VP, Product Management - Risk Stratification (Remote)
Vice president job at Aledade
Aledade is seeking a Vice President of Product Management to lead product development of a generative AI powered application to assist healthcare providers and their staff to accurately document and manage their patients' medical conditions. This role will directly lead a set of cross-functional teams who are building a predictive analytics and workflow platform for accurate and complete diagnosis coding.
In this capacity, the role will partner closely with executive team members across technology, clinical and business departments to operate a cross-functional program. This is a newly created leadership role for a product leader who is not only a strategic thinker but also thrives on diving deep into execution of a rapidly evolving technology product. You will be at the forefront of leveraging cutting-edge AI technology to drive high quality and efficient workflows for primary care providers at the point of care.Primary Duties:
Define and execute a strategy for product, engineering and analytics teams actively building and scaling a sophisticated predictive analytics and workflow platform for accurately diagnosing and managing clinical conditions.
Manage and lead a team of technical product managers; growing team capabilities and supporting their career development.
Collaborate with a set of cross-functional stakeholders and executive team members to ensure successful rollout and adoption of new condition management applications.
Minimum Qualifications:
Bachelor's Degree with 15+ years of experience in product management
5+ years of experience leading risk adjustment efforts with primary care providers .
Master's degree or other advanced degree(s) in business, computer science, health administration and/or public policy, or other relevant fields.
Preferred Knowledge, Skills and/or Abilities:
A seasoned product leader with a strong VP-level background and a proven track record of successfully shipping impactful, technically complex decision support products.
Deep product knowledge, with the ability to command respect from engineers, engage in and guide architectural and algorithmic discussions, and make informed technical trade-offs.
Passion for not just setting strategy, but also being deeply involved in its execution, problem-solving, and the craft of building great products.
Someone who thrives in a role that combines high-level strategy with the satisfaction of hands-on impact.
Strong leadership, communication, and interpersonal skills, with the ability to successfully navigate and manage relationships across all levels, both upward and downward.
Deep empathy and understanding of primary care provider workflows for diagnosis and treatment of chronic conditions. Ability to leverage this experience to drive behavior change at the point of care.
Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more!
At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************
Auto-ApplySr. Director - Care Coordination/Care Transitions
Jonesboro, AR jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
What you will do
Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources.
Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
Collaborates with clinical departments to embed care management principles into service lines and care pathways.
Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.
Education Qualifications
Master's Degree Clinical
Master's Degree Business Administration
Experience Qualifications
Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
Preferred: Work with EPIC EHR
Skills and Abilities
Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.
Licenses and Certifications
Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
Accredited Case Manager - American Case Management Association
Case Manager - The Commission for Case Manager Certification
Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
Registered Nurse Arkansas - Arkansas State Board of Nursing
Registered Nurse Mississippi - Mississippi Board of Nursing
Registered Nurse Tennessee - Tennessee Board of Nursing
Supervision Provided by this Position
Manages system utilization review team and facility level case management leadership.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr Director Medical Staff Services
Jonesboro, AR jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
Executes strategy by enacting objectives and operational tactics within areas of responsibility.
Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment.
Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities.
Education/Formal Training Requirements
Bachelor's Degree Business Administration
Bachelor's Degree Public Health Administration
Bachelor's Degree Healthcare Administration
Master's Degree Business Administration
Master's Degree Public Health Administration
Master's Degree Healthcare Administration
Work Experience Requirements
5-7 years Interacting with providers, senior administrative staff and board of trustees
5-7 years Management
System level quality programs
Training others in tools and techniques of Quality Improvement
Licenses and Certifications Requirements
Six Sigma Black Belt - The Council for Six Sigma Certification
Knowledge, Skills and Abilities
Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements.
Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities.
Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting.
Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance.
Familiarity with medical terminology required.
Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills.
Excellent interpersonal, written, and oral communications skills.
Strong management and leadership skills.
Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment.
Ability to communicate and work with physicians, nurses, managers, and other related departments.
Ability to develop and effectively manage change as well as build consensus.
