Registered Nurse Unit Manager Job at Premier Washington (Washington)

Assistant Nurse Manager, Central Monitoring Unit/Video Monitoring Unit

Responsible for overseeing, directing, and providing care to patients requiring ...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Associate's Degree - Nursing
Medical Surgical Experience Required
Post- Surgical Nursing Experience Required
Nursing Experience
Basic Life Support (BLS) Required
Advanced Cardiac Life Support (ACLS) Required
Licensed Registered Nurse Required

Job Responsibility

Overseeing, directing, and providing care to patients requiring immediate treatment of any medical, surgical, or other condition, including chronic medical and minor injuries or illnesses

Fulltime

Assistant Nurse Manager, Emergency Department

We are looking for an Assistant Nurse Manager (ANM) to join our Emergency Depart...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Associate's Degree - Nursing
Emergency Nursing Experience
Advanced Cardiac Life Support (ACLS) Required
Basic Life Support (BLS) Required
Workplace Violence Certification Required
Neonatal Resuscitation Program (NRP) Certification Required
Pediatric Advanced Life Support (PALS) Required
Neonatal Advanced Life Support (NALS) Required
Licensed Registered Nurse Required

Job Responsibility

Continuously monitor and interpret pt.cond. on the assigned unit
Coordinate care provided by the unit's professional and supportive staff members
Be responsible for the assessment, planning, implementation, and eval. of nursing care provided to the unit's patients in accordance with the mission statement
Facilitate communication between medical staff members and nursing staff members regarding patient care issues
Participate in community activities related to healthcare education and/or patient/family advocacy

Fulltime

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Clinical Nurse Manager

The Nurse Manager is responsible for overseeing nursing operations within an ass...

Location

United States , Arlington

Salary:

Not provided

Copper Springs East

Expiration Date

Until further notice

Requirements

Graduation from an accredited Bachelors of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program
Current state licensure as Registered Nurse
Basic Cardiac Life Support (BCLS) required
Minimum of 2 years of rehab nursing experience and 2 years of supervisory experience preferred

Job Responsibility

Provide overall direction and supervision of patient care and nursing personnel on the unit
Consult with staff, physicians, and the Program Director regarding nursing practices and hospital policies
Ensure nursing staff compliance with clinical policies and procedures
Participate in incident investigations and the preparation of related reports
Ensure appropriate staffing levels to meet patient care needs
Implement and uphold Standards of Nursing Practice across all functions
Serve as the administrative representative in the absence of the Program Director
Perform other duties as assigned

What we offer

Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period
Tailored benefit options for part-time and PRN employees
Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off
Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match
Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs)
Ongoing learning and career advancement opportunities

Fulltime