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Interim Quality and Resource Management Nurse Manager

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Job Description:

Healthcare Executive Placements, Inc. / Azad is seeking an Interim Quality and Resource Management Nurse Manager for a W2 Contract position based in Atlanta, GA.
 

Schedule: Day, Monday through Friday, 5 8's
Assignment Duration: 13 Weeks
Compensation: 
This position offers a daily rate of $650 to $675 which equates to $3,250 to $3,375 per week (based on a 5-day workweek)
Per Diems: Lodging: $182 per day and Meals & Incidentals: $86 per day
Per diems are paid daily, 7 days a week, totaling $1,876 per week
Total Weekly Compensation (Daily Rate + Per Diems): Between $5,126 to $5,251 per week
Benefits: 
Paid sick leave, Paid holidays, Co-paid medical, dental, and vision insurance, Cafeteria plan access and 401(k) retirement plan.

Position Summary:

Responsible for the oversight, direction and coordination of the QRM Non-core Inpatient Hospital case managers; responsible for oversight of staff to ensure positive outcomes, improve performance, productivity and efficiency of the team and organizational operations through the provision of effective methods and strategies. Primary reasonability is ensuring team effectiveness and process optimization through their UM and case management duties and in partnership with the Emergency Care Management team the timely repatriation of the Organization's members. 

Essential Functions:

  • Direct oversight of the QRM Non-core Inpatient Care Coordinators.
    Provides management and oversight to this team processes and policies in support of the organizations mission specifically support information flow, business process improvements and organizational planning and reporting.
    Directs and manages operations to increase the effectiveness and efficiency of the specialty care review services which include behavioral health review activities.
    Drive initiatives in the QRM management team and organizationally that contribute to long-term operational excellence.
    Contribute to the short and long-term QRM organizational planning and strategy as part of the QRM Leadership team.
    Assist the Sr. Director of QRM in long-term planning, including an initiative geared toward operational excellence.
    Partners with the Emergency Care Management team to manage the timely repatriation of members in non-core facilities.
    Works with QRM Compliance Manager to ensure regulatory compliance for areas of accountability.
    Remains knowledgeable of current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and areas of accountability. Educates staff and physicians on the changes and the implications of the changes. Ensures that policies and procedures are revised and implemented to meet requirements.
    Assumes oversight and responsibility for his/her respective area as it relates to regulatory requirements and NCQA site visit review preparation and coordination.
    Provides the Sr. Director of QRM with monthly productivity and quality audits.
    Determines staffing requirements for this area of QRM to ensure that services are rendered in the most effective and efficient manner.
    Develops individual performance objectives for staff to ensure that competence of staff meets departmental standards.
    Builds effective working relationships with physicians, hospital staff, vendors, and other departments within the health plan.
    Interviews, hires, trains, disciplines, evaluate, counsels and terminate in conformance with EEO/AA goals, personnel policies, and organizational objectives.
    Assists in the preparation and conduction of QRM staff meetings, in conjunction with the other QRM Leadership. Investigates, identifies and reports problems and inefficiencies in existing systems, and recommends changes when appropriate to the QRM Sr. Director.
    Recommends to the QRM Sr. Director, revision of service area policies and procedures as needed.
    Works cross-functionally with other departments in striving to meet organizational goals and objectives. Participates in Marketing RFI/RFP process, information gathering, and group meetings as requested.
    May perform other duties as assigned.


Qualifications:

BSN or BA in health care related field strongly preferred. 
Masters degree preferred. 
Graduate of accredited school of nursing. 
Current Georgia RN license required. 
CPR certificate required. 
Extensive nursing experience in both patient care and management/leadership roles required (around 5 years). 
Knowledge of Nurse Practice Act, The Joint Commission, and other local, state, federal regulations. 
Previous supervisory experience required (around 4 years). 
Demonstrated strong interpersonal communication skills.  

 
About Healthcare Executive Placements Inc. (HCEPInc.):
 
HCEPInc. values diversity - in backgrounds and in experiences.

Since our inception, we have witnessed how our diverse workforce has thrived while contributing to the increases in innovation and advancements in the client organizations we serve.
 
HCEPInc. is committed to Diversity, Equity & Inclusion and is striving to build an even more diverse, inclusive team that reflects the people and communities where we live and work.
 
HCEPInc. is an equal opportunity employer that considers and employs qualified individuals based upon job related qualifications regardless of race, color, sex, religion, creed, physical or mental disability, veteran's status, sexual orientation, national origin, age, or any other status protected under applicable local, state, or federal law.
 
HCEPInc. takes affirmative action to employ and advance in employment qualified employees and applicants who are disabled, disabled veterans, recently separated veterans, Armed Forces services medal veterans, and other protected veterans.
 
HCEPInc. is a Certified Minority Owned Business and OFCCP compliant.

Job Requirements: