Coordinator, Correspondence Compliance
Company: Kaiser Permanente
Posted on: September 22, 2022
The Correspondence Compliance Coordinator is responsible for the
generation of UM required written notices to Kaiser Permanente
members and providers. This position consistently supports
compliance and Kaiser Permanentes Code of Conduct by adhering to
federal, state, local laws and regulations, accreditation licensure
requirements and Kaiser Permanentes policies and procedures.
+ Reviews UM required written notices based on members jurisdiction
and product line following regulatory requirements and UM policies
+ Two (2) years of utilization review experience required.
+ Two (2) years of clinical experience required.
+ Two (2) years of experience working with computer system
+ Bachelors Degree OR four years of directly related utilization
review experience required.
+ High School Diploma or General Education Development (GED)
License, Certification, Registration
+ This job requires credentials from multiple states. Credentials
from the primary work state are required before hire. Additional
Credentials from the secondary work state(s) are required post
+ Registered Nurse License (District of Columbia) within 6 months
+ Registered Nurse License (Virginia) within 6 months of hire AND
Registered Nurse License (Maryland) within 6 months of hire
+ Compact License: Registered Nurse within 6 months of hire
+ Extensive knowledge of NCQA, Medicare and state regulatory UM
+ Proficiency in the use of applicable computer software.
+ Recent acute care, case management, or home health experience
+ Demonstrated ability to effectively and clearly present
information through the written word, to influence or persuade
others through oral presentation in positive or negative
circumstances, and to listen well.
+ Demonstrated ability to write clearly, legibly, and effectively,
to present ideas and document activities, to read and interpret
+ Knowledge of managed care preferred.
TITLE: Coordinator, Correspondence Compliance
LOCATION: Hyattsville, Maryland
External hires must pass a background check/drug screen. Qualified
applicants with arrest and/or conviction records will be considered
for employment in a manner consistent with Federal, state and local
laws, including but not limited to the San Francisco Fair Chance
Ordinance. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, national
origin, sexual orientation, gender identity, protected veteran, or
Keywords: Kaiser Permanente, Silver Spring , Coordinator, Correspondence Compliance, Other , Hyattsville, Maryland
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