Care Management Clinical Lead: RN & FFS Onboarding Expert

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

Zusammenfassung

Diverge Health is seeking a Care Management Clinical Lead to provide expert, hands-on leadership across the fee-for-service care management workflow. You will guide onboarding, manage clinical and billing questions, and serve as the go-to SME for the delivery team.

This full-time position emphasizes practical knowledge of care planning, medication reconciliation, EMR documentation, and billing in FQHC-like settings. The role supports centers throughout onboarding and scaling the program.

Qualifikationen

• RN license or equivalent clinical licensure
• 5–10 years in fee-for-service chronic care management or related care workflows
• Experience in settings like Federally Qualified Health Centers (FQHCs) or community-based care

Aufgaben

• Lead end-to-end fee-for-service care management from onboarding to billing
• Support health centers during pitches and onboarding with clinical and billing expertise
• Serve as SME for the delivery team and troubleshoot billing issues with root-cause analysis
• Guide centers through onboarding and translate model into practical steps for staff
• Develop and maintain FAQs and training materials for broader teams and partners
• Scale expertise across the portfolio by training the trainers

Kenntnisse

RN license

Chronic care management

FQHC experience

Billing troubleshooting

Payer questions

Jobbeschreibung

Diverge Health is seeking a Care Management Clinical Lead to provide expert, hands-on leadership across the fee-for-service care management workflow. You will guide onboarding, manage clinical and billing questions, and serve as the go-to SME for the delivery team.

This full-time position emphasizes practical knowledge of care planning, medication reconciliation, EMR documentation, and billing in FQHC-like settings. The role supports centers throughout onboarding and scaling the program.