Ability to work independently, exercise appropriate action and good business judgment.
Ability to troubleshoot problems and follow up appropriately.
Ability to simultaneously lead and manage multiple high priority projects and responsibilities.
Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns.
Supervision Provided by this Position
Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff.
Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplyAVP Associate CMO WMCG
Augusta, GA jobs
locations AU Medical Center, Inc.time type Full timeposted on Posted 2 Days Agojob requisition id JR-58990
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
The Assistant Vice President (AVP), Associate Chief Medical Officer of Wellstar MCG Health will serve as a facilitator of clinical initiatives aimed to improve quality, safety, patient and physician satisfaction, and improving care coordination for the hospital.
The individual works at the direction of the Chief Medical Officer.
The role may include leading the Grievance Committee, engaging with Physician leaders on improvement of Patient Experience, and working on LOS reduction, HAI mitigation, and Clinical Integration.
The Associate CMO may also serve as the lead physician administrator which will include attending Medical Executive meetings, Credentials, and address any Quality concerns which arise.
In partnership with nursing and administrative leadership, this physician
leader will add value in a multitude of ways including but not limited to policy, protocol and procedure, continuous quality improvement, patient care audits, process improvement, problem resolution and reform of individual physician behavior that is adverse to the objectives of the Transfer Center and WellStar Health System while acting as an advocate to support operations.
This role provides full medical oversight in cases EMTALA regulations apply.
Required Minimum Education:
Doctor of Medicine (MD/DO) from an accredited college of medicine and Board Certified in the physician's area of specialty is required
Master's in Business Administration/Management or Public Health is preferred.
Required Minimum Experience:
Minimum of 10 years' experience as a licensed physician required and a minimum of 5 years recent management experience in an acute care setting, including, but not limited to service as a department chair, medical staff president, residency/fellowship program director, or similar is required.
Required Minimum Licenses and Certifications:
DO or MD required upon hire
Required Minimum Skills:
Extensive skills in establishing and maintaining effective working relationships with physicians, hospital staff, and hospital system/system leadership, with emphasis on effective communication and follow-through.
Skills in identifying problems and recommending solutions.
Ability to interpret, adapt, develop, and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking.
Working knowledge of healthcare reimbursement, regulations and policies as they pertain to denials/appeals, documentation and coding
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Sr. Director - Care Coordination/Care Transitions
Memphis, TN jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
What you will do
Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources.
Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
Collaborates with clinical departments to embed care management principles into service lines and care pathways.
Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.
Education Qualifications
Master's Degree Clinical
Master's Degree Business Administration
Experience Qualifications
Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
Preferred: Work with EPIC EHR
Skills and Abilities
Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.
Licenses and Certifications
Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
Accredited Case Manager - American Case Management Association
Case Manager - The Commission for Case Manager Certification
Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
Registered Nurse Arkansas - Arkansas State Board of Nursing
Registered Nurse Mississippi - Mississippi Board of Nursing
Registered Nurse Tennessee - Tennessee Board of Nursing
Supervision Provided by this Position
Manages system utilization review team and facility level case management leadership.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr Director Medical Staff Services
Memphis, TN jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
Executes strategy by enacting objectives and operational tactics within areas of responsibility.
Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment.
Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities.
Education/Formal Training Requirements
Bachelor's Degree Business Administration
Bachelor's Degree Public Health Administration
Bachelor's Degree Healthcare Administration
Master's Degree Business Administration
Master's Degree Public Health Administration
Master's Degree Healthcare Administration
Work Experience Requirements
5-7 years Interacting with providers, senior administrative staff and board of trustees
5-7 years Management
System level quality programs
Training others in tools and techniques of Quality Improvement
Licenses and Certifications Requirements
Six Sigma Black Belt - The Council for Six Sigma Certification
Knowledge, Skills and Abilities
Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements.
Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities.
Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting.
Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance.
Familiarity with medical terminology required.
Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills.
Excellent interpersonal, written, and oral communications skills.
Strong management and leadership skills.
Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment.
