Health Underwriting Manager manages the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Ensures integrity of underwriting activities and processes. Being a Health Underwriting Manager participates in the development of master policies and other official documents. Verifies that the account contracts are in compliance with government regulations. Additionally, Health Underwriting Manager typically is a RN with clinical experience. Requires a bachelor's degree. Typically reports to a director. The Health Underwriting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Health Underwriting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
```Duties:```
- Provide direct patient care and case management services to assigned patients
- Conduct comprehensive assessments of patients' medical conditions and needs
- Develop and implement individualized care plans in collaboration with the interdisciplinary team
- Monitor and evaluate patients' progress towards achieving health goals
- Coordinate and facilitate communication between patients, families, healthcare providers, and community resources
- Conduct regular patient visits to assess their needs and provide support and education
- Collaborate with physicians and other healthcare professionals to ensure optimal patient outcomes
- Utilize medical records and documentation systems to maintain accurate patient information
```Qualifications:```
- Current Registered Nurse (RN) license in the state of Kansas
- Minimum of 1 years of experience in acute care, or hospital setting
- Strong knowledge of discharge planning, primary care, and patient care coordination
- Familiarity with utilization management principles and processes
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a multidisciplinary team
- Proficient in medical record documentation and electronic health record systems
- Solid understanding of human anatomy, physiology, and medical terminology
Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned.
Job Types: Full-time, Part-time, PRN
Pay: $70,857.00 - $73,575.00 per year
Expected hours: 20 – 40 per week
Benefits:
Medical specialties:
Schedule:
Work setting:
Work Location: On the road
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