Summary of Open Job Positions: The Sea Glass Group

The Sea Glass Group has numerous opening throughout the United States across many different areas of nursing such as, case management, RN managers, Healthcare Management - VP, Registered Nurses, Nurse Practitioners, and Licensed Practical Nurses.

Here are a few of our current openings. Please contact us to discuss more career opportunities or visit us online at The Sea Glass Group Website.

Case Management - Tampa, FL
JOB SUMMARY: Responsible for conducting telephonic or face-to-face assessments for the identification, evaluation, coordination and management of Members’ needs, including physical health, behavioral health, social services and long term services and supports; develops the Member’s Individualized Service Plan to address those needs. Establishes relationships with referral sources and community resources, while maintaining strict member confidentiality and complying with all HIPAA requirements.
POSTED June 26, 2012

Quality Operations Nurse - Vienna, VA
JOB SUMMARY - Support the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact on plan compliance to regulatory and accreditation standards. Assignments are somewhat broad in nature, often requiring creativity and originality. Review appeals/grievances/quality of care issues received in the Quality Management Department requiring assessment of medical records or clinical information to ensure appropriate processing. Analyze the appeal/grievances/quality of care submission, AMISYS/FACET, CAT database, and clinical resources to ensure that the issue is appropriately processed. Assures documentation of the appeal/grievance/quality of care is appropriate, systems are updated to reflect the issue and that the appeal/grievance/quality of care are routed appropriately. Generate letters to providers/appellants to document appeal/grievance/quality of care documentation requests/outcomes are appropriate.
POSTED June 26, 2012

Coordinator Quality MgtRN-Plan - Brooklyn, NY
JOB SUMMARY - The Coordinator Quality Management RN - Plan is responsible in conjunction with management for developing, coordinating, implementing, and evaluating the continuous quality improvement activities throughout the company according to the established Quality Management program. In collaboration with and under the direction management, the Coordinator Quality Management RN - Plan establishes indicators for monitoring and evaluating the full spectrum of care and services provided to members for quality, appropriateness, continuous improvement and satisfaction. The Coordinator Quality Management RN - Plan provides education in the area of quality management to all departments and assists in ensuring compliance with regulatory and accrediting organizations.
POSTED June 26, 2012

More Information About The Sea Glass Group

Melissa Reishus

Barbara L. Davidson