Ability to communicate and work with physicians, nurses, managers, and other related departments.
Ability to develop and effectively manage change as well as build consensus.
Ability to work independently, exercise appropriate action and good business judgment.
Ability to troubleshoot problems and follow up appropriately.
Ability to simultaneously lead and manage multiple high priority projects and responsibilities.
Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns.
Supervision Provided by this Position
Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff.
Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr. Director - Care Coordination/Care Transitions
Jackson, TN jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
What you will do
Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources.
Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
Collaborates with clinical departments to embed care management principles into service lines and care pathways.
Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.
Education Qualifications
Master's Degree Clinical
Master's Degree Business Administration
Experience Qualifications
Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
Preferred: Work with EPIC EHR
Skills and Abilities
Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.
Licenses and Certifications
Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
Accredited Case Manager - American Case Management Association
Case Manager - The Commission for Case Manager Certification
Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
Registered Nurse Arkansas - Arkansas State Board of Nursing
Registered Nurse Mississippi - Mississippi Board of Nursing
Registered Nurse Tennessee - Tennessee Board of Nursing
Supervision Provided by this Position
Manages system utilization review team and facility level case management leadership.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr. Director - Care Coordination/Care Transitions
Hernando, MS jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
What you will do
Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources.
Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
Collaborates with clinical departments to embed care management principles into service lines and care pathways.
Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.
Education Qualifications
Master's Degree Clinical
Master's Degree Business Administration
Experience Qualifications
Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
Preferred: Work with EPIC EHR
Skills and Abilities
Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.
Licenses and Certifications
Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
Accredited Case Manager - American Case Management Association
Case Manager - The Commission for Case Manager Certification
Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
Registered Nurse Arkansas - Arkansas State Board of Nursing
Registered Nurse Mississippi - Mississippi Board of Nursing
Registered Nurse Tennessee - Tennessee Board of Nursing
Supervision Provided by this Position
Manages system utilization review team and facility level case management leadership.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr Director Medical Staff Services
Jackson, TN jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
Executes strategy by enacting objectives and operational tactics within areas of responsibility.
Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment.
Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities.
Education/Formal Training Requirements
Bachelor's Degree Business Administration
Bachelor's Degree Public Health Administration
Bachelor's Degree Healthcare Administration
Master's Degree Business Administration
Master's Degree Public Health Administration
Master's Degree Healthcare Administration
Work Experience Requirements
5-7 years Interacting with providers, senior administrative staff and board of trustees
5-7 years Management
System level quality programs
Training others in tools and techniques of Quality Improvement
Licenses and Certifications Requirements
Six Sigma Black Belt - The Council for Six Sigma Certification
Knowledge, Skills and Abilities
Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements.
Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities.
Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting.
Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance.
Familiarity with medical terminology required.
Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills.
Excellent interpersonal, written, and oral communications skills.
Strong management and leadership skills.
Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment.
Ability to communicate and work with physicians, nurses, managers, and other related departments.
Ability to develop and effectively manage change as well as build consensus.
Ability to work independently, exercise appropriate action and good business judgment.
Ability to troubleshoot problems and follow up appropriately.
Ability to simultaneously lead and manage multiple high priority projects and responsibilities.
Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns.
Supervision Provided by this Position
Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff.
Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr. Director - Care Coordination/Care Transitions
Forrest City, AR jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values.
What you will do
Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population.
Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities.
Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios.
Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources.
Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance.
Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise.
Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance).
Collaborates with clinical departments to embed care management principles into service lines and care pathways.
Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure.
Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices.
Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment.
Education Qualifications
Master's Degree Clinical
Master's Degree Business Administration
Experience Qualifications
Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization.
7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative
Preferred: Work with EPIC EHR
Skills and Abilities
Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership.
Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies.
Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements.
Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups.
Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment.
Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs.
Extensive knowledge of reimbursement practices, payer regulations, and value-based care models.
Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy.
Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work.
Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs.
