
Medical Management Nurse
Elevance Health is seeking a Medical Management Nurse to join our team and help ensure that our patients receive the highest quality of care. We are looking for an experienced and compassionate individual with excellent interpersonal and organizational skills. The Medical Management Nurse must be a licensed RN with a minimum of 5 years of experience in medical management. This individual must be able to effectively collaborate with internal and external stakeholders, while managing multiple projects and tasks simultaneously. The ideal candidate should have demonstrated experience in developing and implementing health plans, as well as excellent customer service skills. The Medical Management Nurse must have a passion for improving the health and overall well-being of our patients. This is a great opportunity for a motivated individual to make a positive impact on the lives of our patients.
Responsibilities:
- Develop and implement health plans for patients
- Monitor patient care and ensure that quality standards are being met
- Collaborate with internal and external stakeholders to provide the best possible care for patients
- Provide customer service to patients and families
- Manage multiple projects and tasks simultaneously
- Keep up to date with the latest trends in medical management
- Ensure compliance with all applicable laws and regulations
- Stay current on industry best practices
- Assist in the development and implementation of new programs and initiatives
- Utilize data to evaluate the effectiveness of health plans and services
- Maintain accurate records and documentation of patient care
Knowledge Of Medical Terminology
Ability To Work Independently And Collaboratively
Excellent Communication And Organizational Skills
Knowledge Of Medical Coding
Clinical Expertise
Bachelor's Or Master's Degree In Nursing
Experience In Medical Management
Knowledge Of Medical Reimbursement And Insurance Guidelines
Documentation
Quality Assurance
Training
Communication
Leadership
Collaboration
Regulatory compliance
Organization
Problem-Solving
Multi-tasking
Patient Advocacy
Time-Management
Operational Efficiency
Interpersonal Relations
Cost-Control
Communication
Leadership
Problem Solving
Time management
Interpersonal Skills
creativity
Organization
flexibility
Teamwork
Adaptability
According to JobzMall, the average salary range for a Medical Management Nurse in Atlanta, GA, USA is $78,000 to $94,000 per year. This salary range can vary depending on experience and qualifications.
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Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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