Nurse Manager
Nursing director job at Acadia Healthcare
The Ohio Hospital for Psychiatry is hiring a Nurse Manager!
Shift: Day
Schedule: Full Time
Pay Range:
$45 to $49 per hour (dependent on years of experience)
Sign On Bonus:
$7,500
Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for adults and seniors suffering from mental health disorders and addictions.
Responsibilities
Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
Serve as a clinical and service resource to nursing staff and other staff as assigned.
Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
Analyze information/situation to choose the best solution(s) to solve problems.
Responsible for recruitment, hiring and training of new staff.
Identify the educational needs of others and develop educational or training programs.
Assist with the development and implementation of organizational policies and procedures for the facility.
Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
Provide direct care as needed.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
· BSN or higher strongly preferred
· Current registered nursing license in State of facility required
· Three years as a registered nurse strongly preferred
· Two years of registered nursing experience required
· Two years of prior experience as a registered nursing with patient population of the facility is preferred.
· One year of prior experience with the population required
· Prior experience as a house supervisor strongly preferred
· One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Current RN license as required by state.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHRN
#LI-OHP
#LI-SW2
Not ready to apply? Connect with us for general consideration.
Auto-ApplyNursing Director - MedSurg
Remote
This is a full time Nursing (RN) Director responsible for the inpatient Medical Surgical department at Physicians Regional Collier in Naples, FL.
Benfits include: Medical, Dental, Company Match 401k, competative Paid Time Off, and more!
Job Summary
The Director, Med/Surg, is responsible for the overall leadership and management of the medical-surgical department, ensuring the delivery of safe, high-quality patient care and operational excellence. This role provides strategic direction, oversees departmental operations, and ensures compliance with healthcare regulations and organizational objectives. The Director fosters a culture of collaboration and continuous improvement while supporting staff development and patient satisfaction.
Essential Functions
Oversees clinical operations in the medical-surgical department, ensuring that patient care is delivered safely, efficiently, and in alignment with evidence-based practices and regulatory standards.
Collaborates with physicians, nursing staff, and multidisciplinary teams to ensure seamless coordination of patient care across the continuum.
Manages departmental budgets, staffing, and resource allocation to maintain financial efficiency while meeting patient care needs and maintaining high standards of service.
Monitors key performance indicators and quality metrics, identifying opportunities for improvement and leading initiatives to optimize patient outcomes and departmental performance.
Facilitates open communication and collaboration between clinical staff, administration, and external stakeholders to address patient care needs and operational challenges.
Responds promptly to patient care concerns, complaints, and incidents, conducting investigations and implementing corrective actions as necessary.
Maintains up-to-date knowledge of industry trends, emerging clinical practices, and regulatory changes, ensuring the department adapts to evolving healthcare environments.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Leadership Responsibilities
Supervision and Staff Management
Provides leadership, mentorship and professional development opportunities for departmental staff.
Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues.
Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development.
Strategic Planning and Financial Oversight
Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning.
Monitors expenditures, ensuring cost-effective delivery of services.
Evaluates and implements new technologies to enhance operational efficiency.
Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies.
Quality Assurance and Regulatory Compliance
Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards.
Participates in audits, inspections and accreditation processes as applicable.
Follows established quality control practices to ensure accuracy, consistency and safety.
Collaboration and Communication
Works closely with leadership teams to coordinate and improve service delivery.
Stays up-to-date with industry advancements, new technologies, and regulatory changes.
Staff Responsibilities
May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job.
Qualifications
Bachelor's Degree in relevant field required or
Seven (7) plus years of direct experience in lieu of a Bachelor's degree required
Master's Degree preferred
3-5 years of experience in closely related field with Bachelor's degree required
3-5 years of previous leadership experience preferred
Knowledge, Skills and Abilities
Strong leadership, organizational, and communication skills.
Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
Communicate effectively with leadership, team members, and stakeholders.
Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines.
Problem-solving and critical thinking skills.
In depth knowledge of industry best practices and regulatory compliance (if applicable).
Strong organizational and time management skills.
Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools.
Licenses and Certifications
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Basic Life Support Program (BLS) - American Heart Association required
INDLEAD
Auto-ApplyDirector of Clinic Operations
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Director of Clinic Operations Summary
The Director of Clinic Operations (DCO) provides administrative oversight and supervision of clinic operations leadership at multiple PHS locations who oversee clinic staff and direct day-to-day clinic operations. The DCO oversees programs, processes and resources that align with PHS policies, goals and objectives that include continuous improvement, ensuring standards are met. The DCO is responsible for ensuring delivery of high-quality patient services, financial and operational results of areas of oversight.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Leadership
· Driving results by taking initiative, managing execution, and focusing on overall performance.
· Make sound business decisions by understanding the business from multiple stakeholders' perspective, make complex decisions and ensure timely decisions that advance the organization.
· Engaging people through building collaborative relationships, optimizing diverse talent, and influencing people.
· Holding oneself accountable by fostering trust, being open by demonstrating self-awareness and self-development, and remaining flexible and adaptable.
· Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives.