Licenses and Certifications
Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines
Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers
Accredited Case Manager - American Case Management Association
Case Manager - The Commission for Case Manager Certification
Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers
Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers
Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers
Registered Nurse Arkansas - Arkansas State Board of Nursing
Registered Nurse Mississippi - Mississippi Board of Nursing
Registered Nurse Tennessee - Tennessee Board of Nursing
Supervision Provided by this Position
Manages system utilization review team and facility level case management leadership.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr Director Medical Staff Services
Forrest City, AR jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
Executes strategy by enacting objectives and operational tactics within areas of responsibility.
Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment.
Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities.
Education/Formal Training Requirements
Bachelor's Degree Business Administration
Bachelor's Degree Public Health Administration
Bachelor's Degree Healthcare Administration
Master's Degree Business Administration
Master's Degree Public Health Administration
Master's Degree Healthcare Administration
Work Experience Requirements
5-7 years Interacting with providers, senior administrative staff and board of trustees
5-7 years Management
System level quality programs
Training others in tools and techniques of Quality Improvement
Licenses and Certifications Requirements
Six Sigma Black Belt - The Council for Six Sigma Certification
Knowledge, Skills and Abilities
Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements.
Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities.
Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting.
Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance.
Familiarity with medical terminology required.
Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills.
Excellent interpersonal, written, and oral communications skills.
Strong management and leadership skills.
Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment.
Ability to communicate and work with physicians, nurses, managers, and other related departments.
Ability to develop and effectively manage change as well as build consensus.
Ability to work independently, exercise appropriate action and good business judgment.
Ability to troubleshoot problems and follow up appropriately.
Ability to simultaneously lead and manage multiple high priority projects and responsibilities.
Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns.
Supervision Provided by this Position
Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff.
Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplySr Director Medical Staff Services
Hernando, MS jobs
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South.
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals.
Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners.
In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners.
Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals.
Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD.
Executes strategy by enacting objectives and operational tactics within areas of responsibility.
Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies.
Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws.
Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes.
Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives.
Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment.
Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities.
Education/Formal Training Requirements
Bachelor's Degree Business Administration
Bachelor's Degree Public Health Administration
Bachelor's Degree Healthcare Administration
Master's Degree Business Administration
Master's Degree Public Health Administration
Master's Degree Healthcare Administration
Work Experience Requirements
5-7 years Interacting with providers, senior administrative staff and board of trustees
5-7 years Management
System level quality programs
Training others in tools and techniques of Quality Improvement
Licenses and Certifications Requirements
Six Sigma Black Belt - The Council for Six Sigma Certification
Knowledge, Skills and Abilities
Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements.
Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities.
Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting.
Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance.
Familiarity with medical terminology required.
Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills.
Excellent interpersonal, written, and oral communications skills.
Strong management and leadership skills.
Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment.
Ability to communicate and work with physicians, nurses, managers, and other related departments.
Ability to develop and effectively manage change as well as build consensus.
Ability to work independently, exercise appropriate action and good business judgment.
Ability to troubleshoot problems and follow up appropriately.
Ability to simultaneously lead and manage multiple high priority projects and responsibilities.
Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns.
Supervision Provided by this Position
Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff.
Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement.
Physical Demands
The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
Auto-ApplyVP, Risk Management
Wilmington, DE jobs
President, Risk Management.
ChristianaCare is one of the nation's largest and most innovative health systems, recognized for its commitment to exceptional patient care, clinical excellence, and organizational learning. With a mission centered on love and excellence, ChristianaCare serves the community through its hospitals, extensive ambulatory network, and forward-thinking care models that advance health equity, safety, and high reliability.
The Vice President, Risk Management provides strategic leadership for enterprise risk management, clinical risk mitigation, claims management, and ChristianaCare's insurance portfolio. This executive integrates legal, operational, and clinical expertise to reduce exposure, protect organizational assets, and support a culture of safety and high-quality care delivery across the system.
Reporting to the SVP & General Counsel, the VP leads the Directors of Clinical Risk Management and Claims Management and partners closely with senior executives, clinical and operational leaders, outside counsel, brokers, and claims consultants.
