Team Leader, Population Health Management

  • Title: Team Leader, Population Health Management
  • Type: Full-Time
  • Location: Piscataway, NJ
  • Salary Range: Negotiable
  • Post Date: 06/02/2014

Healthcare-StaffingWork in a satisfying and rewarding field as a Team Leader in Population Health Management! This is a Full Time, Direct Hire opportunity in Piscataway, NJ. This position will work within a Managed Care Organization. Contact us today to experience our staff’s endless commitment to enhancing your career and let us help you get the work YOU WANT!

Job Description:
A successful and progressive managed care organization, is currently seeking a Team Leader to join the Population Health Management department. This position is responsible for overseeing a team of Nurses in the pre-certification and ancillary Service areas. Responsibilities for this position also include ensuring professional, prompt, and accurate pre-certification and authorization of medical services, with timely responses and resolution to member, client and provider inquires and coordination of the activities of the department including determining work procedures ensuing overall departmental effectiveness.

Job Requirements:

  • Current RN or LPN License
  • 3-5 years managed care experience as a Team Leader with experience in concurrent review and ancillary services
  • Thorough knowledge of all utilization management processes, expectations, requirements and medical terminology
  • ICD-9 and CPT coding, medical management criteria, reporting and benefit plan designs
  • Proficiency in MS Word and Excel
  • Excellent communication skills
  • Reliable transportation to commute to Piscataway,  NJ

Pay rate: Negotiable

If you meet the above requirements we want to hear from you! Interested candidates please email a current resume to jenniferg@protocallgroup.com

The Protocall Group is an Equal Opportunity Employer.

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