Care Management Lead, Fee-for-Service Expert

Diverge Health; Oregon; Hybrid; USD 110.000 - 120.000; Vollzeit

Zusammenfassung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to join our team in a pivotal role. You will guide onboarding of health centers, translate the fee-for-service model into practical steps, and act as the hands-on clinical and billing expert as the work scales.

You’ll answer complex billing questions, support practice liaisons, and train staff to ensure accurate care management documentation and billing.

Qualifikationen

• RN license in good standing or equivalent clinical licensure.
• 5–10 years in fee-for-service chronic care management or related primary care workflows.
• Experience with Federally Qualified Health Centers or similar community clinics.
• Ability to trace billing issues to documentation or workflow steps.

Aufgaben

• Guide onboarding of new health centers and translate the model into actionable steps.
• Serve as the subject matter expert for daily fee-for-service care management operations.
• Respond to detailed clinical and billing questions from health centers.
• Investigate billing issues and identify root causes in documentation or processes.
• Develop FAQs and training materials to enable wider team capabilities.
• Scale knowledge across the portfolio and mentor trainers.

Kenntnisse

Care management workflow

Billing reconciliation

EMR documentation

Onboarding & training

Clear communication of clinical/billng

Ausbildung

Registered Nurse license or equivalent

5–10 years in fee-for-service chronic care management

Experience with FQHCs or similar settings

Jobbeschreibung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to join our team in a pivotal role. You will guide onboarding of health centers, translate the fee-for-service model into practical steps, and act as the hands-on clinical and billing expert as the work scales.

You’ll answer complex billing questions, support practice liaisons, and train staff to ensure accurate care management documentation and billing.