OB Practice Consultant at Elevance Health engaged in building partnerships and improving integrated healthcare systems. Working virtually with flexibility and autonomy while educating providers on best practices.
Responsibilities
creating a partnership relationship with providers and key health plan leads
support initiatives and ensure members receive a fully integrated and accountable system of care
Assess current practice patterns, assets, and challenges utilizing NCQA Standards
HEDIS audits, site reviews, and medical records reviews
In partnership with the OB provider, evaluate the results of the initial assessment
Establishes a project plan with the practice that establishes goals and objectives for improvement
Provides ongoing practice support and sustains the partnership
Establishes regular meetings to track progress
Improves the understanding and sensitivity to the unique needs of this population and the caregivers
Ensures OB providers are offering evidenced-based care to members and driving quality improvement
Requirements
Requires AS in nursing
minimum of 5 years of managed care experience
minimum of 2 years of clinical experience
minimum of 2 years of professional presentations to small and large audiences
Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, LCSW, LSW, etc.) as required
BSN or MSN preferred
2 years of combination of OB/GYN, Mother/Baby, L&D clinical experience highly preferred
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