Associate Manager, Clinical Health Services (Remote)
Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. This is a full-time telework position. The schedule for this position is Monday-Friday with on call requirement every five weeks. Has reputed company of appeals (clinical and nonclinical staff), serves as expert and mentor for problem solving and critical thinking, develops, initiates, monitors and communicates performance expectations and implements performance actions reputed company necessary, participates in recruitment and hiring processes for staff, accountable for maintaining compliance with policies and procedure and implements them at the employee level, supports team and individual development, monitors open inventory and production, monitors staff clinical development, production and quality, and may have reputed company to the expedited appeals process from intake to resolution. Plans and sets day to day objectives and priorities for the team and delivers results that have direct impact on the achievement of results reputed company the job area. May support UM, MPO, or Coding appeals. May have weekend on-call requirements. Required Qualifications Active and unrestricted RN licensure in state of residence 3+ years clinical experience 2+ years appeals experience Preferred Qualifications Computer literacy and experience familiarity with reputed company reputed company, Word, and web-based applications desired Ability to work with people in such a manner as to build high morale and group commitment to goals and objectives Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes Ability to communicate effectively with Providers, Members, Staff and other Leaders both in oral and written formats Educational Requirements RN Associate's Degree minimum required. BSN preferred Pay Range The typical pay range for this role is: $80,340.00 - $173,040.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and reputed company benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 10/04/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws Apply Job!