[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.