Opportunity Highlights:
Shape the future of enterprise risk for a highly respected, forward-thinking health system with national visibility for quality and safety.
Serve as the system's senior-most risk leader, with direct access to top executives and meaningful influence with the Board.
Lead and elevate a sophisticated, integrated risk function spanning clinical risk, claims, and insurance strategy, including leadership of ChristianaCare's captive.
Impact systemwide priorities at an organization known for strong leadership collaboration, financial stability, and a culture rooted in integrity, compassion, excellence, and equity.
Partner with high-performing legal, quality, safety, and clinical teams to build enterprise tools, processes, and capabilities that advance proactive risk mitigation.
Join a mission-driven organization deeply committed to caregiver engagement, professional development, and community impact.
Qualifications:
Juris Doctor (JD) required.
10+ years of progressively responsible legal experience in healthcare law, including litigation and risk management.
Demonstrated success leading multi-disciplinary teams and managing external counsel.
Deep knowledge of healthcare liability, insurance, and enterprise risk management.
Experience in an integrated health system or academic medical center preferred.
EEO Statement
Kirby Bates Associates is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran
status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Chief Executive Officer
Denison, TX jobs
UHS is currently recruiting for our CEO at Texoma Medical Center (Denison, TX), approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. Texoma Medical Center (TMC) is an acute care hospital with a medical staff of more than 200 physicians. In addition, Texoma Medical center operates a number of locations throughout the Texoma region. The hospital offers major specialty services, including open heart surgery and neurosurgery. Advanced resources, such as certified trauma care support TMC's role as a regional specialty center. Since 1965, TMC has forged a special relationship with the people of North Texas and Southern Oklahoma. Texoma residents have come to depend on TMC to meet a spectrum of physical, mental and spiritual needs. TMC has responded with unique services to provide the kind of sophisticated, experienced care that was once available only in major metropolitan areas. For more information on Texoma Regional Medical center visit ***********************************
Position Summary: The Chief Executive Officer is responsible for leading the overall strategic plan for the hospital and develops and implements strategies to appropriately position the hospital to achieve corporate goals and market the services of the facility. UHS is seeking a transformational executive with a successful record of leading, challenging and reviewing strategic annual plans and budgets with the goal of providing superior patient care. The candidate will have expertise in running efficient quality acute care operations with a commitment to the community, the patients and all hospital employees.
Essential Duties:
Leads hospital senior team and participates in medical staff and governance strategic planning sessions for assigned hospitals.
Meets regularly with assigned hospital leadership to examine current financial performance, evaluate forecasts, and assure appropriate and timely interventions.
Assures consistent compliance with UHS quality, risk, financial, human resources and other expectations that are in accord with UHS expectations and directives.
Identifies opportunities to improve overall patient satisfaction and is committed to superior service excellence.
This opportunity offers the following:
Challenging and rewarding work environment
Competitive compensation
Excellent medical, dental vision and prescription plan
Generous paid time off
Relocation benefits
Bonus opportunity and stock option eligible
Qualifications
Comprehensive working knowledge of acute care hospital and health care management methods, financial management practices and general health care market trends and the trends in the local and regional markets.
Working knowledge of all relevant regulatory compliance and certification standards such as JCAHO.
Demonstrated leadership, communication and executive management skills.
Ability to manage diverse relationships between board members, physicians, management, employee groups, and the community is required.
In depth understanding of financial management, operations, strategic needs, and interventions at the facility level is required.
Must be able to motivate, inspire, and communicate with individuals and groups.
MBA, MHA or related Degree, from an accredited college/university program required.
5-8 Years of acute Hospital CEO experience.
Vice President of Revenue Cycle- FQHC required
San Marcos, CA jobs
About the Company
We're a mission-driven healthcare organization committed to making quality care accessible for everyone.
About the Role
As Vice President of Revenue Cycle, you'll lead financial strategy and operations across TrueCare's multi-site health system. Reporting to the CFO, you'll ensure billing and finance are aligned to support long-term sustainability, compliance, and growth. You'll advise executive leadership, mentor a high-performing team, and drive initiatives that improve cash flow and operational efficiency.
