We are seeking a detail-oriented and communicative Provider Relations LPN to join our team. This role serves as a critical liaison between our organization and healthcare providers, ensuring that all clinical notifications and communications are accurate, complete, and compliant. The Provider Relations LPN will collaborate with both clinical and non-clinical teams to review medical documentation and provide clinical insight to support provider communications and service coordination.

Key Responsibilities:

• Review provider notifications and correspondence submitted by teams for clinical accuracy and appropriateness.
• Identify discrepancies, missing information, or medical necessity concerns, and escalate or resolve as appropriate.
• Collaborate with internal departments (e.g., Outbound, Inbound, C&E, Triage) to ensure timely and accurate resolution of provider concerns.
• Assist in interpreting and explaining clinical guidelines, protocols, and policies to teams to support learning and provide coaching opportunities
• Collaborate with Client Success to support provider relationships and problem solve any issues.
• Maintain accurate records of communications and clinical reviews in accordance with company policies and applicable regulations.
• Contribute to the continuous improvement of workflows and communication strategies related to provider engagement.
• Updating patient medical records to reflect the most recent and accurate health-related information

Qualifications:

• Active, unrestricted LPN COMPACT license. Willing to obtain additional licensure as needed by the business.
• Strong understanding of clinical documentation, terminology, and HIPAA
• Excellent verbal and written communication skills, with the ability to clearly convey clinical information to both clinical and non-clinical audiences.
• Ability to multitask and assist in different areas as needed.
• Meet productivity requirements established by the company