Health Management Auditor
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Job Location:
Altoona, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
9 days ago
Vacancies:
1 Vacancy
Job Summary
Position Purpose
To assist with ensuring documentation compliance and excellence in the Electronic Health Record.
Essential Position Functions
To assist with ensuring documentation compliance and excellence in the Electronic Health Record.
Essential Position Functions
- Review various parts of the member Electronic Health Record focusing on items including but not limited to assessments care plans correspondence acuity and billing to ensure compliance.
- Review randomly selected member Electronic Health Records to assess critical thinking and proactive case management strategies.
- Collaborate with Manager of Case Management and Wellness and Health Management Team Leader on training needs identified from audits.
- Complete special projects as assigned by the Manager of Case Management
- Lead educational meetings with Case Management staff as directed.
- Support case management activities and member engagement as needed
- Assist with NCQA and Metastar audits/duties as assigned.
- Comply with all company policies and procedures.
Minimum Requirements of the Position
- Active State of WI Nursing License
- Case Management Experience
- Proficient in the use of Microsoft Word and Excel.
- Excellent communication skills strong attention to detail good time management and organizational skills required.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate exclude or treat candidates less favorably on the basis of race color national origin (including limited English proficiency and primary language) age disability or sex (including sex characteristics including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration community involvement innovation and belonging. It is essential that all employees and members feel secure and welcome that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package including three weeks of vacation the first year a generous retirement plan health and dental insurance a wellness program and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration community involvement innovation and belonging. It is essential that all employees and members feel secure and welcome that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package including three weeks of vacation the first year a generous retirement plan health and dental insurance a wellness program and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
Required Experience:
IC
About Company
Group Health Cooperative is a community-based non-profit health plan that delivers high-quality, personalized service to its members. The Cooperative started as a local coalition more than 40 years ago. While it is still a local plan with a local focus, it is now a nationally recogniz ... View more
