Detail
  • Organizing, Planning, and Prioritizing Work
  • Integrity and Confidentiality

The candidate should also have:

  • Associate Degree, Bachelor's Degree is a plus
  • Maintain current RN / LPN licensure
  • Minimum of 3 years of clinical experience in a healthcare setting, with a strong understanding of care coordination and patient management processes
  • Experience in Ambulatory Infusion space with payor or provider entities preferred
  • Candidates with a UR / UM background with history of navigating payor complexities through their provider relationships (our customers) are preferred
  • Experience in healthcare sales, account management, or business development is a plus