About the Team: Wellmark’s Care Management Operations team supports a diverse department by providing training, technical writing, system administration, project support, and quality review.
About the Role: No two days will be the same! You’ll complete quality review for work performed by clinical and non-clinical staff, including review of processes, adherence, phone calls, and clinical documentation. You’ll also provide quality review reports, results, and trends to the Team Leader and will assist with cross-training team members on procedures and guidelines for department functions. Additional accountabilities could include assisting with development and implementation of quality or process improvement initiatives, and completion of audits, research, and analyses to support performance metrics and reporting across the department.
Ideal Candidates: Have at least four years of clinical/industry experience and an active and unrestricted RN license. They’re coaches at their core and view their role as a support system for team members across the department—the ability to help others learn, grow and succeed energizes them. They listen first, seek to understand, and approach their work with flexibility. They’re also effective at facilitating crucial conversations and providing constructive feedback to others.