Clinical Lead, Care Management & Billing Onboarding

Diverge Health; United States; Vor Ort; USD 110.000 - 120.000; Vollzeit

Zusammenfassung

Diverge Health is seeking a Care Management Clinical Lead to guide fee-for-service care management initiatives, from care planning to billing. You will onboard health centers, serve as SME for the delivery team, and troubleshoot billing issues with documentation and workflows.

The role requires RN licensure (or equivalent), 5–10 years in care management, and experience with FQHCs or similar settings. This is a full-time, exempt, salaried position with a base salary range of $110,000–$120,000.

Qualifikationen

• Registered Nurse license in good standing, or equivalent clinical licensure.
• 5–10 years in fee-for-service chronic care management, transitions of care, or advanced primary care with full workflow experience (care plan development, medication reconciliation, EMR documentation, billing).
• Experience in Federally Qualified Health Centers (FQHCs) or similar community settings.
• Ability to trace billing issues to documentation or process steps, not just identify the error.
• Comfort handling state payer questions from health centers considering partnership.
• Preferred CCM/APCM/ToC/CoCM certification; experience training staff on clinical workflows.

Aufgaben

• Lead hands-on care management work from planning to billing, serving as SME for the delivery team.
• Support health centers during onboarding and translate the model into practical steps for staff.
• Be the go-to expert for billing issues, tracing root causes in documentation and workflow.
• Create and maintain FAQ and training materials for broader teams and health centers.

Kenntnisse

RN license

Billing knowledge

Care management

Communication

Jobbeschreibung

Diverge Health is seeking a Care Management Clinical Lead to guide fee-for-service care management initiatives, from care planning to billing. You will onboard health centers, serve as SME for the delivery team, and troubleshoot billing issues with documentation and workflows.

The role requires RN licensure (or equivalent), 5–10 years in care management, and experience with FQHCs or similar settings. This is a full-time, exempt, salaried position with a base salary range of $110,000–$120,000.