Nurse Manager Jobs

About The Position

Requirements

• Bachelor’s degree in a health-related field.
• Three years of clinical experience, or an equivalent combination of education and experience.
• Current, unrestricted RN license from the State of Georgia.
• Multistate licensure when providing services in multiple states.

Nice To Haves

• Ability to talk and type at the same time.
• Certification as a Case Manager.
• Demonstrated critical-thinking skills when interacting with members.
• Experience with Microsoft Office and/or ability to learn new computer programs, systems, and software quickly.
• Ability to manage, review, and respond to emails and instant messages in a timely fashion.

Responsibilities

• Ensure members have access to services appropriate to their health needs.
• Conduct assessments to identify individual needs and develop a specific care management plan with objectives and goals.
• Implement care plans by facilitating authorizations and referrals within the benefits structure or through extra-contractual arrangements.
• Coordinate internal and external resources to address identified needs.
• Monitor and evaluate the effectiveness of care management plans and modify them as needed.
• Interface with Medical Directors and Physician Advisors on the development of care management treatment plans.
• Assist with problem solving related to providers, claims, or service issues.
• Assist with developing utilization and care management policies and procedures.

Benefits

• Merit increases
• Paid holidays
• Paid time off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical benefits
• Dental benefits
• Vision benefits
• Short- and long-term disability benefits
• 401(k) with matching
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources