Registered Nurse (RN) Compliance Lead - Health Alliance Plan - Detroit (Full - Time)

📁
Clinical/Allied Health
📅
189291 Requisition #
Thanks for your interest in the Registered Nurse (RN) Compliance Lead - Health Alliance Plan - Detroit (Full - Time) position. Unfortunately this position has been closed but you can search our 1,255 open jobs by clicking here.

Experience Required:

  • Associate’s degree in Nursing
  • Registered Nurse with a valid, unrestricted State of Michigan license
  • Minimum of three (3) years of relevant clinical experience in the medical inpatient or ambulatory setting or specialty experience

Experience Preferred:

  • Bachelor’s degree in related field
  • Relevant experience in the oversight of CMS and NCQA regulatory requirements
  • Project Management experience
  • Leadership experience

Abilities Required:

  • Superior communication and conflict management skills allowing for the management of complex issues with effective diplomacy
  • Excellent verbal and written communication skills.  Well-developed active listening skills
  • Excellent documentation
  • Excellent customer service
  • Strong problem solving, analytical and decision making
  • Strong organizational, planning and implementation
  • Well-developed time management and prioritization
  • Creative and resourceful
  • Ability to work independently with limited supervision
  • Ability to interact professionally with physicians, members, and internal/external customers
  • Comfortable, working with data analysts and other team members, analyzing and presenting summary information about clinical and member topics
  • Computer skills including Windows and Microsoft Word and the ability to enter and retrieve data from relevant computer systems
  • Ability to identify, assesses, and solve highly complex problems relating to team dynamics, benefits administration, and the delivery of health services
  • Understanding of community resources
  • Medical management processes across the continuum of care
  • Ability to work collaboratively and effectively with diverse groups
  • Able to deliver presentations to internal and external audiences.

 

    Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.

Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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