RN Population Health Risk Adjustment Specialist
About The Position
About the Position The Population Health RN – Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical Condition Category (HCC) coding accuracy across a portfolio of primary care practices. This position bridges clinical expertise with health technology to ensure documentation supports accurate risk adjustment, quality reporting, and optimal patient care outcomes. About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty practices, which allows those who work in these clinics the opportunity to learn and explore various interests or to specialize in one area. Scope of work Serves as a population health subject mater expert in the practice. Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations and directs patients to the right care team member at the right time. Demonstrates expertise, current knowledge in nursing care and management of a sub population of patients of varying complexity and seeks to improve patient, family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.
Requirements
- Bachelor's Degree or equivalent in nursing or a healthcare related field Required
- 3 years of relevant experience clinical nursing and or case management/managed care or related field Required
- LIC-Registered Nurse (RN) – State of Michigan Upon Hire Required
- CRT-Basic Life Support (BLS) - AHA American Heart Association Ambulatory Upon Hire Required or CRT-Basic Life Support (BLS) - ARC American Red Cross Ambulatory Upon Hire Required
Nice To Haves
- Experience in Primary Care or Population Health Preferred
- Familiarity with EHR systems and health technology platforms Preferred
- Proficiency in Microsoft Excel (pivot tables, charts, data analysis) Preferred
- Strong presentation and communication skills Preferred
- Demonstrated ability to manage multiple practices and priorities Preferred
- Knowledge of HCC coding, risk adjustment, and value-based care model Preferred
- Change management experience Preferred
Responsibilities
- Serves as a population health subject mater expert in the practice.
- Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations and directs patients to the right care team member at the right time.
- Demonstrates expertise, current knowledge in nursing care and management of a sub population of patients of varying complexity and seeks to improve patient, family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.
Benefits
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here .
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance, pet insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