Responsibilities:
· Foster a high-performance culture through effective leadership, training, and performance management, ensuring the team is motivated to provide efficient service delivery and high-quality patient care.
· Engages staff and providers to promote team building and contribute to the success of the clinic's quality, fiscal, staff and patient experience.
· Drive strategic initiatives aligned with PHS' long-term vision, focusing on growth opportunities and overall practice performance.
· Drive consistent daily operational outcomes e.g., patient service productivity, utilization, staff ratios, maximize capacity, wait-time, panel management, resources allocation, etc.
· Leads and collaborates interdepartmentally to drive successful short-term and long-term projects to successful outcome.
· Develop and implement operational processes, policies, and procedures with a focus on efficiency and scalability, establishing mechanisms to incorporate best practice findings into standards of practice.
· Assures standardization of operations aligned with PHS priorities or expectations.
· Maximize efficiency and productivity through process analysis and interdepartmental collaboration.
· Consistently meets financial goals through optimizing revenue and implementing cost-control measures,
· Consistently meets population health quality goals including value-based care contracts with state or federal e.g., Medicare Shared Savings Program (MSSP) and Medicaid Value Based Care (CPC); and Patient Centered Medical Home (PCMH) certification and Uniform Data System (UDS) measures are met in accordance with HRSA.
· Ensure regulatory and safety compliance through implementation and oversight of best practices in all operations.
· Prepared and participates effectively in mandatory audits - adheres to quality assurance and regulatory standards from PHS, federal, state, and other agencies, including OSHA, HRSA, PCMH, and ODH.
· Independently analyze reports and data with action to enhance operational performance.
· Responds promptly to persistent issues with effective action plans including continuous process improvement to get back on track.
· Other duties assigned.
Core Competencies
· Understanding the Business: customer focused (patient and staff), financial acumen, business insight, tech savvy
· Making Complex Decisions: decision quality and manages complexity with competing needs, balancing stakeholders
· Taking Initiative: action oriented, resourcefulness
· Managing Execution: directs work, plans and assigns, optimizes work processes
· Focusing on Performance: ensures accountability, drives results with focus on outcomes
· Building Collaborative Relationships: collaborates
· Optimizing Diverse Talent: attracts top talent, retains top talent, develops top talent, values differences
· Influencing People: communicates effectively, drives engagement, organizational savvy by balancing people and organization with approach, persuades, drives vision and purpose
· Being Authentic: instills trust
· Being Open: demonstrates self-awareness, self-development
· Being Flexible and Adaptable: being resilient and nimble learner
Requirements
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Required: 5+ years' experience within the same scope of responsibilities within an ambulatory operations leadership role. At least 5 years of experience directly supervising other leaders. Strong healthcare business acumen and positive record with provider relations.
Preferred: bachelor's or master's degree in health care administration, business administration or related field. Previous experience working with external stakeholders or partners delivering patient care services, multi-specialty or school-based health care.
Language Skill
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge to be proficient of current electronic health record, practice management system and Microsoft 365 including Outlook, Excel and Word.
Other Applicable Requirements
Strong communicator and listener to patients and associates. Strong interpersonal skills (friendly, caring, patient). Strong verbal/written communication skills. Strong organizational skills and attention to detail.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Patient Access PSR Manager
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Patient Access PSR Manager Overview
The Patient Access PSR Manager is responsible for oversight and optimization of the scheduling, registration, and check-out functions within the PHS clinic environment. This role ensures a streamlined, high-quality patient access experience, drives operational accuracy (demographics, insurance, data capture), supports the revenue cycle by enabling accurate front-end processes, and leads the team toward service, compliance and performance goals.
A Day in the Life:
Leadership
Driving results by taking initiative, managing execution, and holding self and others accountable to achieve goals, even in challenging circumstances.
Understanding the business from the customer's perspective, using key performance indicators to make informed decisions, and ensuring timely decisions that advance the organization.
Engaging people through effective communication and building collaborative relationships across the organization.
Holding oneself accountable by fostering trust, demonstrating self-awareness and self-development, and remaining flexible and adaptable.
Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives.
Operations & Team Management
Lead and manage the day-to-day operations of the patient access team (schedulers, registrars, check-out staff) across clinic sites.
Develop, implement and refine standardized workflows for scheduling appointments, patient registration, and check-in/out processes.
Ensure all patient demographic, insurance/eligibility, consent, and capture requirements are met at registration to support billing/reimbursement and minimize denials.
Oversee appointment scheduling processes: manage triage scheduling requests appropriately, optimize provider/room resources, manage cancellations/reschedules, minimize no-shows, and monitor scheduling KPIs.
Collaborate with department level leadership, clinic site staff, revenue cycle, and other departments to ensure operational efficiency with patient access processes and policies
Monitor and report key metrics (e.g., registration accuracy rate, schedule fill, patient wait times, collection capture, patient satisfaction scores) and drive improvement initiatives.
Ensure compliance with regulatory requirements (HIPAA, state/federal patient access standards, payer policies) and internal policies in all aspects of access operations.
