RN, LPN, LVN, Licensed professional graduate of an accredited school of nursing. Computer skills and analysis capabilities. Able to navigate CPT4 code and ICD9 and ICD10 DX on HEDIS Technical Specification requirements. Understanding of codes for services based on diagnosis and procedure.
Identifying and resolving complex technical and operational problems within department(s) Position Requirements Include: Ability to work onsite in Centennial, CO 30% of the time. Travel may also be required for departmental meetings. Registered Nursing license free of restrictions.
Ability to go to office for training, technical computer issues, or business needs. Current, unrestricted RN license. Knowledge and work experience with Microsoft Office (Excel and Outlook) Multi-state licensure is required if this individual is providing services in multiple states.
Associates Degree in a healthcare related field. Unrestricted Missouri/Illinois licensure as a Registered Nurse or LPN. Proficiency in MS Office applications. Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements.
Minimum of three plus (3+) years’ RN experience. Minimum of an Associate's degree from a two-year technical college or technical school or Diploma Nursing Program. Minimum of two (2) years working in a clinical office. Must have a current, unrestricted RN licensure in a compact state.
1+ year recent health plan case/care management experience. 3+ years prior acute clinical experience in an RN role. Knowledge of health and/or patient education and behavioral change techniques. Strong computer technical skills.