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Job Description: Utilization Management Manager (RN) Utilization Management Manager (RN) Location: Brooklyn, NY Salary: $100,000-$110,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137165       About the Opportunity A healthcare organization in New York City is currently seeking an experienced, licensed Registered Nurse (RN), with a strong Utilization Management background, for a promising Manager-level position with their growing medical staff. Assuming a leadership role within the Medical Management Department, the Utilization Management Manager (RN) will be responsible for overseeing the authorization of covered services for eligible members  and insuring high quality, cost-effective patient care and appropriate allocation of member services and resources. Apply today! Company Description Healthcare Organization Job Description The Utilization Management Manager (RN) will be responsible for: Overseeing the provision of utilization management functions, including: pre-certification; concurrent review; discharge planning; etc. Developing departmental process workflows for utilization management functions Hiring, supervising and managing a team of nursing professionals Maintaining staff productivity, effectiveness and efficiency Developing key indicators for staff; auditing staff to achieve key indicators and optimal outcomes Developing and analyzing operational and analytical reports needed to monitor and track operational efficiency Ensuring compliance with the goals of the Medical Management Department and the overall organization Conducting daily, weekly, monthly and quarterly meetings as needed with staff to review process issues Troubleshooting any issues that utilization management staff are experiencing during the authorization process Participating in quality improvement activities Required Skills 3+ years of experience in the Authorization of Services within a Healthcare Management company; 3+ years of Managed Care experience; and, 3+ years of experience in a Management position Associate's Degree in Nursing NYS Registered Nurse (RN) license Utilization Management / Review background Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Nursing CCM, CPHM and/or CMCN certification

Job Description: Practice Manager Practice Manager Location: Port Jefferson, NY Salary:  Experience: 5.0 year(s) Job Type: Temporary / Consulting Job ID: U1015985       About the Opportunity A medical practice on Long Island is actively seeking an experienced professional to join their growing staff as their new Practice Manager. In this role, the Practice Manager will be responsible for performing a wide variety of clerical and administrative duties for the practice. Apply today! Company Description Medical Practice Job Description The Practice Manager will be responsible for: Providing a high level of customer service and support Consistently producing an excellent work product Responding to requests in a professional manner Identifying and responding to issues in a timely manner Seeking feedback / following-up, as appropriate Building effective working relationships Required Skills 5+ years of experience managing a Multi-Physician Practice Associate's and/or Bachelor's Degree in a related field Previous experience in a Supervisory and/or Leadership role Knowledge of PCMH, DSRIP and MACRA Computer savvy Microsoft Office/Suite proficient Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Enrollment Manager Enrollment Manager Location: Hartford County, CT Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1012166       About the Opportunity A premier healthcare organization in Hartford County is looking for a goal-oriented, results-driven Enrollment professional to join their growing team in a Managerial role. In this role, the Enrollment Manager will be to manage, develop and support the Enrollment Team ensuring the consistent achievement of service, production and accuracy goals. This is a fantastic opportunity for the right candidate to continue their career with one of the most reputable healthcare companies in Connecticut. Company Description Healthcare Organization Job Description The Enrollment Manager will: Manage, evaluate and develop the Enrollment team staff consisting of front-line and supervisory level staff Develop and implement new plans and policies and ensure adherence to new policies and procedures Track and report statistics Develop and implement the budget for the department Work with Human Resources to recruit and retain a strong team Required Skills 4+ years of experience working within a Managed Care Enrollment setting; 2+ years of Management experience Bachelor's Degree or equivalent combination of education and work experience Solid assessment and documentation skills Computer and technical knowledge Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Nurse Manager (RN) Nurse Manager (RN) Location: New York, NY Salary: $40-$41 per hour Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1011799       About the Opportunity A home care agency in New York City is actively seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing staff. This is a great opportunity for a diligent and dedicated a Nurse Manager (RN) to gain valuable work experience and further their career at a recognized agency. Opportunities are available in the Bronx, Brooklyn, and Queens. Apply today! Company Description Home Care Agency Job Description The Nurse Manager (RN) will: Oversee the quality of all home care services provided to the elderly clients Provide supervision and in-service education for home health aide Ensure compliance with the NYS Department of Health requirements and standards for licensed home care agencies Work in close collaboration with social work, administrative and field staff Conduct home visits and assessments of clients, as needed Required Skills 2+ years of Nursing experience Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Previous experience in a Manager-level position Home Care background Solid assessment, clinical and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Previous experience within a Home Care agency

