Explore opportunities with Optum , in strategic partnership with ProHealth Care.. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century.. The Case Manager RN is responsible and accountable for coordination of patient services through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care.. Shows working knowledge of managed care and Medicare health plans and reimbursement related to post-acute services within the continuum of care. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life.
Job OverviewFairview is looking for a Nurse Manager to lead the Float Pool and Administrative Nursing Supervisor team at Woodwinds Hospital in Woodbury, MN. This Nurse Manager manages nursing practice and patient care operations in collaboration with and accountable to the Nursing Director.. About Our Float Pool Department at Woodwinds Hospital Our team is prepared to work in a variety of clinical environments, where every day is something new!. We are looking for someone who will accel in a fast-paced environment, someone who knows how to problem solve, who is flexible and willing to learn, and who is dedicated to always putting the patient first.. This nurse manager position supports the Woodwinds float pool and administrative nursing supervisor teams.. Works with Nurse Director to establish goals and objectives.
Design & Execution : Oversees the design and implementation of clinical quality initiatives, studies, and pilots to improve HEDIS results, patient experience, enterprise quality opportunities.. Partnership : Matrix partnership will be key to success in this role as priorities will likely scan multiple teams and be enabled in strong partnership with many areas across the enterprise including but not limited to : Care Solutions, Digital IT, Automation, Data Interoperability, provider contracting, market facing support, etc.. Segment Support : While the role has an enterprise scope, the role provides ongoing support to the Individual Family Product segment and US Employer segment through clinical initiatives designed to optimize the HEDIS and Quality Star Ratings (QRS).. Education : Master's degree in Public Health, Healthcare Administration, Nursing, or a related field.. Proficiency in data analysis, program evaluation, data exchange, and automation.