Registered Nurse (RN) Compliance Lead - Health Alliance Plan - Detroit (Full - Time)
Experience Required:
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Associate’s degree in Nursing
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Registered Nurse with a valid, unrestricted State of Michigan license
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Minimum of three (3) years of relevant clinical experience in the medical inpatient or ambulatory setting or specialty experience
Experience Preferred:
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Bachelor’s degree in related field
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Project Management experience
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Leadership experience
Abilities Required:
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Superior communication and conflict management skills allowing for the management of complex issues with effective diplomacy
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Excellent verbal and written communication skills. Well-developed active listening skills
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Excellent documentation
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Excellent customer service
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Strong problem solving, analytical and decision making
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Strong organizational, planning and implementation
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Well-developed time management and prioritization
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Creative and resourceful
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Ability to work independently with limited supervision
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Ability to interact professionally with physicians, members, and internal/external customers
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Comfortable, working with data analysts and other team members, analyzing and presenting summary information about clinical and member topics
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Computer skills including Windows and Microsoft Word and the ability to enter and retrieve data from relevant computer systems
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Ability to identify, assesses, and solve highly complex problems relating to team dynamics, benefits administration, and the delivery of health services
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Understanding of community resources
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Medical management processes across the continuum of care
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Ability to work collaboratively and effectively with diverse groups
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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
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees 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.