Job Description: Case Manager (RN) Case Manager (RN) Location: Worcester, MA Salary:  Experience: 3. year(s) Job Type: Temporary / Consulting Job ID: U1015000       About the Opportunity The Care Coordination Department of a recognized healthcare facility in Massachusetts is actively seeking a licensed Registered Nurse (RN) for a promising Case Manager position with their growing medical staff. In this role, the Case Manager (RN) will be responsible for identifying individual patient needs and developing plans of care as well as engaging and integrating appropriate resources for optimal clinical and financial patient outcomes. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN) will: Perform assessment of patient's physical, functional, and psycho-social needs through the use of screening tools, direct patient and family communication, medical record review, and discussions with other care givers providing services to the patient Performs admission and concurrent reviews, as assigned Collaboratively facilitates the care of patients throughout the continuum of care Works with patients and families to establish objectives, goals and an action plan to meet the patient's individual needs within the indicated level of care Contact third party payer to clarify benefit eligibility, coverage, and available resources for patients Coordinate, implement, monitor and evaluate outcomes of the discharge plan Continually evaluate the patient's level of care Educate the patient, family and care team regarding resource options, facilitate decision making, initiate plans, and secure resources for the patient on an ongoing basis in complex cases Participates in quality improvement on a system level through identification of opportunities for improvement, collection and analysis of data, and participation in the development and application of revised processes Support departmental and medical center-wide performance improvement programs such as implementation and monitoring of clinical practice guidelines Required Skills 3+ years of Clinical experience in Case Management and/or Discharge Planning Bachelor's Degree in Nursing MA Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Utilization Management and Third Party Payer knowledge

Job Description: Multi Modality-CT/ XR Technologist   Job ID    2016-3052 Shift        Days FTE          .8 Start/End of Daily Work Schedule  E/O Sat/Sun 7:30am-4:00pm, Mon, Tue, Thur, Fri 11:30am-6:00pm Type     Part Time Regular (benefit eligible) Facility Bowie Health Center Department    336728/ 121-7280-00 Radiology Overview This position exists to perform a variety of radiographic procedures under general supervision of departmental supervisor and Radiologist to assist in a diagnosis of disease and/or injury.  Performs in either all or one of the following sub-specialties, Computerized Tomography (CT), Mammography, Angiography/Interventional or Ultrasound (Sonography). Requires ARRT certification and Maryland licensure as a Radiologic Technologist.   Responsibilities Serves as a point of contact for referring physicians and patients to resolve delays in care and expedite service Adheres to and supports Imaging Services for Staffing, Supplies and Equipment/supplies. Identifies, reports, and takes corrective action for Equipment malfunctions, Quality issues and Adverse events. Explains process to patient, and instructs and assists patient in assuming physical position for examination.  Responds to patient's concerns and questions. Utilizes appropriate assessment skills prior to performing the Nuclear Medicine procedure and notifies the Physician/Radiologist, when appropriate: Patient identification Clinical condition (i.e., pregnant, isolation, risk to fall, etc.) Special needs (i.e., blind, hard of hearing, limited English speaking) Correct patient position to obtain the proper view of affected area. Patient’s understanding of process Obtains informed consent, when appropriate Completes worksheet appropriately for all exams. Performs radiographic and subspecialty procedures as prescribed by a Physician. Seeks clarification when test request is not clear with the department head and/or physician before tests are administered. Obtains patient history prior to exam Selects correct technical factors to obtain optimal film diagnostics. Performs duties specific to the subspecialty area: Ultrasound/Sonographer CT (Computed Tomography) Technologist Mammographer Angiographer/Interventional Technologist Operates equipment to perform procedures Utilizes hospital and radiology order entry software Follows patient and employee radiation safety procedures. Safely transports patients to and from Imaging Services. Documents performance of radiographic procedures in accordance with department policies Repeat rate for x-ray exams is within department standards.  No more than 10% retakes allowed. Image Management Processes film digitally, CR, and wet film processor Follows procedures to label and store images and film Ability to locate and view images from PACS Skills to locate and scan films into PACS system Follows file room processes Assists with general clerical duties, phones, scheduling, appointments, patient.   Qualifications Must be a graduate of a program of radiologic tecnology approved by the Joint Committee on Education in Radiologic Technology Must be registered with the American Registry of Radiologic Technologist; and must be licensed by the State of Maryland as a Medical Radiation Techology. One (1) year experience as a radiographer. Must have one year experience as a multi credentialed or multi-modality radiologic science professional. Must support the second or additional modalities on a routine basis by being available to work in the modiality no less than one tenth (1/10) of the time worked; and must be able to provide on -call coverage for these modalities. The second modality must be recognize through the credentialing process of th A.R.R.T. or equivalent national certifying organization. Must have the ability to demostrate knowledge and skill necessary to provide care appropriate to the age of the patients seved on the assigned unit. Ability to establish and maintian positive interpersonal relationships at all levels of staff an to function in a highly confidential environment . Excellent organizational skills requried.  *CB   *UM CAPITAL REGION HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER. DECISIONS OF EMPLOYMENT ARE NOT BASED ON RACE, COLOR, RELIGION, GENDER, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, GENETIC INFORMATION, DISABILITY, VETERAN STATUS, OR ANY OTHER PROTECTED STATUS.*