Partner with HR and patient access training team to lead staffing, recruitment, training and development of the patient access team; set performance goals, conduct coaching, performance reviews, and manage corrective actions as needed.
Act as subject matter expert for patient access systems (EHR scheduling modules, eligibility/insurance verification tools) and partner with IT and revenue cycle teams on system enhancements.
Foster a patient-centric culture: ensure timely, courteous, accurate service at check-in and check-out; address patient/family escalations and identify trends for improvement.
Participate in cross-functional process improvement initiatives (e.g., Lean, Six Sigma) to enhance access operations, reduce registration delays, and streamline check-out payment collection.
Maintain awareness of industry trends, best practices and payer regulations related to patient access, and make recommendations for departmental improvements.
Core Competencies
Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Supervisory Responsibilities
Lead Patient Service Representatives and other patient access staff.
Requirements
Success Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience
3+ years in medical front office, revenue cycle or patient access roles, ideally in a multi-site or FQHC setting.
Proficient in developing and maintaining standard work and policies related to Patient Access functions.
Proficient in Electronic Health Record software, NextGen experience preferred.
2 years of leadership experience required - or - 5 years of relevant experience within the .
Excellent verbal and written communication skills.?
Advanced organization skills.?
Attention to detail to ensure accuracy.?
Familiarity with medical terminology.?
Able to work independently and possess strong time management skills.?
Excellent problem-solving skills.
Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of an organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations None required for this position. Other Applicable Requirements Ability to speak Spanish desirable. Skill with patients in lower socio-economic sectors of the community. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Clinic Director
Cleveland, OH jobs
Responsibilities Clinic Director- IOP mental health clinic Horizon Health is seeking a Program Director for our BRAND NEW outpatient mental health clinic called Thousand Branches Wellness in Cleveland, OH. Responsibilities include but are not limited to assessment, development, implementation, and management of outpatient services. Under the guidance of UHS Corporate Outpatient Department this position will be accountable for overseeing, supervising, and monitoring daily operations ensuring clinical and budgetary expectations are met.
Responsibilities:
* Site Leadership
* Responsible for the management and oversite of all Employees
* Lead Marketing and Business Development Efforts - Digital, print and in person
* Collaborative efforts with external support entities
* Organizing and prioritizing workloads to meet deadlines
* Coordinate and manage multiple projects and tasks
* Able to work in a fast-paced environment
* Monitor and manage client satisfaction through standardized measures
* Clinical oversight, support, and supervision
* Recruitment, Onboarding, and training of new clinicians
* Curriculum and Service Line Development
* Group Facilitation and Observation to ensure curriculum integrity is maintained
* Referral Management, Assessments, group facilitation and direct individual client contact
* Interdisciplinary Treatment Team communication
* Maintain confidentiality through good judgement
* Implement and manage systems to ensure effective communication with clients, families, referral sources and other relevant entities
* Regular Documentation Audits
* Performance Improvement and Risk Monitoring
* Data Analysis for trend identification and ongoing program development
* Adherence to safety policies and procedures
* Manage and provide routine reports as requested
* Fiscal Responsibilities and Corporate deadlines
* Census Management
* Utilization Review
* FTE and Expense Management
* Oversight of physical space
* Hospitality Needs
* Safe work environment
Benefit Highlights:
* Competitive Compensation
* Excellent Medical, Dental, Vision, and Prescription Drug Plan
* 401(K) with company match and discounted stock plan
* Long and Short-term Disability
* Flexible Spending Accounts; Healthcare Savings Account
* Life Insurance
* Career development opportunities within the company
* Tuition Assistance
* Rewarding work environment - Enjoy going to work everyday!
About Thousand Branches Wellness:
Thousand Branches Wellness will provide outpatient mental services including Intensive Outpatient (IOP), Medication Management, and Individual Therapy. A subsidiary of Universal Health Services (UHS), one of the largest and most respected providers of hospital and behavioral healthcare services, Thousand Branches Wellness is seeking an experienced Clinic Director to support the building of a new program and oversee the day-to-day operations of our premier clinic. Under the guidance of the UHS Corporate Outpatient Department, this position will be accountable for overseeing, supervising, and monitoring daily operations ensuring clinical and budgetary expectations are met.
Thousand Branches Website: *********************************************************************
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
For more information email Courtney Eble, Horizon Health Recruiter at *******************************
Qualifications
* Master's Degree or higher
* Active OH Clinical License (LCSW, LMFT or LPCC)
* Able to provide clinical supervision
* 5-8 years of behavioral healthcare leadership experience
Preferred Skills
* Experience with Management of clinical and clerical aspects of a behavioral health office
* Understanding of TX State and The Joint Commission Requirements and Regulations for outpatient Behavioral Health Services
* Digital, Print and in Personal Marketing
* Professional Written and Verbal Communication Skills
* Knowledge of EMR Utilization
Required Behavioral Health Knowledge
* Applicable state laws pertaining to Outpatient Behavioral health services
* Corporate expectations, policies, and procedures
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Easy ApplyBehavioral Medical Director licensed and residency in New Jersey - Remote
Bayonne, NJ jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and/or state agencies who care for members, or consult on various processes and programs. The Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities. They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners, and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive.
