Health Services QA/Training Coordinator - Birmingham, United States - VIVA Health
Description
LPNs and RNsVIVA 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, ALVIVA HEALTH knows that nursing is not just a job, it is a calling.
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 fewVIVA 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 teamThe 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 GEDTwo years of experience in Medical Management/Case ManagementCurrent LPN or RN license in good standing with the State of Alabama Board of NursingMay require face-to-face member contact with duties regularly performed away from the principal place of businessWilling to submit to vaccine testing and screeningDemonstrate excellent oral and written communication skills as well as a thorough knowledge of medical terminologyHighly motivated, goal-oriented, and willing to work to satisfy departmental goals when requiredAbility to be flexible and accommodate shifting prioritiesAbility 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/HMOClick Here to learn more about how VIVA HEALTH is building a culture where diverse voices, backgrounds, and perspectives are welcomed and celebrated