Job Description: Multi Modality Technician (CT Technologist)   Job ID  2017-3923 Shift     Evenings FTE      .1 Start/End of Daily Work Schedule  Varied shifts & hours, weekend coverage required Type    Per Diem (PRN) Facility Prince George's Hospital Center Department  136730-Cat Scan Overview This position exists to perform a variety of radiographic procedures under general supervision of departmental supervisor and Radiologist to assist in a diagnosis of disease and/or injury.  Performs in either all or one of the following sub-specialties, Computerized Tomography (CT), Mammography, Angiography/Interventional or Ultrasound (Sonography). Requires ARRT certification and Maryland licensure as a Radiologic Technologist.   Responsibilities Serves as a point of contact for referring physicians and patients to resolve delays in care and expedite service Adheres to and supports Imaging Services for Staffing, Supplies and Equipment/supplies. Identifies, reports, and takes corrective action for Equipment malfunctions, Quality issues and Adverse events. Explains process to patient, and instructs and assists patient in assuming physical position for examination.  Responds to patient's concerns and questions. Utilizes appropriate assessment skills prior to performing the Nuclear Medicine procedure and notifies the Physician/Radiologist, when appropriate: Patient identification Clinical condition (i.e., pregnant, isolation, risk to fall, etc.) Special needs (i.e., blind, hard of hearing, limited English speaking) Correct patient position to obtain the proper view of affected area. Patient’s understanding of process Obtains informed consent, when appropriate Completes worksheet appropriately for all exams. Performs radiographic and subspecialty procedures as prescribed by a Physician. Seeks clarification when test request is not clear with the department head and/or physician before tests are administered. Obtains patient history prior to exam Selects correct technical factors to obtain optimal film diagnostics. Performs duties specific to the subspecialty area: Ultrasound/Sonographer CT (Computed Tomography) Technologist Mammographer Angiographer/Interventional Technologist Operates equipment to perform procedures Utilizes hospital and radiology order entry software Follows patient and employee radiation safety procedures. Safely transports patients to and from Imaging Services. Documents performance of radiographic procedures in accordance with department policies Repeat rate for x-ray exams is within department standards.  No more than 10% retakes allowed. Image Management Processes film digitally, CR, and wet film processor Follows procedures to label and store images and film Ability to locate and view images from PACS Skills to locate and scan films into PACS system Follows file room processes Assists with general clerical duties, phones, scheduling, appointments, patient.   Qualifications Must be a graduate of a program of radiologic tecnology approved by the Joint Committee on Education in Radiologic Technology Must be registered with the American Registry of Radiologic Technologist; and must be licensed by the State of Maryland as a Medical Radiation Techology. One (1) year experience as a radiographer. Must have one year experience as a multi credentialed or multi-modality radiologic science professional. Must support the second or additional modalities on a routine basis by being available to work in the modiality no less than one tenth (1/10) of the time worked; and must be able to provide on -call coverage for these modalities. The second modality must be recognize through the credentialing process of th A.R.R.T. or equivalent national certifying organization. Must have the ability to demostrate knowledge and skill necessary to provide care appropriate to the age of the patients seved on the assigned unit. Ability to establish and maintian positive interpersonal relationships at all levels of staff an to function in a highly confidential environment . Excellent organizational skills requried.   *CB     *UM CAPITAL REGION HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER. DECISIONS OF EMPLOYMENT ARE NOT BASED ON RACE, COLOR, RELIGION, GENDER, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, GENETIC INFORMATION, DISABILITY, VETERAN STATUS, OR ANY OTHER PROTECTED STATUS.*

