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[Hiring] Medicare Qualification Specialist @CVS Health
Role Description
The Dietitian is responsible for providing safe, high-quality, patient-centered nutrition support services, including parenteral nutrition and enteral tube feeding, in accordance with company policies and procedures, accepted standards of nutrition practice, and the physician’s treatment plan.
- Reviews clinical documentation to determine qualification under Medicare standards.
- Supports documentation needed for payer requirements and reimbursement.
- Collaborates with internal and external customers to support smooth transitions to Coram CVS/specialty infusion services.
- Ensures continuity of care and ongoing customer satisfaction.
- Supports mentoring and training for RDs and non-clinical staff.
- Involved in operational and clinical report development and analysis.
- Participates in program initiatives and scheduling activities as assigned by the Supervisor or Manager-Dietitian Nutrition Support.
Qualifications
- 1+ years of experience as a Registered Dietitian working with nutrition support (i.e., Enteral and TPN).
- Knowledge of applicable state clinical and regulatory requirements.
- Current license as a Registered Dietitian in the state of residence, where required.
- Willingness to obtain additional state licensure as needed to support patient care needs.
- Working knowledge of Microsoft business software.
- Strong verbal and written communication skills.
- Experience providing exceptional customer service.
- Strong problem-analysis and decision-making skills.
- Ability to address and resolve conflict effectively.
- Ability to work effectively in teams and coordinate work efforts across multiple stakeholders.
- Excellent organizational and time management skills.
- Ability to manage competing priorities in a high-volume, fast-paced clinical environment.
- Ability to perform additional duties as assigned by the supervisor or manager.
Requirements
- Experience providing home nutrition support care.
- Certified Nutrition Support Clinician (CNSC) for those with direct patient assessment/clinical care responsibilities.
- Knowledge of payer requirements related to billing and reimbursement.
- Experience using electronic medical record systems.
Benefits
- Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
- Medical, dental, and vision coverage.
- Paid time off.
- Retirement savings options.
- Wellness programs and other resources, based on eligibility.
Company Description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
