Chronic Care Management Lead – RN, Fee-for-Service

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

Zusammenfassung

Diverge Health is seeking a Chronic Care Management Program Lead, Fee for Service in the United States to guide onboarding, care planning, documentation, and billing across our health-center partnerships.

You will serve as the subject matter expert for the team, support centers through onboarding, and help scale training as the fee-for-service portfolio grows, all while advancing Medicaid patient access and outcomes.

Qualifikationen

• RN license in good standing or equivalent clinical licensure.
• 5 to 10 years of experience in fee for service chronic care management, transitions of care, or advanced primary care.
• Experience working with Federally Qualified Health Centers (FQHCs) or similar community-based settings.
• Ability to trace billing issues to documentation or processes, not just flagging errors.
• Comfort handling state-specific and payer-specific questions from health center staff.

Aufgaben

• Support Practice Liaisons during health center pitches by answering clinical and billing questions.
• Own onboarding of newly signed health centers, translating the model into practical steps staff need to start.
• Be the tactical subject matter expert for the team delivering fee for service care management.
• Be the contact for billing issues, tracing root causes in documentation/workflow.
• Create and maintain FAQs and training materials for broader team use.
• Scale expertise across the portfolio by training trainers.

Kenntnisse

RN license

Billing experience

FQHC experience

Documentation

Clinical workflow

Tools

EMR software

Billing systems

Jobbeschreibung

Diverge Health is seeking a Chronic Care Management Program Lead, Fee for Service in the United States to guide onboarding, care planning, documentation, and billing across our health-center partnerships.

You will serve as the subject matter expert for the team, support centers through onboarding, and help scale training as the fee-for-service portfolio grows, all while advancing Medicaid patient access and outcomes.