RN Population Health Risk Adjustment Specialist

Overview

The Population Health RN – Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical Condition Category (HCC) coding accuracy across a portfolio of primary care practices. This position bridges clinical expertise with health technology to ensure documentation supports accurate risk adjustment, quality reporting, and optimal patient care outcomes.

Serves as a population health subject matter expert in the practice. Plans and prioritizes care for individuals and a population of patients, focusing on strategies that promote optimal health within populations and directs patients to the right care team member at the right time. Demonstrates expertise and current knowledge in nursing care and management of a sub population of patients of varying complexity, seeking to improve patient, family and health system/community outcomes through education, skills, and preventive care in a managed care environment.

• Bachelor s Degree or equivalent in nursing or a healthcare related field (Required)
• 3 years of relevant experience in clinical nursing and/or case management/managed care or related field (Required)
• Licensed Registered Nurse (RN) – State of Michigan (Upon Hire) (Required)
• CRT-BLS (AHA Ambulatory 90 days) or CRT-BLS (ARC Ambulatory 90 days) (Required)
• Experience in Primary Care or Population Health (Preferred)
• Familiarity with EHR systems and health technology platforms (Preferred)
• Proficiency in Microsoft Excel (pivot tables, charts, data analysis) (Preferred)
• Strong presentation and communication skills (Preferred)
• Demonstrated ability to manage multiple practices and priorities (Preferred)
• Knowledge of HCC coding, risk adjustment, and value-based care model (Preferred)
• Change management experience (Preferred)

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on restaurants, phone plans, spas, and more
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary

Location:

SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name: QSE Pop Health Disease Burden - Corporate

Employment Type:

Full time

Shift: Day (United States of America)

Weekly Scheduled

Hours:

40

Hours of Work: 8:00 a.m.

- 5:00 p.m.

Days Worked:
Monday to Friday

Weekend Frequency: N/A

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with vaccine requirements if in an on-site or hybrid workplace category. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

We are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

You may request assistance in completing the application process by calling .