If you are located in New Jersey, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Collaborate with the Utilization Management and Care Management teams to ensure delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services
+ Partner with the internal UM and CM teams, Health Plan, NJ state and the Providers
+ Level of Care guidelines and utilization management protocols
+ Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities
+ Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan
+ Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Doctor of Medicine or Osteopathy
+ Current license to practice as a physician without restrictions in the state of New Jersey
+ Currently reside in the state of New Jersey
+ Board certified in Psychiatry
+ Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery
+ Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
+ Computer and typing proficiency, Microsoft Outlook and Teams, and data analysis
**Preferred Qualifications:**
+ 3+ years of experience as a practicing psychiatrist post residency
+ Managed care experience
+ Experience in public sector delivery systems and experience in state specific public sector services
+ Experience working with community-based programs and resources designed to aid the State Medicaid population
+ Familiar with Substance Use Disorders, ASAM and treatment modalities including MAT (Medication Assisted Treatment)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $258,000 to $423,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Wellness Director
Dublin, OH jobs
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity As Director of Nursing at Brookdale, you will utilize your leadership qualities to inspire, lead and manage the overall operation of the clinical team to provide the highest quality of care and services for our residents. You will proactively build relationships with residents, families, physicians and other healthcare providers for the coordination of exceptional personalized care. You will consistently collaborate with community leadership, mentor and engage your associates and build resident and family satisfaction.
Brookdale supports our Nurse Leaders through:
* Structured six-week orientation, a wealth of online resources, local nurse mentors and ongoing collaborative support.
* Tuition reimbursement to support your clinical expertise and leadership skills development.
* Network of almost 700 communities in 40 states to support you should relocation be in your future.
This is a great opportunity for a strong nurse leader looking to take the next step in their professional career or for an experienced Director of Nursing looking to join a reputable mission and purpose-driven organization where you can make a contribution.
Qualifications & Skills
* Education as required to obtain state nursing license and state nursing license (LPN/LVN or RN)
* Driver's license
* Minimum of 3 years relevant experience, and Clinical leadership experience preferred.
* Strong working knowledge of technology, proficiency in Microsoft office suite and electronic documentation.
Visit careers.brookdale.com to learn more about Brookdale's culture, see our full list of benefits and find other available job opportunities.
Enriching lives...Together.
At Brookdale, relationships and integrity are the heart of our culture. Do you want to be a part of a welcoming and inclusive community where residents and associates thrive? Our cornerstones of passion, courage, partnership and trust drive everything we do and come to life every day. If this speaks to you, come join our award winning team.
Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status.
Part and Full Time Benefits Eligibility
* Medical, Dental, Vision insurance
* 401(k)
* Associate assistance program
* Employee discounts
* Referral program
* Early access to earned wages for hourly associates (outside of CA)
* Optional voluntary benefits including ID theft protection and pet insurance
Full Time Only Benefits Eligibility
* Paid Time Off
* Paid holidays
* Company provided life insurance
* Adoption benefit
* Disability (short and long term)
* Flexible Spending Accounts
* Health Savings Account
* Optional life and dependent life insurance
* Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
* Tuition reimbursement
Base pay in range will be determined by applicant's skills and experience. Full-time associates in role are eligible for an annual bonus incentive and sales referral bonuses. Temporary associates are not benefits eligible but may participate in the company's 401(k) program.
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
The application window is anticipated to close within 30 days of the date of the posting.
Manages the day-to-day clinical services of a more complex community to ensure residents' healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as residents' healthcare needs change. Supervises and provides leadership, as well as coaching, to licensed nurses and other direct care staff within the community. May be responsible for leading additional clinical leadership team up to five members. The HWD level for each community is determined based on the total complexity of the role. Complexity criteria include, but are not limited to, factors such as size, type of product lines, medication management regulations, 90-day assessment requirements, multiple licensure requirements, state regulatory complexity, and skilled services requiring an RN.
Director of Clinical Operations RN Hospice - Remote
Tulsa, OK jobs
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
* Ensures that the hospice agency employs only qualified hospice personnel
* Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
* Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
* Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
* Promotes hospice education to referral sources and the community at large
* Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
* Ensures that patient care services are provided according to the plan of care, as ordered by the physician
* Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
* May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
* Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
* Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
* Ensures adequate staffing through recruitment and retention activities
* Ensures timely completion of assigned hospice agency staff evaluations
* Identifies education needs and ensures adequate clinical and process education for clinical staff
* Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
* Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
* Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
* Completes required courses through LHC Group learning management system and attends in-services, when applicable
* Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
* Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
* Oversees and/or directly investigates all patient-related sentinel events
* Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
* Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
* May act as back-up to the agency Executive Director/Executive Administrator
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* Current CPR certification
* Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
Preferred Qualifications:
* 3+ years of experience in a hospice, home health, or other health care service delivery system setting
* 2+ years of healthcare leadership
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Director of Clinical Operations RN Hospice - Remote
Tulsa, OK jobs
Explore opportunities with Grace Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
+ Ensures that the hospice agency employs only qualified hospice personnel
+ Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
+ Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
+ Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
+ Promotes hospice education to referral sources and the community at large
+ Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
+ Ensures that patient care services are provided according to the plan of care, as ordered by the physician
+ Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
+ May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
+ Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
+ Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
+ Ensures adequate staffing through recruitment and retention activities
+ Ensures timely completion of assigned hospice agency staff evaluations
+ Identifies education needs and ensures adequate clinical and process education for clinical staff
+ Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
+ Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
+ Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
+ Completes required courses through LHC Group learning management system and attends in-services, when applicable
+ Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
+ Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
+ Oversees and/or directly investigates all patient-related sentinel events
+ Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
+ Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
+ May act as back-up to the agency Executive Director/Executive Administrator
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current and unrestricted RN licensure in the state of practice
+ Current CPR certification
+ Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
**Preferred Qualifications:**
+ 3+ years of experience in a hospice, home health, or other health care service delivery system setting
+ 2+ years of healthcare leadership
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Medical Director - Medical Claims Review - Remote
Houston, TX jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Here at Optum, we have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost effective quality medical care is provided to members.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
+ Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements
+ Engage with requesting providers as needed in peer-to-peer discussions
+ Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews
+ Participate in daily clinical rounds as requested
+ Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy
+ Communicate and collaborate with other internal partners
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ M.D. or D.O.
+ Active unrestricted license to practice medicine
+ Board certification approved by the AMBS or AOBMS specialty
+ 5+ years of clinical practice experience after completing residency training
+ Proven sound understanding of Evidence Based Medicine (EBM)
+ Demonstrated PC skills, specifically using MS Word, Outlook, and Excel
**Preferred Qualifications:**
+ Board certified Surgeon or OBGYN
+ Licensed in KY, LA, ND, NV or CA is a plus
+ Compact License
+ Experience in utilization review
+ Demonstrated data analysis and interpretation aptitude
+ Proven innovative problem-solving skills
+ Proven excellent presentation skills for both clinical and non-clinical audiences
+ Demonstrated excellent oral, written, and interpersonal communication skills, facilitation skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $238,000 to $357,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Patient Care Manager and Dual RN
Columbus, OH jobs
Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
In the Patient Care Manager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations.
**Primary Responsibilities:**
+ Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks
+ Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
+ Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits.
+ Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
+ Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
+ Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
+ Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
+ You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current unrestricted RN licensure in state of practice
+ Current CPR certification requirements
+ Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
**Preferred Qualifications:**
+ Home care experience
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
\#LHCJobs
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
Patient Care Manager and Dual RN
Columbus, OH jobs
Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
In the Patient Care Manager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations.
Primary Responsibilities:
* Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks
* Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
* Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits.
* Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
* Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
* Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
* Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current unrestricted RN licensure in state of practice
* Current CPR certification requirements
* Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Home care experience
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
#LHCJobs
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
RN - Director of Clinical Operations - Hospice - Baptist Reynolds Hospice House - Remote
Collierville, TN jobs
Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
+ Ensures that the hospice agency employs only qualified hospice personnel
+ Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
+ Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
+ Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
+ Promotes hospice education to referral sources and the community at large
+ Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
+ Ensures that patient care services are provided according to the plan of care, as ordered by the physician
+ Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
+ May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
+ Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
+ Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
+ Ensures adequate staffing through recruitment and retention activities
+ Ensures timely completion of assigned hospice agency staff evaluations
+ Identifies education needs and ensures adequate clinical and process education for clinical staff
+ Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
+ Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
+ Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
+ Completes required courses through LHC Group learning management system and attends in-services, when applicable
+ Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
+ Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
+ Oversees and/or directly investigates all patient-related sentinel events
+ Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
+ Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
+ May act as back-up to the agency Executive Director/Executive Administrator
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current and unrestricted RN licensure in the state of practice
+ Current CPR certification
+ Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
**Preferred Qualifications:**
+ 3+ years of experience in a hospice, home health, or other health care service delivery system setting
+ 2+ years of healthcare leadership
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
\#LHCJobs
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
RN - Director of Clinical Operations - Hospice - Baptist Reynolds Hospice House - Remote
Collierville, TN jobs
Explore opportunities with Baptist Reynolds Hospice House, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Clinical Director, you will assists the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
* Ensures that the hospice agency employs only qualified hospice personnel
* Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
* Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
* Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
* Promotes hospice education to referral sources and the community at large
* Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
* Ensures that patient care services are provided according to the plan of care, as ordered by the physician
* Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
* May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
* Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
* Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
* Ensures adequate staffing through recruitment and retention activities
* Ensures timely completion of assigned hospice agency staff evaluations
* Identifies education needs and ensures adequate clinical and process education for clinical staff
* Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
* Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
* Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
* Completes required courses through LHC Group learning management system and attends in-services, when applicable
* Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
* Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
* Oversees and/or directly investigates all patient-related sentinel events
* Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
* Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
* May act as back-up to the agency Executive Director/Executive Administrator
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* Current CPR certification
* Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
Preferred Qualifications:
* 3+ years of experience in a hospice, home health, or other health care service delivery system setting
* 2+ years of healthcare leadership
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
#LHCJobs
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Clinical Care Manager (CCM), RN - Remote
Minnetonka, MN jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
Clinical Care Manager (CCM) are RNs who serve as a key member of the UnitedHealthcare Global Emergency Response and Assistance Center Team and utilize evidenced based practice to assess global traveler's medical care needs, treatment plans of healthcare providers and the ability of the local healthcare systems to provide appropriate quality and cost effective care when acute, chronic or catastrophic events occur in countries around the world. CCMs evaluate, recommend and monitor patient status and associated treatment plans to ensure complex medical cases are managed to the highest level of quality and patient safety. CCMs coordinate with appropriate providers and assist in establishing and implementing plans including but not limited to a patient's medical monitoring, return home, and safe evacuation to a location where appropriate care is available when it's determined the care needs cannot be met in the current location. Services may also include support for travelers into the USA with complex treatment needs, appointment arrangement, receiving facility acceptance, clinical case management, client updates, and discharge planning in support of their return to their home country after care.
CCMs establish a good relationship with the hospital, nurses, doctors, and social workers gaining their trust and respect to facilitate the collection of information and improve the image of the company and patient care. CCMs document all conversations with providers and physicians, medical records review and any patient care related phone call to ensure information is available to all team members for continuity and care management. The CCM identifies and escalates potentially fraudulent activities identified during the pre-authorization evaluation process. Complex and high-cost cases are uniquely reported, monitored and supported through the collaboration with all members of the Emergency Response and Assistance Team to include Medical Directors, Global Care Consultants, and Healthcare Intelligence team members to facilitate seamless provision of healthcare services to those we serve.
* Candidates must be available to work 8-to-12-hour shifts including every other weekend and holidays as dictated by needs of business in a 24/7 environment *
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Managing global assistance cases
* Collaborating with interdisciplinary team members (e.g.: logistical and healthcare intelligence) as appropriate on case work
* Collaborating with Medical Directors and Physician Advisors when appropriate
* Triage global medical cases, complete clinical assessment and communication of case direction to the logistics specialists to facilitate the necessary evacuation or continued monitoring of care being provided locally
* Works collaboratively with international and domestic healthcare providers and internal colleagues to assure appropriate high quality cost-effective care management, proactive discharge and medically safe travel planning, optimize patient health
* Participates in the management of complex medical cases and collation of clinical information to assess and expedite assessment of care needs. This includes obtaining and reviewing verbal and written medical reports / records as well as communicating directly with the treatment facilities and providers
* Engages in provider and facility quality assurance review as determined by business need
* Other duties/projects as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Hold active licensure in the United States as a Registered Nurse
* 3+ years of critical acute care clinical experience including but not limited to ER, ICU, critical care, trauma, triage and/or international travel nursing experience
* Proficient in medical terminology
* Proficient with electronic medical records, Microsoft Word and Excel including online computer systems for data entry, research and information gathering
* Ability to work 8 - 12-hour shifts including every other weekend and holidays as dictated by needs of business in a 24/7 environment
Preferred Qualifications:
* Experience and/or broad medical knowledge in medical assistance business, experience in aeromedical, flight nursing, cruise line, air medical transport, and/or international travel nursing
* International travel experience with awareness and understanding of the variation in cultures and the challenges of healthcare delivery in the global arena and the potential impact on the health and safety of travelers
* Familiarity with evidence-based practice guidelines
* Second language proficiency (Spanish, French, Portuguese, Arabic, Mandarin or other)
Soft Skills:
* Problem Solving - Ability to identify and resolve problems quickly, gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason when dealing with emotional topics
* Interpersonal skills - Focuses on solving conflict, maintains confidentiality; listens to others without interrupting; keeps emotions under control, remains open to others' ideas and tries new things. Demonstrates solid customer service; includes managing difficult situations
* Works well in multidisciplinary team environments and is comfortable working independently
* Synthesize complex or diverse information from multiple information sources. Uses intuition and clinical experience to complement data to create greater understanding of a likely scenario
* Excellent Communication Skills, ability to communicate complex information in spoken and written English in a simple clear format to both clinical and non-clinical audiences. Writes clearly and informatively
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Director of Behavioral Health
Hamilton, OH jobs
Description:
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Director of Clinic Operations Summary
The Service Line Director (SLD) provides administrative oversight and supervision of clinic and behavioral health operations leadership at multiple PHS locations who oversee clinic staff and direct day-to-day operations. The SLD oversees programs, processes and resources that align with PHS policies, goals and objectives that include continuous improvement, ensuring standards are met. The SLD is responsible for ensuring delivery of high-quality patient services, promotes an integrated and team-based care models, ensures financial and operational results of areas of oversight.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.?
Leadership
Driving results by taking initiative, managing execution, and focusing on overall performance.
Make sound business decisions by understanding the business from multiple stakeholders' perspective, make complex decisions and ensure timely decisions that advance the organization.
Engaging people through building collaborative relationships, optimizing diverse talent, and influencing people.
Holding oneself accountable by fostering trust, being open by demonstrating self-awareness and self-development, and remaining flexible and adaptable.
Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives.
