RN Population Health Risk Adjustment Specialist

About the Position

The Population Health RN Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical Condition Category (HCC) coding accuracy across a portfolio of primary care practices. This position bridges clinical expertise with health technology to ensure documentation supports accurate risk adjustment quality reporting and optimal patient care outcomes.

About Outpatient Clinics

Corewell Health operates over 300 outpatient clinics across Michigan bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty practices which allows those who work in these clinics the opportunity to learn and explore various interests or to specialize in one area.

Scope of work

Serves as a population health subject mater expert in the practice. Plans and prioritizes care for individuals and population of patients focusing on strategies that will promote optimal health within populations and directs patients to the right care team member at the right expertise current knowledge in nursing care and management of a sub population of patients of varying complexity and seeks to improve patient family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.

Qualifications

• Bachelors Degree or equivalent in nursing or a healthcare related field Required

• 3 years of relevant experience clinical nursing and or case management/managed care or related field Required

• LIC-Registered Nurse (RN) State of Michigan Upon Hire Required

• CRT-Basic Life Support (BLS) - AHA American Heart Association Ambulatory Upon Hire Required or CRT-Basic Life Support (BLS) - ARC American Red Cross Ambulatory Upon Hire Required

• Experience in Primary Care or Population Health Preferred

• Familiarity with EHR systems and health technology platforms Preferred

• Proficiency in Microsoft Excel (pivot tables charts data analysis) Preferred

• Strong presentation and communication skills Preferred

• Demonstrated ability to manage multiple practices and priorities Preferred

• Knowledge of HCC coding risk adjustment and value-based care model Preferred

• Change management experience Preferred

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!

• Optional identity theft protection home and auto insurance pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.