RN Manager, Case Management

Healthcare Support Staffing; San Antonio (TX); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Competitive salary

10% annual bonus opportunity

Medical benefits

Dental benefits

Vision benefits

401K

PTO

Job summary

A national healthcare recruiting firm is seeking an experienced RN with strong management skills for a role in San Antonio, Texas. The position entails managing case management operations, ensuring compliance with regulations, and facilitating communication among staff and providers. Candidates should have 5-7 years of RN experience, 3-5 years in a supervisory role, and a thorough understanding of Medicare/Medicaid. The position offers a competitive salary between $80,000 and $105,000, plus benefits including medical, dental, vision, 401K, and PTO.

Qualifications

• 5-7 years as an RN.
• 3-5 years as a manager/supervisor.
• Need some case management experience.
• Experience working with special needs patients.

Responsibilities

• Manage the day to day operations of case management functions.
• Promote compliance with federal and state regulations.
• Develop and maintain compliance with medical case management policies.
• Facilitate communication between case management staff and providers.

Skills

RN license

Good computer skills

Experience with Medicare/Medicaid

Mentoring staff

Education

BS or equivalent experience

Tools

Electronic clinical documentation systems

Excel

PowerPoint

Outlook

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities:

• Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions
• Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes
• Promote compliance with federal and state regulations and contractual agreements
• Develop, implement and maintain compliance with policies and procedures regarding medical case management
• Develop, implement, and maintain case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure
• Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries

Qualifications

Requirements:

• RN license
• BS or equivalent experience
• 5-7 years as an RN
• 3-5 years as a manager/supervisor
• Need some case management experience
• Thorough knowledge of Medicare/Medicaid
• Experience working with special needs patients (Aged, Blind, Disabled)
• Experience doing assessments (health risk assessments) and developing care plans; need to be able to mentor staff on these items
• Good computer skills are a MUST, especially with electronic clinical documentation systems, Excel, PowerPoint, Outlook

Hours for this Position:

Monday to Friday 8:00AM- 5:00PM

Advantages of this Opportunity:

Competitive Salary ranges $80,000 - $105,000 with 10% annual bonus opportunity. Benefits include Medical, Dental, Vision, 401K, and PTO

Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.