RN Manager | Medicare Case Management
Edge Recruitment Solutions - Portland, OR

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You are a graduate of an accredited school of nursing and are licensed as an RN in the state of Oregon. You have five (5) or more years direct clinical care experience that includes two (2) or more years supervisory or leadership experience managing staff workload and resolving personnel issues. You take pride in your extensive experience with Medicare STARS ratings programs and your solid understanding of quality initiatives, such as HEDIS. You seek a new opportunity with non-profit healthcare company that is the largest insurer in the Northwest/Intermountain Region.

If the above describes you, we would very much like to get to know you. We seek a Certified Case Manager (CCM) for the role of Manager, Medicare Case Management . In this role you will plan, direct, organize, and manage the activities of the Medicare/ Med Advantage clinical case management and disease management staff. You will facilitate in the design and implementation of quality improvement initiatives to increase Medicare STARS rating. You will provide leadership, process design and evaluation, and integration across the health care services division. You will interact with all levels of management and staff, vendor partners, clients, providers, government officials, and outside consultants.

Candidates must be a graduate of an accredited school of nursing and be licensed as an RN in the state of Oregon. Must have five (5) or more years direct clinical care experience that includes two (2) or more years supervisory or leadership experience managing staff workload and resolving personnel issues. Must have extensive experience with Medicare STARS ratings programs and a solid understanding of quality initiatives, such as HEDIS. Must have demonstrated experience in managing a budget. Must have knowledge of health insurance industry trends and new technology. Must have experience meeting external groups such as employers or provider groups. Must have excellent written, verbal and presentation skills. Must have experience with population statistics and their application in care management programs.

Competitive salary and generous benefits package. This is an excellent opportunity to join an organization that is fully committed to its goal of driving innovative health solutions. For more information call 941.739.1400 or submit your resume now by clicking on the button below that says

"Apply Now."

Edge Recruitment Solutions - 14 months ago - save job - block
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