Nurse Management Job Description
Nurse management
provides clinical expertise, develops/maintains and regularly reviews written objectives, policies, procedures, and quality assurance to insure efficient and effective delivery of care and compliance with regulatory standards.
Nurse Management Duties & Responsibilities
To write an effective nurse management job description, begin by listing detailed duties, responsibilities and expectations. We have included nurse management job description templates that you can modify and use.
Sample responsibilities for this position include:
Be responsible for the management of services including Care Management, Utilization Review and Social Work
Provide oversight to the Observation Services program in the ED and medical surgical areas
Allocate available resources to promote efficient, effective and compassionate patient care and discharge planning
Provide clinical and administrative leadership and expertise
Facilitate an atmosphere of participative management and the development of collegial relationships
Promote the professions of nursing and social work in their professional practice
Represent the organization in a positive and professional manner
Telephonically manage specific diseases of organizations's client populations
Complete data collection tasks
Facilitate care between patients and physicians
Nurse Management Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Nurse Management
List any licenses or certifications required by the position: CCM, ACM, BLS, CPR
Education for Nurse Management
Typically a job would require a certain level of education.
Employers hiring for the nurse management job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Nursing, Education, Science, School of Nursing, Management, Graduate, Health, Department of Education, Nursing Education, Nursing Program
Skills for Nurse Management
Desired skills for nurse management include:
Applicable Federal
CAP
CMS
Clinical policies and procedures and ability to implement
Coordination of Care
EMR and medical documentation
Effective oral and written communication skills are
Ensures compliance with all regulatory and professional standards of care which includes JCAHO
Ethical
IHI
Desired experience for nurse management includes:
Ensure cost containment
Ensure continuity of medical services
Assist members and their families with resources and support
Collect relevant medical information (via telephone and fax) and apply the appropriate evidence-based guidelines and medical policy
Meet required decision-making timeframes, including promptly triggering escalation for cases requiring physician review
Clearly document all communication and decision-making within our utilization review tracking platform, ensuring a peer could easily reference and understand your decision
Nurse Management Examples
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Nurse Management Job Description
Job Description Example
Our company is hiring for a nurse management. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for nurse management
- Maintaining and ensuring cost-effective and quality outcomes of care
- Review clinical information for concurrent reviews, extending the length of stay for inpatients as appropriate
- Collaborate with the Executive Director and NSQCN Chief Medical Officer (CMO)/Medical Director in preparing analyses, monitoring, interpreting, and educating on results of clinical (ambulatory and hospital) quality, cost and utilization data
- Collaborate with the Executive Director and Medical Director in preparing analyses, monitoring, interpreting, and educating on results of clinical (ambulatory and hospital) quality, cost and utilization data
- Performs concurrent and retrospective reviews on all facility (hospital, skilled nursing facility, and acute rehabilitation) and appropriate home health services
- As part of the hospital prior authorization process, responsible for determining “observational” vs
- Responsible for the early identification and assessment of members for potential inclusion in a comprehensive case management program
- Assists in the identification and reviewing of Potential Quality of Care concerns through concurrent review
- Collaborate and consult with appropriate departments and physicians as needed to determine that medical necessity indicators are met
- Support the Utilization Management process by sending reviews, entering requests for utilization review, authorization of stay concurrent and post billing denials to support the Case Management workflow
Qualifications for nurse management
- Associate or Bachelor Degree in Nursing required
- Previous experience with Case Management and Utilization Management
- 1-3 years Managed Care experience preferred
- Work in accordance with applicable state and federal laws, , with the unique requirements of reimbursement systems
- Study information to remain informed of reimbursement modalities, resources, , clinical and legal issues that affect patients and providers of care
- Appropriate selection of the preferred and contracted providers
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Nurse Management Job Description
Job Description Example
Our growing company is hiring for a nurse management. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for nurse management
- Bachelors of Nursing Preferred, Associate of Nursing Required
- Required State of Illinois, Registered Nurse License
- Required two-three years of experience within Utilization and/or Case Management
- Preferred inpatient acute hospital experience
- Apply clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care
- Perform pre-surgical consultations with patients identified as opioid-tolerant
- Responsible for ongoing operational effectiveness of the pre-op chronic pain consult program
- Collaborate with Pre-Surgical Screening colleagues to ensure efficient workflow and resourceful use of space, patient and clinician time
- Provide health care, teaching, counseling and treatment to patients, including assessments of patients’ medical, pharmacological and psychosocial needs
- Monitor and evaluate the patient’s treatment and health care plan for effectiveness and modify as necessary
Qualifications for nurse management
- Understand healthcare outcomes and measurement metrics
- Auditing Medical records (file or state audits)
- 3-5 RN years of clinical experience required (Med/Surg, ER, float, home health, ICU, inpatient experience is best!)
