Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Registered Nurse Manager
Overview:
We are seeking a highly skilled and experienced Registered Nurse Manager to join our healthcare team. As a Registered Nurse Manager, you will be responsible for overseeing the nursing staff and ensuring the delivery of high-quality patient care. This is a leadership role that requires strong clinical knowledge, excellent communication skills, and the ability to effectively manage a team.
Duties:
- Provide leadership and guidance to the nursing staff
- Develop and implement nursing policies and procedures
- Ensure compliance with all regulatory standards, including HIPAA
- Collaborate with other healthcare professionals to coordinate patient care
- Conduct performance evaluations and provide feedback to nursing staff
- Assist in the recruitment, hiring, and training of new nurses
- Monitor patient outcomes and implement quality improvement initiatives
- Act as a resource for nursing staff regarding complex patient cases
- Oversee medication administration and ensure adherence to protocols
- Manage patient admissions, transfers, and discharges
Experience:
To be successful in this role, you should have the following experience and qualifications:
- Current Registered Nurse (RN) license
- Minimum of 5 years of nursing experience in various healthcare settings
- Previous experience in nurse management or leadership role preferred
- Strong knowledge of tube feeding, health coaching, anatomy, ophthalmology, occupational health, laboratory procedures, and nursing home care
- Experience working with children is a plus
Benefits:
We offer a competitive salary package along with the following benefits:
- Health insurance coverage
- Retirement plan options
- Paid time off and holidays
If you are a dedicated and compassionate Registered Nurse with strong leadership skills, we encourage you to apply for this position. Join our team and make a difference in the lives of our patients. Apply today!
Job Type: Full-time
Benefits:
Schedule:
Work setting:
Work Location: In person
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