Sleep Therapy Analyst
CareCore National - Bluffton, SC

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Job Objectives : The objective of this position is to assess, track, and intervene to support positive PAP therapy compliance outcomes. The Sleep Educator is tasked with evaluating PAP compliance data from health plan clients' members; assessing the member's level of compliance with criteria; supporting the efforts of DME providers, physicians, and patients to attain compliance with PAP therapy; and intervening with the DME providers, physicians, or patients when acceptable compliance is not observed

Responsibilities: (Including but not limited to):

1. Review PAP compliance data in system daily
2. Assess compliance of members with PAP therapy based on health plan requirements
3. Initiate communications with DME provider, ordering physician, or patient depending upon established workflows
4. Follow up with providers after communications sent regarding member PAP compliance
5. Record accurate and complete notations in CareCore system with regard to member progress with PAP compliance
6. Establish and execute monthly reporting on PAP compliance program
7. Give feedback to supervisor regarding the performance of the compliance program.

CareCore National is an Equal Opportunity Employer M/F/D/V and Drug-Free Workplace

Minimum Requirements : 1. RPSGT or RRT with at least 5 years experience working in patient care in either a Sleep Disorders Center or Durable Medical Equipment supplier
2. Thorough knowledge of all modalities of PAP devices, masks/supplies for sleep apnea patients, and mask fitting issues
3. Demonstrate thorough understanding of patient care for individuals on PAP therapy
4. Strong verbal and written communication skills
5. Strong telephone, instant messaging, and electronic mail communication skills
6. Demonstrated expertise in office software applications (Microsoft Word, Excel, Powerpoint, Visio, Outlook, etc)
7. Independent, self-motivated, and detail oriented with highly developed organizational skills
8. Able to work collaboratively in teams and to offer feedback on operations
9. Able to operate efficiently and accurately in a fast-paced environment

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eviCore healthcare (eviCore) is a medical benefits management (MBM) company committed to making a positive impact in healthcare. Our...