RN - Quality and Provider Education

Strategic Staffing Solutions (S3) has an opening! RN Quality and Provider Education (Contract) Location: Port Huron, MI area Duration: 12+ months Role Type: W2 Contract Engagement Engagement Description This project involves provider visits to develop partnerships, provide training, education, and review of medical records and other requests that support a variety of corporate initiatives. Knowledge of NCQA HEDIS measures is preferred. The candidate must be licensed as a Registered Nurse in Michigan and have a dependable vehicle. In-state travel requirements vary throughout the year and could be up to five days a week at times. Essential Duties and Responsibilities Provide comprehensive research and responses for identified problems and complex inquiries related to the provider community. Conduct activities such as in-home Bone Mineral Density (BMD) testing on members. Conduct in-state provider educational sessions in person on relevant topics such as new business tools, billing/coding, HEDIS, medical record reviews, etc. Perform clinical reviews with knowledge of clinical documentation, body systems, anatomy and physiology. Scan records as required. Develop and maintain an effective, professional working relationship with providers and their staff. Support providers in closing treatment opportunities (HEDIS/Star measures). Assist leaders in monitoring issues, projects, timelines, and plans related to various corporate initiatives impacting providers. Research, analyze, identify, and evaluate data to assess existing trends and issues. Recommend, communicate, and implement solutions to identified problems and root cause of issues. Represent and participate in group discussions. Assist other departments/consultants when visiting providers to discuss a variety of HEDIS/Star related topics. Generate summary of activity monthly and as requested. Top 3 Required Skills/Experience Current unrestricted state of Michigan registered nurse license required. Knowledge of quality improvement / process improvement / clinical guidelines. Experience with MS Office skills; Excel is a plus. Required Skills/Experience Valid MI driver’s license; willing to drive to provider locations and travel throughout Michigan as needed (no exceptions). RN with HEDIS experience but will interview qualified RNs. RNs with professional coding experience is a plus. Dependable vehicle every workday and willing to travel up to five days a week and stay overnight when appropriate (overnights are rare but needed on occasion). Minimum three years of clinical experience. Education/Certifications Registered Nurse licensed in Michigan; BSN degree preferred. Associate degree acceptable with professional experience. Beware of scams. S3 never asks for money during its onboarding process. Seniority Level Mid‑Senior level Employment Type Full-time Job Function Health Care Provider Industries Software Development #J-18808-Ljbffr Jobs via Dice