RN Clinical Manager - AHN Radiation Oncology

Highmark Inc. • Wexford, PA

40d

About The Position

GENERAL OVERVIEW: Manages the daily operations related to clinical activities for designated sites.

Requirements

• Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
• Bachelors of Science in Nursing required if working in an Oncology setting.
• Knowledge of medical terminology, insurance theory and ICD-9, and CPT coding required.
• CPR - American Heart Association
• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Nice To Haves

• Master's degree in nursing or related health care field preferred.
• Professional certification in area of nursing expertise preferred.
• 1-3 years supervisory experience preferred.

Responsibilities

• Responsible for the clinical professional services for designated sites.
• Manage the day-to-day operations and office functions.
• Supervises staff, resolves problems and implements approved disciplinary action.
• Interviews, hires, trains and conducts performance evaluations.
• Manages and monitors key financial and revenue cycle metrics including staff hours, resource allocation, expense budget, patient volumes and the revenue cycle process.
• Provides primary (or secondary) review of reconciliation of monies being collected and deposited.
• Responsible for monitoring patient satisfaction reports, identifying variances from standard, addressing and resolving patient complaints.
• Responsible for quality and performance improvement by monitoring metrics and addressing deficiencies.
• Implements and coordinates practice performance improvement programs.
• Perform clinical duties necessary to support site.
• Works collaboratively with physicians, leadership and health professionals to accomplish organization and practice goals.
• Ensures compliance with all regulatory requirements.
• Participates in budget preparation for clinical and operational activities.
• Establishes policies and procedures related to patient care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Insurance Carriers and Related Activities
• Number of Employees: 5,001-10,000 employees