Nurse Manager
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Job Description
UM Nurse Manager responsible for driving clinical and operational performance at Oscar Health. Leading clinical teams and ensuring adherence to regulatory requirements within a remote work environment.
Responsibilities:
- Play a key role and provide input in creating and maintaining, based on regulatory, accreditation, and organizational requirements, policies and procedures defining the completion of all department functions
- Oversee daily operations to ensure team work assignments are completed within established turnaround times and in accordance with department policies and procedures
- Monitor team dashboards, review and analysis of productivity reporting, completion of quality audits and other data to monitor individual and team performance
- Maintain expertise on department tools and platforms to inform analysis
- Analyze data to identify performance trends/opportunities for improvement and work with data analytics regularly
- Create corrective action plans or performance improvement plans to address identified opportunities
- Drive a culture of accountability and recognition that aligns with department objectives
- Provide coaching, development and performance management to frontline staff and leaders
Requirements:
- Bachelor's degree or 4+ years commensurate experience
- Active, unrestricted Nursing license (RN) in the state of hire and ability to obtain additional licensure as needed
- 4+ years of experience in a healthcare setting as a nurse
- 2+ years of experience in utilization management making clinical decision using milliman care guidelines
- 1+ years of experience working in production/operations including case prioritization/case triage
- 2+ years leading a clinical team at a managed care plan or healthcare organization including in a virtual environment
Benefits:
- Health insurance
- 401(k) plan participation
- Unlimited vacation program
- Paid parental leave
- Paid sick time
- Life and disability insurance
- Paid wellness time and reimbursements
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