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LPNs and RNs!
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, has an opportunity for a Health Services QA Training Coordinator in Birmingham, AL!
VIVA HEALTH knows that nursing is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours. This way you can do what you love and are able to take care of the people you love! We also offer a great benefits package including tuition reimbursement, paid parental leave, and paid day for community service, just to name a few!
VIVA HEALTH is the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan. Our employees are a part of the communities they serve and proudly partner with members on their health care journeys. Come join our team!
The Health Services QA/Training Coordinator is primarily responsible for providing Quality Assurance audit functions, training, and coaching for Health Services staff to ensure accurate and timely claims payment and care management/coordination services thereby improving quality of service and member satisfaction. This position will travel to locations within the VIVA Health Service area through a reliable means of transportation insured in accordance with Company policy.
REQUIRED:
* High School Diploma or GED
* Two years of experience in Medical Management/Case Management
* Current LPN or RN license in good standing with the State of Alabama Board of Nursing
* May require face-to-face member contact with duties regularly performed away from the principal place of business
* Willing to submit to vaccine testing and screening
* Demonstrate excellent oral and written communication skills as well as a thorough knowledge of medical terminology
* Highly motivated, goal-oriented, and willing to work to satisfy departmental goals when required
* Ability to be flexible and accommodate shifting priorities
* Ability to perform day-to-day responsibilities with minimal supervision, exercise independent judgment, and maintain confidentiality
PREFERRED:
* Experience working with accreditation and auditing processes such as URAC, NCQA, and the Centers for Medicare and Medicaid Services (CMS)
* Experience with Managed Care/HMO
Click Here to learn more about how VIVA HEALTH is building a culture where diverse voices, backgrounds, and perspectives are welcomed and celebrated!
Full Time
$57k-71k (estimate)
05/04/2024
05/17/2024
vivahealth.com
BIRMINGHAM, AL
200 - 500
1995
BRAD ROLLOW
$10M - $50M
Insurance