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Designation: Workers Compensation Clinical Manager in Irving, TX
Department:   Insurance, Nursing
Job type:   Full time
Location:   Irving, Texas
Salary:   Not specified
Description:    
FILLED

Your Texas RN License is needed for Workers Comp Medical Management Services!

We are seeking an experienced manager with significant industry experience in Managed Care or Workers Compensation to lead a growing WC Clinical team in Irving, TX. Candidate must have demonstrated management & leadership skills and working knowledge of utilization review, case management, & workers comp. Must be proven problem-solver with superior analytical skills and have excellent presentation, verbal and written communication skills.

Our client is a full service national health benefits company specializing in serving large, national employers as a single source for their group health & Workers Compensation programs.

Responsibilities:    
The Workers Comp Clinical Management Candidate must have the following skills and experience:
  • Current Texas RN license required.
  • Master’s degree preferred, CCM or COHN a plus.
  • Significant experience in health care, clinical experience and/or insurance industry.
  • Must have knowledge of utilization review, case management, and/or workers’ compensation.
  • Proven experience leading teams and management experience.
  • Demonstrated problem solving and analytical skills.
  • Excellent presentation, verbal and written communication skills.
  • Excellent computer skills.

    Responsibilities of the Workers Compensation Clinical Medical Management Candidate are as follows:
  • Responsible for managing the activities of the WC Medical Management Service (MMS) Department.
  • Develops, evaluates and implements MMS business plan and operational processes.
  • Ensures compliance with corporate and regulatory procedures.
  • Works with clients, providers and account management for problem resolution and trains clients on programs and processes.
  • Evaluates and analyzes data to assure operational effectiveness while meeting or exceeding client objectives.
  • Ensures compliance to corporate, QA, URAC, state and Federal procedures.
  • Develops and implements business plan, including preparation and monitoring of departmental budget.
  • Recruits, develops and mentors management team.
  • Develops and communicates personnel strategies.

    Our client offers a full competitive salary, full medical benefits package, life insurance, 401(k), and more.

    Best Headhunters is a team oriented search firm who provides a unique, hands-on caring approach in helping a candidate match their experience with the right job opportunity. There is never a fee to the candidate for our representation. Plus, you will receive the benefit of our extensive experience and our long-term relationships with many of America's leading insurance companies.

    We offer career coaching, and will assist you every step of the way in your goal to advance your career. For additional information on Best Headhunters and our ever-expanding employment opportunities, visit our Web sites at: www.bestheadhunters.com or www.bestinsurancejobs.com

    We encourage candidates to be pro-active, especially in light of today's uncertain insurance environment in which mergers and downsizing are a common reality. This underscores the importance of placing your career in the hands of a search firm with your best interests at the core of its daily mission.

  • Key Words:    
    headhunters, Texas, Irving, TX, Workers Compensation, RN, registered nurse, Clinical, Medical Management, Compliance, Manager, nurse headhunters, nursing headhunters, nursing recruiters, nursing search firms, nursing jobs in Teaxas, RN jobs, nursing jobs, nurse jobs in Irving

    Contact:   Admin
    Company:   BestHeadhunters.com
    Experience:   5 Year(s)
    Job code:   1376
    Posted on:   08 - 09 - 2010
       
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