Rn Manager Jobs

About The Position

Requirements

• Bachelor's degree in healthcare or a related field.
• Active, unrestricted RN license.
• At least 3 years of progressive supervisory and/or management experience.
• At least 5 years of progressive experience in healthcare services, clinical operations, quality, or care management.
• Valid, unrestricted driver's license.
• Successful completion of the credentialing process.
• Must be located in the PST or MST time zone.
• Excellent verbal, written, and presentation skills.
• People skills to develop and maintain strong internal and external relationships.
• Ability to multitask, prioritize, and create solutions in a challenging environment.
• Demonstrated leadership skills and ability to create and maintain a positive work environment.
• Strong critical-thinking and analytical skills.
• Ability to foster strong employee engagement among the team.
• Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.

Nice To Haves

• Master's degree.
• At least 5 years of experience closing care gaps or coordinating care.
• Prior experience building and managing relationships with healthcare providers or patients.

Responsibilities

• Represent the organization as an ambassador with internal and external customers.
• Collaborate with the team to engage providers and members and act as an escalation point for difficult practices or members.
• Implement organizational policies, procedures, workflows, and action plans to drive team performance.
• Ensure multidisciplinary teams collaborate and communicate to coordinate customer engagement and improve member outcomes.
• Monitor KPIs, identify trends and opportunities, guide regional strategy, and develop action or remediation plans.
• Develop, monitor, and report on team performance and productivity.
• Troubleshoot technical issues as needed.
• Promote continuous improvement through team audits, provider practice visits, and member-call monitoring; identify skill and competency gaps and develop ongoing team education.
• Develop, coach, and mentor team members to achieve company, department, and individual goals.
• Conduct annual performance evaluations and provide constructive feedback using a positive discipline approach.
• Maintain team performance according to NCQA standards, including appropriate provider and member documentation.
• Comply with HIPAA privacy laws, other federal and local regulations, and company security policies.
• Recommend operational adjustments to leadership to support organizational objectives and goals.
• Perform other related duties as assigned.