What are the responsibilities and job description for the RN - Quality and Provider Education position at KYYBA Inc?
Job Description
Engagement Description
While the position mostly includes remote work and traveling, the resource will be required to work onsite at a client Grand Rapids-Steketee location occasionally. This project will involve participating in provider visits to develop partnerships, provide training, education, and review of medical records as well as other requests that support a variety of corporate initiatives. Knowledge of NCQA HEDIS measures is preferred but will interview qualified RNs. The candidate must be licensed as a Registered Nurse in the state of Michigan and have a dependable vehicle. In-state travel requirements vary throughout the year and could be up to five days a week at times.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Top 3 Required Skills/Experience -
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Disclaimer:
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans /Veteran Spouses/ Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”
Rewards:
Medical, dental, vision
401k
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client
SELECT AWARDS
Engagement Description
While the position mostly includes remote work and traveling, the resource will be required to work onsite at a client Grand Rapids-Steketee location occasionally. This project will involve participating in provider visits to develop partnerships, provide training, education, and review of medical records as well as other requests that support a variety of corporate initiatives. Knowledge of NCQA HEDIS measures is preferred but will interview qualified RNs. The candidate must be licensed as a Registered Nurse in the state of Michigan and have a dependable vehicle. In-state travel requirements vary throughout the year and could be up to five days a week at times.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Provide comprehensive research and responses for identified problems and complex inquiries related to the provider community.
- Conduct activities as assigned such as in-home Bone Mineral Density (BMD) testing on members.
- Conduct in-state provider educational sessions in person on relevant topics such as new business tools, billing/coding, Health e-Blue (HeB), HEDIS, medical record reviews, etc.
- Perform clinical reviews with knowledge of clinical documentation, body systems, anatomy and physiology. Scan records as required.
- Develop and maintain an effective, professional working relationship with providers and their staff.
- Support providers in closing treatment opportunities (HEDIS/Star measures)
- Assist leaders in monitoring issues, projects, timelines, and plans related to various corporate initiatives impacting providers.
- Research, analyze, identify, and evaluate data to assess existing trends and issues.
- Recommend, communicate, and implement solutions to identified problems and root cause of issues.
- Represent and participate in group discussions.
- Assist other departments / consultants when visiting providers to discuss a variety of HEDIS/Star related topics
- Generate summary of activity monthly and as requested
Top 3 Required Skills/Experience -
- Current unrestricted state of Michigan registered nurse license required
- Knowledge of quality improvement / process improvement / clinical guidelines
- Experience with MS Office skills. Excel is a plus.
- Valid MI driver's license; willing to drive to provider locations and travel throughout Michigan as needed (no exceptions)
- RN with HEDIS experience but will interview qualified RNs. RNs with professional coding experience is a plus.
- Have a dependable vehicle every workday and be willing to travel up to five days a week and stay overnight when appropriate
- Minimum three years of clinical experience
- Bachelor's degree in nursing
- Strong knowledge and experience in use of software (e.g., Excel, Outlook, PowerPoint, Word, etc.).
- Knowledge of NCQA HEDIS measures
- Medical chart review experience
- Effective communication skills, written and verbal
- Five years of experience in provider consulting/relations
- Strong analytical, organizational, planning, and problem-solving skills
- Ability to effectively interface with employees at all levels
- Ability to understand and apply statistical inference including research principles
- Demonstrated medical and clinical knowledge required to analyze related issues and apply principles to health care business environment.
- R.N. licensed in Michigan; BSN degree preferred. Associate degree acceptable with professional experience.
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Disclaimer:
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans /Veteran Spouses/ Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”
Rewards:
Medical, dental, vision
401k
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client
SELECT AWARDS
- An INC 5000 company for 10 years
- Corp! Michigan Economic Bright Spots
- Crain’s Detroit Business Top Staffing Service Companies in Detroit
- TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
- Best of MichBusiness winner in HR Wizards & Partnerships
- Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
- 101 Best & Brightest Companies to Work for in Michigan
