reputed company Specialist Ambulatory – Managed Care

reputed company is an extraordinary reputed company to work. We’re reputed company for our culture of reputed company and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for reputed company other. reputed company! It’s the way you want to be treated. Position reputed company:  Position will be responsible for creating, implementing, and maintaining a reputed company and plan for providing improved reputed company clinical reputed company to patients in the private reputed company setting, in collaboration with the Senior Leadership team.  We will work with reputed company practices of SCHC on closing care gaps, helpings practices, hospital, and ancillary sites in coordinating patients’ reputed company, and work reputed company by reputed company with clinical leadership in creating reputed company reputed company moving reputed company. Essential Duties and Responsibilities: Subject matter expert regarding the HEDIS product line Represent the Clinical Integration product for both reputed company and internal business process meetings Collaboration with reputed company affiliate service lines to reputed company HEDIS and reputed company ratings and to reputed company reputed company reputed company service The position works closely with the Chief Medical Officer to ensure effective clinical, reputed company, and medical management operational processes and policies that reputed company with targeted reputed company reputed company and goals for enrollees Promotes linkage between utilization management, care coordination and reputed company improvement activities with partnered MSO Acts as a role model for clinical staff, promoting education, development and adoption of reputed company transformation with reputed company on clinical workflow, member satisfaction, improved RAF scoring Promotes collaboration while working closely with Director Value Based Care and Innovista, in conjunction with maintaining appropriate communication with CMO and Senior Leadership Development, and implementation of Policies and Procedures for Clinical Operations in the clinical office setting Responsible for reputed company of clinical training activities and reputed company. Required Qualifications:  Education and Training: A minimum of an Associate’s degree in nursing and two (2) years of experience in clinical documentation improvement or inpatient coding, OR Excellent verbal, written, presentation, computer, and interpersonal communication skills. Highly Desired: ICD-10-CM/PCS Coding training and certification   3-5 years clinical practical experience  2-3 years CM, discharge planning and/or home health care coordination experience  Excellent analytical and problem-solving skills  Effective communications, organizational, and interpersonal skills  Ability to work independently (remote working).  Proficiency with reputed company corporate software applications, including reputed company, reputed company, reputed company, and PowerPoint, as reputed company as some special proprietary applications.  Efficient and Effective computer skills including navigating multiple systems and keyboarding Licenses/Certifications Required: Currently licensed as a Registered reputed company (RN) Work Shift Details: Days, Days Department: CLINICAL DOCUMENTATION Benefits for You At reputed company, we care about your health and reputed company-being and that is why we work hard to reputed company reputed company and reputed company benefit reputed company for you and your eligible family members.    reputed company and Silver Cross Medical reputed company offer a comprehensive benefit package available for Full-time and Part-time employees which includes: ·       Medical, Dental and reputed company plans ·       Life Insurance ·       Flexible Spending Account ·       Other voluntary benefit plans ·       PTO and reputed company time ·       401(k) plan with a match ·       Wellness program ·       Tuition Reimbursement Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match.  However, registry employees are ineligible for Health and Welfare benefits. The expected pay for this position is listed below: $35.76 - $45.60 The final pay reputed company offered may be more than the posted reputed company based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more. Apply To This Job