Responsibilities:
Foster a high-performance culture through effective leadership, training, and performance management, ensuring the team is motivated to provide efficient service delivery and high-quality patient care.
Engages staff and providers to promote team building and contribute to the success of the clinic's quality, fiscal, staff and patient experience.
Drive strategic initiatives aligned with PHS' long-term vision, focusing on growth opportunities and overall practice performance.
Drive consistent daily operational outcomes e.g., patient service productivity, utilization, staff ratios, maximize capacity, wait-time, panel management, resources allocation, etc.
Leads and collaborates interdepartmentally to drive successful short-term and long-term projects to successful outcome.
Develop and implement operational processes, policies, and procedures with a focus on efficiency and scalability, establishing mechanisms to incorporate best practice findings into standards of practice.
Assures standardization of operations aligned with PHS priorities or expectations.
Maximize efficiency and productivity through process analysis and interdepartmental collaboration.
Consistently meets financial goals through optimizing revenue and implementing cost-control measures,
Consistently meets population health quality goals including value-based care contracts with state or federal e.g., Medicare Shared Savings Program (MSSP) and Medicaid Value Based Care (CPC); and Patient Centered Medical Home (PCMH) certification and Uniform Data System (UDS) measures are met in accordance with HRSA.
Ensure regulatory and safety compliance through implementation and oversight of best practices in all operations.
Prepared and participates effectively in mandatory audits - adheres to quality assurance and regulatory standards from PHS, federal, state, and other agencies, including OSHA, HRSA, PCMH, and ODH.
Independently analyze reports and data with action to enhance operational performance.
Responds promptly to persistent issues with effective action plans including continuous process improvement to get back on track.
Other duties assigned.
Core Competencies
Understanding the Business: customer focused (patient and staff), financial acumen, business insight, tech savvy
Making Complex Decisions: decision quality and manages complexity with competing needs, balancing stakeholders
Taking Initiative: action oriented, resourcefulness
Managing Execution: directs work, plans and assigns, optimizes work processes
Focusing on Performance: ensures accountability, drives results with focus on outcomes
Building Collaborative Relationships: collaborates
Optimizing Diverse Talent: attracts top talent, retains top talent, develops top talent, values differences
Influencing People: communicates effectively, drives engagement, organizational savvy by balancing people and organization with approach, persuades, drives vision and purpose
Being Authentic: instills trust
Being Open: demonstrates self-awareness, self-development
Being Flexible and Adaptable: being resilient and nimble learner
Requirements:
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Required: 3+ years' experience in behavioral health programs or operations in a leadership role with demonstrated results including previous managerial experience supervising or directing the work of other leaders. Strong provider relations experience. 3+ years' experience working or integrating behavioral health services with medical services is preferred.
Preferred: bachelor's or master's degree in health care administration, business administration or related field. Previous experience working with external stakeholders or partners to deliver patient care services.
Language Skill
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge to be proficient of current electronic health record, practice management system and Microsoft 365 including Outlook, Excel and Word.
Other Applicable Requirements
Strong communicator and listener to patients and associates. Strong interpersonal skills (friendly, caring, patient). Strong verbal/written communication skills. Strong organizational skills and attention to detail.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Director of Behavioral Health
Hamilton, OH jobs
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Director of Clinic Operations Summary
The Service Line Director (SLD) provides administrative oversight and supervision of clinic and behavioral health operations leadership at multiple PHS locations who oversee clinic staff and direct day-to-day operations. The SLD oversees programs, processes and resources that align with PHS policies, goals and objectives that include continuous improvement, ensuring standards are met. The SLD is responsible for ensuring delivery of high-quality patient services, promotes an integrated and team-based care models, ensures financial and operational results of areas of oversight.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.?
Leadership
Driving results by taking initiative, managing execution, and focusing on overall performance.
Make sound business decisions by understanding the business from multiple stakeholders' perspective, make complex decisions and ensure timely decisions that advance the organization.
Engaging people through building collaborative relationships, optimizing diverse talent, and influencing people.
Holding oneself accountable by fostering trust, being open by demonstrating self-awareness and self-development, and remaining flexible and adaptable.
Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives.
Responsibilities:
Foster a high-performance culture through effective leadership, training, and performance management, ensuring the team is motivated to provide efficient service delivery and high-quality patient care.
Engages staff and providers to promote team building and contribute to the success of the clinic's quality, fiscal, staff and patient experience.
Drive strategic initiatives aligned with PHS' long-term vision, focusing on growth opportunities and overall practice performance.
Drive consistent daily operational outcomes e.g., patient service productivity, utilization, staff ratios, maximize capacity, wait-time, panel management, resources allocation, etc.
Leads and collaborates interdepartmentally to drive successful short-term and long-term projects to successful outcome.
Develop and implement operational processes, policies, and procedures with a focus on efficiency and scalability, establishing mechanisms to incorporate best practice findings into standards of practice.
Assures standardization of operations aligned with PHS priorities or expectations.
Maximize efficiency and productivity through process analysis and interdepartmental collaboration.
