Renal Clinical Case Manager - Reimbursement & Care Expert

Pentec Health; Nevada; On-site; USD 61,000 - 83,000; Full time

Benefits offered by this job

Full benefits

Competitive compensation

Job summary

The ideal candidate holds a BS in Nutrition and is a Registered Dietitian or licensed nutritionist, with 1–2 years of dialysis nutrition experience and strong MS Office skills.

Qualifications

• Must hold BS in Nutrition or related field and be a Registered Dietitian or Licensed Nutritionist as required by state.
• 1-2 years of practical experience in a full-service Dialysis facility.
• Experience in renal nutrition, CKD 5 dialysis, and parenteral nutrition support therapies (IDPN required; IDPN/IPN preferred).
• Intermediate computer skills with MS Office Suite (Outlook, Word, Excel, PowerPoint).

Responsibilities

• Acts as clinical SME for Renal Dietitians, Nurses, Nephrologists, Account Executives and Revenue Cycle Management staff.
• Helps develop renal program to grow IDPN/IPN and related services; provides clinical assistance for patients in territory.
• Coordinates with CSR and AE to ensure monthly labs and payor documents for active patients; reviews the queue.
• Completes forms and letters of medical necessity; escalates denials with Insurance Coordinators to obtain approvals.
• Organizes or assists CEU and Web-Ex CEU seminars; conducts educational sessions on IDPN/IPN therapies.

Skills

Autonomous decision-making

MS Office

Education

BS in Nutrition or related field; RD or licensed nutritionist

Job description

The ideal candidate holds a BS in Nutrition and is a Registered Dietitian or licensed nutritionist, with 1–2 years of dialysis nutrition experience and strong MS Office skills.