What are the responsibilities and job description for the Nurse Manager position at Gainwell Technologies LLC?
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Job Description
HMS, a Gainwell Technologies Company
Summary
HMS is hiring a Nurse and Service Authorization Manager to support our Alaska MMIS Fiscal Agent contract. This position will be a part of the account Manager team and responsible for delivering work to meet Service Level Agreements. This individual will also be responsible for building and maintaining the relationship with the client to strategize work process and plan for future changes.
Essential Job Functions
- Operates a variety of office-related equipment, such as multi-line phone system, computer, fax machine, copy machine, and postage meter.
- Assists staff with collection and transfer of non-clinical data, acquisition of clinical data, and activities that do not require evaluation or interpretation of clinical information.
- Performs a variety of general administrative duties for the Service Authorization Department.
- Answers telephone calls to the Utilization Management department.
- Performs data entry of prior authorization requests into the prior authorization system.
- Facilitates electronic filing/scanning of medical records in the appropriate format and location.
- Performs other duties and responsibilities as directed by the supervisor.
Qualifications
Basic Qualifications
- LPN or RN certification and active licensing.
- Experience in Service Authorizations, Utilization Management, or related healthcare setting preferred. Proficiency with medical terminology and/or coding preferred.
- Effective verbal, written, interpersonal, and phone communication skills to interact with internal departments and external contacts.
- Ability to manage staff and workloads across teams.
- Must treat all health information with confidentiality and discretion.
Work Environment
Office/Work-from-Home/Hybrid
Work-from-home (WFH); or Hybrid model including in-office and WFH days to be defined. For positions assigned to WFH, reliable high-speed internet connectivity is required. Employees working-from-home may be required to report to the office, at times, to support work efforts.
The pay range for this position is $109,000.00 - $136,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.
HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
Salary : $109,000 - $136,200
