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Specialist, Member & Community Interventions (RN, LPC, LCSW, LMFT, or LVN) - REMOTE - Texas Only
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Job Description
- Req#: 300001376004753
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Supportive and collaborative work environment
- Chance to make a positive impact on member and community health outcomes
- Flexible scheduling with potential for same-day travel and occasional overnight trips
What to Expect (Job Responsibilities):
- Implement evidence-based member intervention strategies and manage community interventions
- Monitor and ensure timely completion of key member intervention activities
- Write narrative reports to interpret regulatory specifications and document findings
- Participate in quality improvement activities and facilitate strategic relationships with community organizations
- Evaluate project/program activities to identify opportunities for improvement
What is Required (Qualifications):
- Associate's degree or equivalent combination of education and work experience
- 1-3 years' experience in healthcare, with at least 1 year in health plan quality member interventions
- Demonstrated solid business writing experience
- Operational knowledge and experience with Excel and Visio
- Excellent problem-solving skills
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in Nursing, Social Work, Clinical Quality, Public Health, or Healthcare Administration
- 1 year of experience in Medicare and Medicaid managed care
- Certified Professional in Health Quality (CPHQ)
- Nursing License (RN may be preferred for specific roles)
- Certified HEDIS Compliance Auditor (CHCA)
#HealthcareServices #QualityImprovement #CareerOpportunity #CommunityHealth #HealthcareAdministration
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