- Requires RN with unrestricted active license
- Able to work within web based applications simultaneously
- No prior UM experience necessary
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Nurse Management Job Description
Job Description Example
Our company is looking for a nurse management. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for nurse management
- Manages and maintains an individual nurse coach expected caseload utilizing quality clinical and behavioral coaching techniques
- Oversee assignment and monitoring of other related work, such as report development and writing
- Participate in the development of the budget for assigned cost center
- Manage unit funding sources by monitoring revenue and expenditure activity
- Interqual Criteria is to be utilized with each new admission with every denial
- In a multidisciplinary environment, function as professional nurse supporting institutional and department quality patient care, nursing excellence and innovations in nursing care
- As a member of Nursing Quality Management team, partner with front line nursing staff, Nurse Leadership, Infection Control, the Department of Quality and Safety and other ancillary departments that collaborate in providing nursing care to monitor, analyze and report Nurse Sensitive Indicators
- Support the Department of Nursing’s pursuit of Magnet, maintenance of FACT accreditation and Hospital regulatory re-accreditation processes
- Develops, implements and monitors Utilization Management objectives and activities focusing on assisting patient flow
- Collects and reviews statistics and other data and reports to define/establish baseline service needs identify trends, evaluate workload, and other factors which may impact the delivery of Utilization Management
Qualifications for nurse management
- Ability to apply UM criteria, and conduct telephone inpatient review of hospital/SNF patients
- Builds partnerships with families, patients and peers
- Current NYS RN and NP license and registration
- A minimum of three years clinical experience in an RN role required, prior NP experience preferred
- Previous experience in Pain Management highly preferred
- Ability to work with varied members of the medical team (surgeons, nurses, anesthesiologists, etc)
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Nurse Management Job Description
Job Description Example
Our growing company is looking to fill the role of nurse management. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for nurse management
- Promotes the utilization of resources through planning, managing and evaluating patient care
- Identifies department needs related to space and other issues
- Provides reports to administration and other appropriate forums to assist in overall hospital and clinic planning efforts
- Provides the necessary vision and leadership to effectively motivate and direct the Utilization Management Department in developing and achieving goals and objectives that are congruent with the values, mission and strategic plan of Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG), San Francisco Health Network, and the San Francisco Department of Public Health
- Monitors and evaluates staff scheduling practices to ensure that sufficient qualified staff are available to meet service demand and assignments are made appropriately and equitably
- Maintains, promotes, and enforces a "Customer Service" philosophy
- Considers factors related to safety, cost, and effectiveness when managing care delivery systems
- Keeps abreast of current professional standards and practices and incorporated changes into departmental practice and programs when appropriate
- Contributes to the planning, implementation, and evaluation of the organization's plan for providing patient care
- Develops and implements an ongoing departmental quality improvement program which effectively evaluates the process of delivery of the Utilization Management Department and the quality and effectiveness of those services
Qualifications for nurse management
- Experience working with chronic diseases preferred
- Must have a Registered nurse (RN) license (must have a current unrestricted RN license for medical care management), in either WA, UT, ID, or OR, and at least 3 years (or full time equivalent) of direct clinical care
- Based on position, prior experience in of the following areas including oncology, cardiovascular care, neonatal intensive care, nephrology, solid organ transplantation, general medical/surgical care, emergency care, critical care, med spa, dialysis, interpretation, and explanation of physical/laboratory/screening results preferred
- Must have preveious Pain experience
- Of the patient including physical, psychosocial, emotional and
- Must have insurance case management experience
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Nurse Management Job Description
Job Description Example
Our company is looking for a nurse management. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for nurse management
- Supervises, recruits, selects, assigns, orients, and evaluates professional and ancillary staff
- Verifies validity of staff licensure
- Counsels staff on performance expectations and discrepancies
- Assesses developmental needs of staff and provides educational opportunities
- Advocates and supports research in the practice setting
- The Quality Management Nurse Analyst is responsible to the Manager, Quality Management/Chief, Quality Management and works in cooperation with the Service Line leaders
- The Quality Management Nurse Analyst provides leadership, direction, education, and support to the assigned Service Line/Service in attaining and maintaining compliance with VA, regulatory, and accreditation bodies, and supporting improvements to the delivery of patient care services
- Works with Service Lines/Services to identify and implement Quality Management initiatives, facilitates and supports PI Teams, and monitors for sustained improvement
- Collects, aggregates, analyzes, and effectively displays data related to quality management
- Educates staff regarding data findings and potential impact and pertinence
Qualifications for nurse management
- Computer proficiency in Windows environment
- The ability to exercise independent and sound judgment, has strong decision-making skills and well-developed interpersonal skills
- Ability to manage multiple priorities, effective organizational and time management skills along with strong teamwork skills
- Managed Care experience and prior experience within a telephonic customer service center type of environment
- ATV and ASD for internals candidates
- Minimum 2 years experience in a hospital setting in case management and or/utilization review