RN - Quality and Provider Education

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for an RN-Quality and Provider Education for a contract opportunity with one of our largest clients located in Grand Rapids, MI!

Title: RN Quality and Provider Education
Location: Grand Rapids, MI (Remote/Field)
Duration: 12+ Months with extension
Role Type: W2 Contract Engagement
Pay Rate: up to $40/HR; mileage reimbursement

*NOTE
Looking for a Registered Nurse in the Grand Rapids or northern Michigan (lower peninsula) area. Most work will be remote from home and/or traveling, however, there are occasions contractor will need to work onsite at the Grand Rapids or Traverse City locations (Grand Rapids or Traverse would depend on your residential address). Mileage Reimbursement will be available.

Engagement Description:
While the position mostly includes remote work as well as traveling, the resource will be required to work onsite occasionally. Preferably knowledgeable of NCQA HEDIS measures medical record review. This work will involve participating in provider visits to develop partnerships, provide training, education, and review of medical records as well as other requests that support a variety of corporate initiatives. This would also require traveling to member homes to complete bone mineral density (BMD) screenings. The candidate must be licensed as a Registered Nurse in the state of Michigan and have a dependable vehicle.

Essential Duties & Responsibilities:

• Provide comprehensive research and responses for identified problems and complex inquiries related to the provider community
• Conduct activities as assigned such as in-home Bone Mineral Density (BMD) testing on members
• Conduct in-state provider educational sessions in person and virtually 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, preventative screening, etc. Scan records as required.
• Develop and maintain an effective, professional working relationship 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 a variety of HEDIS/Star related topics
• Generate summary of activity monthly and as requested

Top 3 Required Skills/Experience:

• Current unrestricted state of Michigan registered nurse license required
• Knowledge of quality improvement / process improvement / clinical guidelines
• Experience with MS Office skills. Excel is a plus

Required Skills/Experience:

• Valid MI driver s license; willing to drive to provider locations and travel throughout Michigan as needed (no exceptions)
• Have a dependable vehicle every workday and be willing to travel up to five days a week (varies dependent on time of year, however, travel tends to average mostly 1-3 days per week)
• Minimum three years of clinical experience

Education/Certifications:

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

*Beware of scams. S3 never asks for money during its onboarding process