RN Care Management Clinical Lead, Fee-for-Service

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

Zusammenfassung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to join our team. You will guide onboarding of health centers, translate fee-for-service models into practical steps for staff, and act as the go-to clinical and billing expert to ensure accurate care management delivery and compliant documentation.

With 5–10 years in fee-for-service chronic care management, you’ll help scale our programs, resolve complex billing questions, and support centers from onboarding through

Qualifikationen

• RN license in good standing or equivalent clinical licensure.
• 5–10 years of experience in fee for service chronic care management or related roles.
• Experience working within Federally Qualified Health Centers (FQHCs) or similar community-based healthcare settings.
• Ability to trace billing issues to documentation or process steps rather than just noting the issue.

Aufgaben

• Support health centers during pitches by answering detailed clinical and billing questions.
• Own onboarding of newly signed health centers in partnership with Practice Liaisons.
• Serve as the tactical subject matter expert for the team delivering fee for service care management.
• Be the point of contact when billing issues arise, tracing root causes in documentation or workflow.
• Build and maintain FAQs and training materials for broader team and center staff.
• Scale expertise across the portfolio by training the trainers.

Kenntnisse

RN license

Care management experience

Billing and EMR knowledge

Jobbeschreibung

Diverge Health is seeking a Care Management Clinical Lead, Fee for Service to join our team. You will guide onboarding of health centers, translate fee-for-service models into practical steps for staff, and act as the go-to clinical and billing expert to ensure accurate care management delivery and compliant documentation.

With 5–10 years in fee-for-service chronic care management, you’ll help scale our programs, resolve complex billing questions, and support centers from onboarding through