{"id":2128,"date":"2016-10-05T19:59:02","date_gmt":"2016-10-05T19:59:02","guid":{"rendered":"http:\/\/nexushc.com\/?p=2128"},"modified":"2016-10-05T20:15:54","modified_gmt":"2016-10-05T20:15:54","slug":"vice-president-medical-management-rn-il","status":"publish","type":"post","link":"http:\/\/nexushc.com\/?p=2128","title":{"rendered":"Vice President, Medical Management \u2013 RN (IL)"},"content":{"rendered":"

Chicago area<\/span><\/p>\n

Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company\u2019s strategic plan; establishing the strategic vision and attendant policies and procedures.<\/p>\n

\u2022 Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating and administering organizational and departmental policies.
\n\u2022 Review analyses of activities, costs, operations and forecast data to determine department progress toward stated goals and objectives.
\n\u2022 Serve as a member of management committees on special studies.
\n\u2022 Administer and ensure compliance with National Committee on Quality Assurance (NCQA) and\/or Joint Commission on Accreditation of Healthcare Organization (JACHO) standards as determined for accreditation of the health plan.
\n\u2022 Participate in, attend and plan\/coordinate staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.
\n\u2022 Participate in provider education and contracting, as necessary.<\/p>\n

Requirements<\/strong>
\n\u2022 Current state RN license.
\n\u2022 Bachelor’s degree in Nursing, related field or equivalent experience.
\n\u2022 10+ years of clinical nursing, quality improvement, and management experience in a managed care setting.
\n\u2022 Thorough knowledge of a specialized or technical field such as clinical nursing, managed care, and healthcare administration. Thorough skills knowledge of quality improvement practices.
\n\u2022 Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care, and Medicaid programs.
\n\u2022 Familiarity of National Committee on Quality Assurance (NCQA) accreditation process and standards. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<\/p>\n

Apply Now<\/span><\/a><\/p>\n

Not sure if you want to apply?
\nContact us for more info:
\nRebecka Boyd
\n804-502-0870
\n nexusexecutivesearch@gmail.com<\/a><\/span><\/p>\n