Healthcare Support Staffing
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Daily Responsibilities RN Supervisor of UM: Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance within applicable state program guidelines Evaluate compliance policies and procedures and analyze/recommend enhancements Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements Identify opportunities for process improvements necessary to facilitate department functions Educate staff as necessary to ensure consistent performance and adhere to standards Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary Qualifications
Requirements: Must be Registered Nurse 3 – 5 years UM experience, Either PA or CR Thorough knowledge of utilization management and clinical nursing. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP preferred Case Management Certification (CCM) preferred. Managed Care Experience STONGLY preferred Supervisory Experience a must! Hours for this Position: Mon-Fri 8a-5p Advantages of this Opportunity: Fun and positive work environment Benefits start 1st of the month after hire Additional Information
Want More Information? • If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.
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Daily Responsibilities RN Supervisor of UM: Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance within applicable state program guidelines Evaluate compliance policies and procedures and analyze/recommend enhancements Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements Identify opportunities for process improvements necessary to facilitate department functions Educate staff as necessary to ensure consistent performance and adhere to standards Assist UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary Qualifications
Requirements: Must be Registered Nurse 3 – 5 years UM experience, Either PA or CR Thorough knowledge of utilization management and clinical nursing. Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP preferred Case Management Certification (CCM) preferred. Managed Care Experience STONGLY preferred Supervisory Experience a must! Hours for this Position: Mon-Fri 8a-5p Advantages of this Opportunity: Fun and positive work environment Benefits start 1st of the month after hire Additional Information
Want More Information? • If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.
#J-18808-Ljbffr