RN Manager: Medical Management & Care Coordination

Helpjuice; Taguig; On-site; PHP 3,769,000 - 5,653,000; Full time

Job summary

Helpjuice is seeking a Manager Medical Management in a leadership role overseeing a team of clinicians to optimize member outcomes and resources. You will ensure services align with medical policy, promote cost-effective care, and coordinate with facilities for care management.

Qualifications include an active US RN license and 5 years of acute care experience or an equivalent mix, with strong communication and analytical skills for effective leadership.

Qualifications

• Requires current active unrestricted RN license to practice as a health professional within applicable US states.
• 5 years acute care clinical experience or an equivalent education/experience mix.
• Strong oral, written, and interpersonal communication skills.
• Problem-solving, facilitation, and analytical capabilities.

Responsibilities

• Lead a team of clinicians to promote quality member outcomes and optimize benefits.
• Ensure medical policy adherence, cost-effective and high-quality service.
• Authorize inpatient admissions, outpatient services, and select procedures.
• Coordinate care with facilities and providers for care management and outcomes.

Skills

RN license (US)

Clinical management

Communication skills

Analytical skills

Job description

Helpjuice is seeking a Manager Medical Management in a leadership role overseeing a team of clinicians to optimize member outcomes and resources. You will ensure services align with medical policy, promote cost-effective care, and coordinate with facilities for care management.

Qualifications include an active US RN license and 5 years of acute care experience or an equivalent mix, with strong communication and analytical skills for effective leadership.