Care Management Clinical Lead, Fee-for-Service

OpenKrill; United States; Remote; USD 110.000 - 120.000; Vollzeit

Zusammenfassung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to guide end-to-end fee-for-service care management—from care planning and medication reconciliation to documentation and billing. You’ll support health centers evaluating partnerships, onboard new sites, and serve as the operational expert for the delivery team as the program scales.

You will bring an RN license in good standing and 5–10 years in fee-for-service chronic care management, with hands-on experience across

Qualifikationen

• RN license in good standing or equivalent clinical licensure.
• 5–10 years of experience in fee-for-service chronic care management, transitions of care, or advanced primary care with hands-on workflow across care plans, reconciliation, EMR documentation, and billing.
• Experience working with Federally Qualified Health Centers (FQHCs) or similar community‑based settings.
• Demonstrated ability to trace billing issues to documentation or process steps, not just flag the issue.
• Comfort fielding state-specific and payer-specific questions from health center staff.

Aufgaben

• Support health centers during pitches by answering detailed clinical and billing questions.
• Own onboarding of newly signed health centers in partnership with Practice Liaisons.
• Serve as the subject matter expert for the fee-for-service care management team day-to-day.

Kenntnisse

RN License

Billing Knowledge

Clinical workflow

Jobbeschreibung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to guide end-to-end fee-for-service care management—from care planning and medication reconciliation to documentation and billing. You’ll support health centers evaluating partnerships, onboard new sites, and serve as the operational expert for the delivery team as the program scales.

You will bring an RN license in good standing and 5–10 years in fee-for-service chronic care management, with hands-on experience across