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Clinical Lead, Risk Adjustment, RN, Remote - Albuquerque, United States - Aledade, Inc.
Description
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care.
We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
We are searching for aClinical Lead, Risk Adjustment, RN
to join the team.
This Clinical Lead is responsible for leading creation and delivery of content for learning and development on clinical documentation across the outpatient spectrum.
The role will focus on creation of educational materials in clinical documentation concepts-clinical risk adjustment. Additional clinical revenue cycle projects may focus across ambulatory and acute care CDI program development.Primary Duties:
Clinical lead for education team
Create, revise educational materials for clinical documentation, coding and billing for both internal and external audiences.
Collaborate with medical directors on clinical materials.
Manage team of coder/clinicians.
Act as key clinical team member for risk stratification team. Manage assigned clinical documentation projects and initiatives to support success in value-based care for identified populations.
Use an evidence-based, data-driven approach to effect the adoption of clinical documentation for outcome success. Use clinical process measures and outcome data to execute action plans aimed at improved outcome on CDI measures.
Mentor, coach, and collaborate with key team members to execute clinical documentation and risk stratification strategies. Facilitate internal and external education sessions on clinical documentation either in person or virtually.
Minimum Qualifications:
Bachelor's degree in nursing with the degree from a nursing accredited college or university
7+ years of registered nursing experience
Coding certification required CRC. CPC or equivalent preferred.
Knowledge of ICD-10-CM, CPT, HCPCS, HCC and modifier coding and specificity of documentation changes
3+ years of risk stratification experience required
Strong understanding of value-based care principles
Exceptional written and verbal skills
Ability to work independently
Preferred Key Skills and Abilities:
Master's degree in nursing as an Advanced Practice Registered Nurse (e.g., Clinical Nurse Specialist or Nurse Practitioner) is preferred3+ years clinical documentation experience
2+ years education, learning development or training
Registered nurse or ARNP/PA who thrives in a fast paced environment and removes roadblocks and obstacles to achieve desired outcomes
Proven ability to lead, coordinate, and facilitate new ideas into action
Willingness to travel as needed to Aledade's headquarters or markets
Solution-oriented individual who can assist in creating tactical clinical innovation then translate those solutions to care teams (including executives, practice managers, clinic and system owners, nurses, and all ancillary care team members) to execute towards delivering population health results
Excellent communicator who can articulate the impact of clinical innovation and transformation initiatives to Aledade ACO member practices and their key staff (e.g., nurses/other clinicians, care managers, etc.), and internally within the company
Ability to use insights from clinical, quality, and cost data to inform clinical innovation and transformation and proactively address opportunities for improvement
Ability to work collaboratively across Aledade clinical and non-clinical teams to gain buy-in and implement key clinical documentation innovation initiatives
Ability to work with diverse populations with a passion for health equity and eliminating health disparities
Physical Requirements:
Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care.
We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model.
Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy.
If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn.
You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more
At Aledade, we don't just accept differences, we celebrate them
We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs.
All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy:
By applying for this job, you agree to Aledade'sApplicant Privacy Policy available at
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