This is a fully remote position, open to applicants in United States.

📋 Description

• Assist Practice Liaisons during health center presentations by addressing comprehensive clinical and billing inquiries.

• Take charge of the onboarding process for newly contracted health centers alongside Practice Liaisons, converting the fee-for-service model into actionable implementation steps.

• Act as the tactical subject matter expert for the daily delivery of fee-for-service care management.

• Resolve health center billing challenges by identifying root causes in documentation or workflows.

• Develop and maintain FAQs and training resources.

• Expand expertise throughout the fee-for-service portfolio by training trainers.

⛳️ Requirements

• Active Registered Nurse (RN) license in good standing, or an equivalent clinical credential.

• 5 to 10 years of experience in fee-for-service chronic care management, transitions of care, or advanced primary care, with direct involvement in the complete workflow: care plan development, medication reconciliation, EMR documentation, and billing.

• Background in working within or supporting Federally Qualified Health Centers (FQHCs) or similar community-oriented healthcare environments.

• Proven ability to trace a billing issue back to the relevant documentation or process that initiated it.

• Proficiency in addressing detailed, state-specific, and payer-specific inquiries from health center personnel.

• Experience in training or onboarding new staff or partner organizations on clinical workflows.

• Knowledge of value-based care models and population health strategies.

• Certification in Case Management (CCM), Advanced Practice Case Management (APCM), Transitions of Care (ToC), and Collaborative Care Model (CoCM) is preferred.

• Candidates must possess authorization to work in the United States without the necessity of employer sponsorship, either now or in the future.

• Candidates must be willing to work outside of Alaska and Hawaii.