Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review 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. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
The OR Nurse collaborates with surgical team to strategize, implement and evaluate an individualized plan of care for each patient. Provides professional nursing care to assigned operating room patients throughout the perioperative period. Being an OR Nurse evaluates and monitors patients' condition, maintains patients' medical records, and documents patient's progress. Assists physicians during examinations and surgical procedures, using and monitoring medical equipment as necessary. In addition, OR Nurse administer medications, including narcotics, as directed. Functions in a scrub and circulating nurse role. Requires graduation from an approved nursing program. Typically reports to a manager or head of a unit/department. May require a Certified Nurse Operating Room (CNOR) certification. Requires a state license to practice. OR Nurse's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement.
The Medical Claims Quality Nurse Manager is responsible for hiring, training, and firing medical claims review staff. Oversees the performance, productivity, and quality of the medical claims review staff. Being a Medical Claims Quality Nurse Manager serves as a technical resource for all medical review workers. Evaluates medical claims review processes and recommends process improvements. In addition, Medical Claims Quality Nurse Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Quality Nurse 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. Extensive knowledge of department processes. Working as a Medical Claims Quality Nurse Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
The Medical Contact Center Nurse Manager maintains nursing staff by recruiting, selecting, and training clinical staff. Plans and implements the overall nursing policies, procedures, and services for a contact center. Being a Medical Contact Center Nurse Manager may provide direct patient care and is responsible for evaluating patient health over the phone. Ensures that nurses are current in competencies, assessments, licensure, certifications, and other annual training. In addition, Medical Contact Center Nurse Manager may require an advanced degree. Typically reports to top management. Requires RN license. The Medical Contact Center Nurse 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. Extensive knowledge of department processes. Working as a Medical Contact Center Nurse Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required.
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