Supervisor of GUIDE Coordination
New
C
Ceresti HealthHealthcare
United States, flexible scheduling options across time zonesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 3-5+ years of experience in care coordination, case management, or population health; 2+ years of supervisory or team-lead experience
- Required Skills
- ComplianceEHR
Requirements
- Bachelor’s degree in nursing, social work, healthcare administration, public health, or a related field
- 3-5+ years of experience in care coordination, case management, or population health
- Direct experience with CMS value-based or alternative payment models
- 2+ years of supervisory or team-lead experience with a track record of coaching
- Strong working knowledge of CMS regulatory requirements and quality measures
- Demonstrated ability to operationalize compliance by turning regulations into workflows, training, and SOPs
- Experience auditing clinical documentation and care plans
- Comfortable working with EHR systems, CMS portals, and reporting/BI dashboards
- Familiarity with revenue cycle management
Responsibilities
- Lead, manage, and hold accountable the team of GUIDE Program Coordinators
- Monitor and operationalize new and updated CMS GUIDE rules and guidance into clear workflows, policies, and training
- Maintain and administer the CMS GUIDE portal, ensuring accurate, timely beneficiary alignment and reporting
- Track and report on GUIDE alignment, performance metrics, and quality measures
- Collaborate with Revenue Cycle Management (RCM) to align documentation, coding, and billing with GUIDE payment requirements
- Audit charts for GUIDE compliance, focusing on timelines and documentation completeness
- Oversee care plan development to ensure they are person- and caregiver-centered
- Identify compliance risks and lead corrective action in partnership with leadership
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