Job Description: Nurse Manager (RN) - Nights Nurse Manager (RN) - Nights Location: Morristown, NJ Salary: $85,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137149       About the Opportunity A New Jersey-based rehab facility in seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing Night Shift staff. Reporting into the Chief Nursing Officer and working alongside nurses, the Nurse Manager (RN) will be responsible for directing assigned nursing personnel and serving as a resource person and consultant to ensure the plan of care for the patient population. Apply today! Company Description Rehab Facility Job Description The Nurse Manager (RN) will: Provide and overseeing nursing care Oversee the implementation of approved policies and practices by nursing staff, correcting problems and re-educating as the need arises Collaborate with appropriate persons for continuity of care under the guidance of the Chief Nursing Officer Monitor the quality of nursing care delivered by reviewing documentation, meeting with patients and/or families, and investigating all practice concerns. Continually participate in building and maintaining positive working relationships through effective communication, performance improvement and teamwork efforts Act as a leader and contributing to the smooth functioning of the units by de-escalating crisis situations and by providing calm direction and reassurance to staff, other departments and families, as needed Required Skills 3+ years of Nursing experience Bachelor's Degree in Nursing NJ Registered Nurse (RN) license; Certified Rehabilitation Registered Nurse (CRRN) Solid assessment, clinical and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills 1+ year of experience in a Managerial and/or Supervisory capacity Master's Degree in Nursing

Job Description: Senior Account Manager Senior Account Manager Location: New York, NY Salary: $90,000-$110,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J137189       About the Opportunity A premier regional health information organization (RHIO) is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Senior Account Manager. In this role, the Senior Account Manager will be responsible for all participant account activities including activity management, outreach and training, selling new services, and consent management. Apply today! Company Description Regional Health Information Organization Job Description The Senior Account Manager will be responsible for: Utilization of the organization's platform Developing areas of consent acquisition and strategies to drive consent Oversight of user management and training Acting as a central point of contact for all corporate information Required Skills Bachelor's Degree 5 years of total professional experience 2+ years of related experience including account management of hospitals, nursing homes, and/or large providers Knowledge of MS Office and Salesforce.com Understand and capitalize on the uniqueness of a C-level meeting, a technology meeting, and a business level meeting Able to provide software demonstrations while focusing on the value and benefits to the member organization Able to manage account management and sales meetings with mid-sized audiences Strong analytical and interpersonal communication skills including process, writing, problem solving, customer relationship, organizational and conflict resolution

Job Description: Nurse Manager (RN) Nurse Manager (RN) Location: Fort Lauderdale, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1010123       About the Opportunity A healthcare organization in Florida is currently seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing medical staff. This is a great opportunity for a diligent and dedicated Nurse Manager (RN) to gain valuable work experience and further their career at one of the organization's facilities in Fort Lauderdale. Apply today! Company Description Healthcare Organization Job Description The Nurse Manager (RN) will be responsible for: Maintaining clinical competency, as demonstrated in providing and directing patient care Assisting and communicating with medical staff concerning patient care issues Assessing and triaging patients Participating in the case management of individual patients to ensure the continuity of care Developing and overseeing internal working systems relevant to the medical/nursing operations within a clinic setting Assuming supervisory duties, such as performance evaluations, counseling and progressive discipline of the nursing staff Participating in nursing staff orientation and serving as a clinical resource Planning and participating in educational programs for the nursing staff Overseeing and controlling supplies that directly impact patient care Required Skills 2+ years of previous Nursing experience FL Registered Nurse (RN) license Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills BSN Bilingual (English and Spanish)