Consistently meets financial goals through optimizing revenue and implementing cost-control measures,
Consistently meets population health quality goals including value-based care contracts with state or federal e.g., Medicare Shared Savings Program (MSSP) and Medicaid Value Based Care (CPC); and Patient Centered Medical Home (PCMH) certification and Uniform Data System (UDS) measures are met in accordance with HRSA.
Ensure regulatory and safety compliance through implementation and oversight of best practices in all operations.
Prepared and participates effectively in mandatory audits - adheres to quality assurance and regulatory standards from PHS, federal, state, and other agencies, including OSHA, HRSA, PCMH, and ODH.
Independently analyze reports and data with action to enhance operational performance.
Responds promptly to persistent issues with effective action plans including continuous process improvement to get back on track.
Other duties assigned.
Core Competencies
Understanding the Business: customer focused (patient and staff), financial acumen, business insight, tech savvy
Making Complex Decisions: decision quality and manages complexity with competing needs, balancing stakeholders
Taking Initiative: action oriented, resourcefulness
Managing Execution: directs work, plans and assigns, optimizes work processes
Focusing on Performance: ensures accountability, drives results with focus on outcomes
Building Collaborative Relationships: collaborates
Optimizing Diverse Talent: attracts top talent, retains top talent, develops top talent, values differences
Influencing People: communicates effectively, drives engagement, organizational savvy by balancing people and organization with approach, persuades, drives vision and purpose
Being Authentic: instills trust
Being Open: demonstrates self-awareness, self-development
Being Flexible and Adaptable: being resilient and nimble learner
Requirements
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
Required: 3+ years' experience in behavioral health programs or operations in a leadership role with demonstrated results including previous managerial experience supervising or directing the work of other leaders. Strong provider relations experience. 3+ years' experience working or integrating behavioral health services with medical services is preferred.
Preferred: bachelor's or master's degree in health care administration, business administration or related field. Previous experience working with external stakeholders or partners to deliver patient care services.
Language Skill
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge to be proficient of current electronic health record, practice management system and Microsoft 365 including Outlook, Excel and Word.
Other Applicable Requirements
Strong communicator and listener to patients and associates. Strong interpersonal skills (friendly, caring, patient). Strong verbal/written communication skills. Strong organizational skills and attention to detail.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Nurse Manager
Nursing director job at Acadia Healthcare
The Ohio Hospital for Psychiatry is hiring a Nurse Manager! Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of experience) Sign On Bonus: $7,500 Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for adults and seniors suffering from mental health disorders and addictions.
* Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
* Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
* Accountable for the standard of care at the facility, providing consultations and expertise in the delivery of care to patient.
* Serve as a clinical and service resource to nursing staff and other staff as assigned.
* Manage the activities of staff, coordinating safe and appropriate care between departments and disciplines.
* Manage and evaluate work activities of nursing, technical, clerical, service or maintenance staff for the unit, work group and other facility staff as directed.
* Analyze information/situation to choose the best solution(s) to solve problems.
* Responsible for recruitment, hiring and training of new staff.
* Identify the educational needs of others and develop educational or training programs.
* Assist with the development and implementation of organizational policies and procedures for the facility.
* Prepare reports to inform management of the status and implementation of programs, services and quality initiatives of the unit.
* Perform administrative or managerial functions such as planning budgets and authorizing expenditures.
* Provide direct care as needed.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
OTHER FUNCTIONS:
* Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
* BSN or higher strongly preferred
* Current registered nursing license in State of facility required
* Three years as a registered nurse strongly preferred
* Two years of registered nursing experience required
* Two years of prior experience as a registered nursing with patient population of the facility is preferred.
* One year of prior experience with the population required
* Prior experience as a house supervisor strongly preferred
* One year of charge RN or other administrative experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
* Current RN license as required by state.
* CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
* First aid may be required based on state or facility.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHRN
#LI-OHP
#LI-SW2
Patient Care Manager and RN Dual
Gallipolis, OH jobs
Explore opportunities with Pleasant Valley Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
In the Patient Care Manager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations.
Hybrid in MN/DC. (Recruiter to confirm 4 day a week schedule): This position follows a hybrid schedule with four in-office days per week.
Hybrid anywhere else (details provided by recruiter): This position follows a hybrid schedule with three in-office days per week.
**Primary Responsibilities:**
+ Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks
+ Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
+ Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits.
+ Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
+ Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
+ Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
+ Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ Current unrestricted RN licensure in state of practice
+ Current CPR certification requirements
+ Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **Preferred Qualifications:**
+ Home care experience
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
\#LHCJobs
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Patient Care Manager and RN Dual
Gallipolis, OH jobs
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
In the Patient Care Manager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations.
Hybrid in MN/DC. (Recruiter to confirm 4 day a week schedule): This position follows a hybrid schedule with four in-office days per week.
Hybrid anywhere else (details provided by recruiter): This position follows a hybrid schedule with three in-office days per week.
Primary Responsibilities:
* Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks
* Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
* Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits.
* Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
* Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
* Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
* Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current unrestricted RN licensure in state of practice
* Current CPR certification requirements
* Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Home care experience
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.