Group Health Operations Manager (RN/LPN)

Dane Street; United States; Remote; USD 80,000 - 120,000; Full time

Job summary

A leading healthcare company seeks a Group Health Operations Manager (RN/LPN) to oversee profitability and performance of regional operations. This remote role requires strong leadership and healthcare experience, focusing on revenue growth and staff management while ensuring high-quality service delivery.

Benefits

Health insurance

Retirement plans

Bonuses

Equipment support

Qualifications

• RN / LPN License required.
• Healthcare or insurance experience preferred.
• Utilization review experience required.

Responsibilities

• Deliver excellent customer service and manage client inquiries.
• Ensure invoices adhere to fee schedules and build relationships with key physicians.
• Monitor performance metrics and conduct performance evaluations.

Skills

Communication

Critical Thinking

Time Management

Computer Skills

Education

RN / LPN License

Associate's or Bachelor's Degree

Job description

Group Health Operations Manager (RN/LPN)

1 month ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Job Summary
Oversee and ensure the overall profitability of the regional operations center. This includes reaching and exceeding financial & referral goals, managing staffing efficiencies, and improving performance for staff. Present regular reports to management.

Location: 100% REMOTE

Key Responsibilities:

1. Driving Revenue Growth: Deliver excellent customer service, meet scheduling and turnaround time requirements, ensure high-quality report delivery, and manage client inquiries.
2. Optimizing Physician Costs: Ensure invoices adhere to fee schedules, oversee physician selection based on location, specialty, and cost, and build relationships with key physicians.
3. Managing Staff Performance and Capacity: Monitor performance metrics, ensure team meets output goals, conduct performance evaluations, handle discipline and terminations, and oversee regional performance and productivity.

Requirements:

• RN / LPN License required; Associate's or Bachelor's Degree preferred.
• Healthcare or insurance experience preferred; utilization review experience required.
• Strong communication, critical thinking, time management, and computer skills.
• Work from home: reliable internet connection required.

Beginning compensation depends on experience and skills. Benefits include health insurance, retirement plans, bonuses, and equipment support.