Job Description: Medicare Sales Manager Medicare Sales Manager Location: New York City Salary: $80,000-$100,000 Experience: 5.0 year(s) Job Type: Full-Time Job ID: J130359       About the Opportunity A nonprofit healthcare organization in New York City is looking to fill an immediate need with the addition of a new, experienced Medicare Sales Manager to their staff. In this role, the Medicare Sales Manager will be responsible for the day-to-day activity of the Medicare Product Specialists (MPS) in the field. Company Description Nonprofit Healthcare Organization Job Description The Medicare Sales Manager will be responsible for: Coaching and monitoring performance and motivating the Sales team to enroll prospective eligibles Ensuring that the organization Medicare plans are presented providing full disclosure and are in compliance with CMS guidelines Building relationships with community based organizations with the purpose of increasing awareness and generating referrals Required Skills 5+ years of Medicare Sales experience at a Managerial level Associate's Degree in a related field Strong Managed Care experience Customer service oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Case Manager (RN) Case Manager (RN) Location: Piscataway, NJ Salary: $30-$33 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1011128       About the Opportunity A respected healthcare facility located in Piscataway, NJ is actively seeking a self-motivated and patient-oriented Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager will be responsible for reviewing multiple reporting sources to identify and engage members/patients for case management services. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN) will: Establish and maintain communications with attending physicians, discharge planner and social worker during patients hospital stay Coordinate discharge needs and facilitate alternative level of care Maintain ongoing communication with the attending physician and ancillary providers regarding the patients needs Document clinical information into Medical Management system Attend Team Meetings and Case Management meetings on a weekly basis Review requests for specialty services and direct In Network when available Communicate Network negotiations to Provider Services Notification of Re-Insurance cases Perform prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient Required Skills 2-4 years of previous Case Management experience in Managed Care 2 years of Medical-Surgical experience Active New Jersey State Registered Nurse license QC Medical Management systems experience Strong medical skills and knowledge Proficient in Microsoft Office programs

Job Description: Digital Project Manager Digital Project Manager Location: Tampa, FL Salary:  Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1010748       About the Opportunity A healthcare company in Florida is currently seeking a new Digital Project Manager for a great opportunity with their growing staff. In this role, the Digital Project Manager will be responsible for implementing the strategy for digital marketing and communications initiatives that serve to enhance the company's reputation and providing efficient service to members and providers. Apply today! Company Description Healthcare Company Job Description The Digital Project Manager will: Implement the group of companies' digital communication strategy to various external audiences Collaborate with cross-functional business areas to assess needs, compile requirements and prioritize requests Compose business requirements and ROI documents Manage project management and content development and delivery across multiple websites and other digital channels, working closely with other business areas Conduct quality control and user acceptance testing Accurately scope projects; collect and implement requirements; and, facilitate communication and measure performance to optimize the communication capabilities of the company websites, internet search and mobile Support development of new websites and digital communications vehicles as the company adds new lines of business, subsidiaries, etc., and participate in the integration of web properties for company acquisitions Required Skills 3+ years of experience managing Matrix and Cross-Departmental Projects with a high level of client interactions Bachelor's Degree in Business Administration, Communication, Marketing, or a related field Knowledge of Project Development life cycles, Web Technologies and Web Development processes Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Medicare Sales Manager Medicare Sales Manager Location: Miami, FL Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1008025       About the Opportunity A driven and dynamic healthcare professional is currently being sought out by a premier healthcare organization in Miami for a promising opportunity on their staff as a Medicare Sales Manager. In this role, the Medicare Sales Manager will be responsible for oversight of Community Outreach and marketing efforts, direct-to consumer marketing and/or counseling, development of relationships with contracted providers and collaboration with Information Systems and Member Services Departments in order to ensure the highest level of customer satisfaction. Company Description Healthcare Organization Job Description The Medicare Sales Manager: Creates a pharmacy sales marketing plan for the target areas within the region to increase sales for all pharmacies Coordinates a marketing plan with the Marketing Department and outside consultants Prepares presentations for local and statewide staff meetings Maintains a pharmacy marketing report on a weekly and monthly basis for discussion and analysis Schedules, organizes and conducts sales training clinics with participating staff Ensures that the patient and provider satisfaction surveys are completed on a timely basis Submits enrollment materials to Managed Care Data Systems Participates in the development of the organization’s marketing materials Performs other tasks as required Required Skills Pharmaceutical Sales, Specialty Pharmacy Sales, and Management experience for Medicare and Medicaid health plans or closely related field Demonstrated leadership abilities Highly organized Ability to multitask Comfortable working independently and as a member of a team Proficiency with computer platforms and applications Strong communication skills Desired Skills Bachelor's Degree Experience in the Healthcare field, Marketing and sales and/or training 2-15 and 2-40 licensure

