RN - Field Nurse - Quality and Provider Education Specialist

3 weeks ago


Grand Rapids, Michigan, United States Strategic Staffing Solutions Full time

Job Summary:

We are seeking a highly skilled Field Nurse to join our team at Strategic Staffing Solutions. As a Field Nurse, you will be responsible for providing quality and provider education to healthcare professionals in the state of Michigan.

Key Responsibilities:

  • Provide comprehensive research and responses to identified problems and complex inquiries related to the provider community.
  • Conduct in-state provider educational sessions on relevant topics such as new business tools, billing/coding, HEDIS, medical record reviews, etc.
  • Perform clinical reviews with knowledge of clinical documentation, body systems, anatomy and physiology.
  • Develop and maintain effective, professional working relationships with providers and their staff.
  • Support providers in closing treatment opportunities (HEDIS/Star measures).
  • Assist leaders in monitoring issues, projects, timelines, and plans related to various corporate initiatives impacting providers.
  • Research, analyze, identify, and evaluate data to assess existing trends and issues.
  • Recommend, communicate, and implement solutions to identified problems and root cause of issues.
  • Represent and participate in group discussions.
  • Assist other departments/consultants when visiting providers to discuss HEDIS/Star related topics.
  • Generate summary of activity monthly and as requested.

Requirements:

  • Current unrestricted state of Michigan registered nurse license required.
  • Knowledge of quality improvement/process improvement/clinical guidelines.
  • Experience with MS Office skills, Excel a plus.
  • Valid MI driver's license; willing to drive to provider locations and travel throughout Michigan as needed.
  • RN with HEDIS experience, but will interview qualified RNs. RNs with professional coding experience a plus.
  • Have a dependable vehicle every workday and be willing to travel up to five days a week and stay overnight when appropriate.
  • Minimum three years of clinical experience.

Education/Certifications:

  • R.N. licensed in Michigan; BSN degree preferred. Associate degree acceptable with professional experience.

Company Information:

Strategic Staffing Solutions is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to providing a safe and inclusive work environment.



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