LPN/RN Quality Clinical Coordinator (Practice Coordinator)-Phil job at Cigna in Harrisburg

Cigna is in need of LPN/RN Quality Clinical Coordinator (Practice Coordinator)-Phil on Tue, 16 Jul 2013 23:19:18 GMT. Job Description Role Summary Coordinates and manages relationships with single office practices to multiple provider practices in HealthSpring’s P4Q or P4Q 2 programs. Consistently monitors participating provider performance on the identified P4Q and/or HEDIS STAR measures and regularly communicates status of those measures to the appropriate HealthSpring team members. Establishes and maintains...

LPN/RN Quality Clinical Coordinator (Practice Coordinator)-Phil

Location: Harrisburg Pennsylvania

Description: Cigna is in need of LPN/RN Quality Clinical Coordinator (Practice Coordinator)-Phil right now, this job will be placed in Pennsylvania. Detailed specification about this job opportunity kindly read the description below. Job Description

Role Summary

Coordinates and manages relationships with single office practices to multiple prov! ider practices in HealthSpring’s P4Q or P4Q 2 programs. Consistently monitors participating provider performance on the identified P4Q and/or HEDIS STAR measures and regularly communicates status of those measures to the appropriate HealthSpring team members. Establishes and maintains regularly scheduled contact with designated P4Q or P4Q 2 Program Point-of-Contact in each participating office and conducts on-site visits in those offices. Coordinates and ensures that all communication is maximized effectively between the practice, health plan, and any disease management vendors.

This position would travel to physician offices in the Philadelphia area. Must be flexible to travel to various locations within the area .

Responsibilities

Coordinate and manage relationships with participating provider practices: Initiate and maintain ongoing productive and positive relationships with designated Point-of-Contact in each practice. Facilitate resolution ! of any discrepancies between claims and practice medical recor! ds. Communicate pertinent care and/or clinical information to the health plan for follow-up or inclusion in Company’s medical records. Maintain physical presence in participating. Serve as ongoing resource and support for P4Q or P4Q 2 Program needs in identified practices. Assist with communication between Point-of-Contact and practice staff/physicians. Participate in all operational meetings/calls as identified between practices and the health plan. Participate in regularly scheduled Practice Coordinator team conference calls.

Minimum Requirements: Unrestricted Maryland Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). At least one year related experience in a healthcare environment. Prefer 2 plus years experience. Excellent written and oral communication skills; excellent problem solving skills; highly organized and proactive; ability to handle multiple tasks and set priorities; detailed oriented; works independently with minimum of supe! rvision. Ability to travel to and work at participating practices. Flexibility and the ability to work independently.

Preferred Requirements: Minimum of two years clinical practice experience in a providers’ office or hospital setting. At least five years HEDIS related experience and/or solid working knowledge of HEDIS measures .
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Cigna.

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This job starts available on: Tue, 16 Jul 2013 23:19:18 GMT

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