Job Description: Case Manager (RN) Case Manager (RN) Location: Trenton, NJ Salary: $27-$30 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1007333       About the Opportunity A premier healthcare facility in Trenton, NJ is actively seeking a patient-oriented and compassionate Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager will be responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Additionally, the Case Manager performs duties and types of care management as assigned by management. Company Description Healthcare Facility Job Description The Case Manager (RN): Assesses patient's clinical need against established guidelines and/or standards Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided Coordinates and assists in implementation of plan for members Monitors and coordinates services rendered outside of the network Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided Encourages member participation and compliance in the case/disease management program efforts Documents accurately and comprehensively based on the standards of practice and current organization policies Required Skills Associate’s or Bachelor’s Degree (or higher) in nursing and/or a health related field, or accredited nursing school diploma Active New Jersey State Registered Nurse license 2+ years of clinical experience Proficiency in the use of personal computers and supporting software in a Windows-based environment Excellent communication skills Highly organized Ability to multitask Patient-oriented Compassionate and empathetic Desired Skills Working knowledge of case/care management principles Working knowledge of principles of utilization management Basic knowledge of health care contracts and benefit eligibility requirements Knowledge of hospital structures and payment systems Prior authorization experience

Job Description: Corporate Director - Case Management Corporate Director - Case Management Location: Newton, MA Salary: $125,000-$140,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137490       About the Opportunity An established healthcare provider in Massachusetts is actively seeking a self-motivated and compassionate healthcare professional for a promising opportunity as their new Corporate Director of Case Management. In this role, the Corporate Director of Case Management provides oversight for resident care delivery processes (clinical and rehab) in our Post-Acute (HC/SNF) settings. Apply today! Company Description Healthcare Provider Job Description The Corporate Director of Case Management will: Manage systems related to Medicare A, Managed Care, Medicaid, and ACO processes Evaluate current system workflows Identify gaps and create solution plan Deliver a strategic, proactive approach to an effective staff orientation and training program Engage inter-professional team members at all levels of the organization to participate in system design (practice/competency/documentation) Coordinate relevant clinical policy/procedure revisions Identify and manage key quality outcome data measures and methodology Create/implement a regularly scheduled communication plan   Required Skills Bachelor's Degree Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist license 3-5 years of divisional or corporate experience in post-acute care settings Expert knowledge of current state and federal government post-acute care regulations Expert Leadership skills In-depth knowledge of case management and resource utilization review practices Demonstrate ability to work effectively with all levels of the organization Demonstrate expertise in critical thinking and analytical skills Expert clinical skills and ability to provide educational programs to all levels of the organization Strong expertise in Medicare, Managed Care and ACO development Proficient to expert in the use of software systems conducive to developing and presenting system deliverables including, but not limited to Microsoft Office Suite Desired Skills Master's Degree Vendor management / business partnership experience Electronic Health Record experience Proficiency in  QAPI systems

Job Description: Hemodialysis Nurse Manager (RN) Hemodialysis Nurse Manager (RN) Location: New York, NY Salary:  Experience: 3. year(s) Job Type: Full-Time Job ID: J137518       About the Opportunity A hospital in New York City is actively seeking a licensed Registered Nurse (RN), with a strong Hemodialysis background, for a promising Manager-level position with their growing medical staff. In this role, the Hemodialysis Nurse (RN) will be responsible and accountable for quality of nursing care and unit management on a 24/7 basis. Apply today! Company Description Hospital Job Description Serving as a role model and resource to all staff, the Hemodialysis Nurse (RN) will be responsible for fostering an effective work environment for interdisciplinary teamwork, patient satisfaction, and staff satisfaction. Required Skills 3+ years of Nursing experience; 1+ year of related Clinical experience in the Hemodialysis area Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Previous experience in a Managerial and/or Supervisory role Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Master's Degree in Nursing

Job Description: Radiology Nurse Manager (RN) Radiology Nurse Manager (RN) Location: Bronx, NY Salary: $105,000-$125,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137036       About the Opportunity A healthcare facility in New York City is actively seeking a licensed Registered Nurse (RN), with a strong Radiology background, for a promising Manager-level position with their growing staff. This is a fantastic opportunity for a diligent and dedicated Radiology Nurse Manager (RN) to gain valuable work experience and further their career at a growing facility in the Bronx. Apply today! Company Description Healthcare Facility Job Description The Radiology Nurse Manager (RN) will be responsible for overseeing all Radiology areas at the facility, including CT Scan, Nuclear Medicine, X-Ray, etc. Required Skills 2+ years of Nursing experience in a Management role Bachelor's Degree in Nursing NYS Registered Nurse (RN) license BLS certification Knowledge of all Radiology area Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Nurse Manager (RN) - Day Shift Nurse Manager (RN) - Day Shift Location: Saddle River, NJ Salary: $85,000-$110,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137148       About the Opportunity A rehab facility in New Jersey is currently seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing Day Shift staff. Reporting into the Chief Nursing Officer and working alongside nurses, the Nurse Manager (RN) will be responsible for directing assigned nursing personnel and serving as a resource person and consultant to ensure the plan of care for the patient population. Apply today! Company Description Rehab Facility Job Description The Nurse Manager (RN) will be responsible for: Providing and overseeing nursing care Overseeing the implementation of approved policies and practices by nursing staff, correcting problems and re-educating as the need arises Collaborating with appropriate persons for continuity of care under the guidance of the Chief Nursing Officer Monitoring the quality of nursing care delivered by reviewing documentation, meeting with patients and/or families, and investigating all practice concerns. Continually participating in building and maintaining positive working relationships through effective communication, performance improvement and teamwork efforts Acting as a leader and contributing to the smooth functioning of the units by de-escalating crisis situations and by providing calm direction and reassurance to staff, other departments and families, as needed Required Skills 3+ years of Nursing experience Bachelor's Degree in Nursing NJ Registered Nurse (RN) license; Certified Rehabilitation Registered Nurse (CRRN) Solid assessment, clinical and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills 1+ year of experience in a Managerial and/or Supervisory capacity Master's Degree in Nursing

Job Description: Trauma Program Manager (RN) Trauma Program Manager (RN) Location: New York, NY Salary: $80,000-$130,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137050       About the Opportunity A medical center in New York City is currently seeking a licensed Registered Nurse (RN) for a promising Manager-level position with their growing Trauma Program. In this role, the Trauma Program Manager (RN) will be responsible for managing clinical services, systems, and performance improvement activities as they elate to a multidisciplinary approach to providing care to injured patients. Apply today! Company Description Medical Center Job Description The Trauma Program Manager (RN) will: Collaborate with the Nurse Executive to establish nursing care standards and evaluates staff compliance Develop unit goals and objectives to support the institutional values and goals with input from staff Provide intramural and extramural education for professional staff as related to the care of trauma patients Monitor indicators of clinical process indicators, system issues, and outcomes related to the quality of care provided to trauma patients Manage the operational, personnel, and financial aspects of the trauma program, as needed Serve as a liaison to hospital administration for the Trauma Program Oversee the collection, coding, storage, use, and validation of data on trauma patient while protecting patient confidentiality Serve as internal resource for staff throughout the hospital and an external resource for pre-hospital providers for issues related to the care of trauma patients Assist in facilitating research and protocol design, data collection, analysis, and publication efforts Participate in the development of trauma care systems at the community, state, and national levels Required Skills 2+ years of previous experience as a Trauma Manager Bachelor's Degree in Nursing NYS Registered Nurse (RN) license Previous experience in an Emergency Room setting Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

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Working in healthcare management is a demanding task. Healthcare managers have difficult job duties, such as balancing the budget while maintaining quality patient care. They must also have a comprehensive understanding of health policies, HMOs, risk assessment, and healthcare finances.

How can you prepare to take on healthcare management level jobs? The answer begins with your education. Most managers in healthcare have a master’s degree. Although some have a master’s in business administration, more frequently, healthcare managers have a master’s in healthcare administration, health sciences, public health, or long term care administration.

Often, there is even more training after you have obtained your master’s degree. Depending on the type of healthcare management you pursue, you may need to pass licensing exams, complete training programs, or take certification programs. The learning never stops when it comes to healthcare management.

If you think healthcare management is for you, be prepared to work long hours and weekends. A career in healthcare management will most likely be stressful, but it is equally rewarding, and there is a lot of room to advance. According to the Bureau of Labor Statistics, medical and health services management level positions are expected to grow 22% from 2010 to 2020. If you have the qualifications and desire to tackle this challenging career, visit ADVANCE Healthcare Jobs today to start applying to management level jobs in healthcare.