Responsibilities
Lead financial strategy that directly impacts community health
Collaborate with visionary leaders and a supportive team
Drive innovation and continuous improvement in revenue cycle operations
Qualifications
BA in business, accounting, or public administration
10-15 years of experience in financial operations in
nonprofit healthcare including deep knowledge of FQHCs and payor contract management
At least 5 years of leadership experience
Expertise in Medicare/Medi-Cal cost reporting and California rate setting
Proven success in change management and strategic planning
Experience with EPIC or similar EHR systems
Bonus: MBA, CPA, or CMA; passion for serving underserved communities
Required Skills
Expertise in financial operations
Leadership experience
Knowledge of Medicare/Medi-Cal cost reporting
Experience with EHR systems
Preferred Skills
MBA, CPA, or CMA
Passion for serving underserved communities
Pay range and compensation package
The pay range for this role is $175,561 to $280,898 on an annual basis.
Equal Opportunity Statement
Join us in building a healthier future for our communities!
Chief Executive Officer
Cambridge City, IN jobs
Full-time On-site
Cambridge City, IN
We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Relocation assistance available.
Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 35,000 patients daily.
Our mission is to remove all barriers to recovery and transform individuals, families, and communities with treatment that works.
Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.
As an Chief Executive Officer, you will be responsible for the daily operations of a growing treatment facility. Demonstrated experience in managing key functions in a behavioral health system is required including teammate relations, human resources, marketing and growth initiatives, state and accreditation compliance, finance management, utilization, and admission flow. Must be able to create strong teams by infusing a positive culture. You will ensure all facility functions are delivered in accordance with state and federal guidelines, best practices and Pinnacle Treatment Centers policies and procedures.
Benefits:
18 days PTO (Paid Time Off)
401k with company match
Company sponsored ongoing training and certification opportunities.
Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
Discounted tuition and scholarships through Capella University
Requirements:
Bachelor's or master's degree from an accredited college or university in human services field
Five (5) years' experience in management
Ability to coordinate the organization's services with other community resources.
Administrative or supervisory experience in a licensed substance use disorders or mental health treatment facility.
Management skills in addressing human resources and financial matters.
Travel time expected for the position where the travel occurs, such as locally or in a specific countries or states, and whether travel is overnight.
Must possess a current valid driver's license in good standing in state of employment and be insurable by the designated carrier. This role is required to drive for company purposes.
Localized and overnight travel of up to 25% may be required to attend community events, meetings, and conferences.
Responsibilities:
Assures compliance of the program with CARF, State and County Standards to include confidential regulations in accordance with state and federal laws.
May assist with developing, implementing, and enforcing all company policies and procedures, including patient and teammate rights according to agency, state, federal and accreditation standards.
Plan for and administer managerial, operational, fiscal, and reporting components of the organization.
Participate in the Performance Improvement Plan for patient care, teammate retention, and performance.
Assess the needs of the participants through outcome surveys, suggestions, and meetings to assure consistent, quality care for the population we serve to include follow-up with adjustments of the development of the program.
Ensuring that all teammates are assigned duties based upon their education, training, competencies, and job descriptions.
Establish and maintain community relationships, including memorandums of agreement with community resources.
Supervise all staff, including medical, clinical, and administrative.
Maintain a system to review and verify credentials annually for teammate renewals and compliance.
Ensure that policies for documentation in the patient's record are adhered to and timely.
Ensure the safety and well-being of staff and patients through the development and implementation of policies and procedures addressing health and safety accreditation standards.
Conduct ongoing review of clinical supervisor/lead counselor, Director of Nursing/Nursing Supervisor/ Lead Nurse case files to ensure compliance with Federal, State, CARF and facility requirements.
Maintain and monitor compliance with DEA requirements if applicable.
Conduct annual performance reviews of the supervisory, medical and support team.
Complete all required trainings for orientation / annual as required by program, state and CARF.
Coordination with Contact Center to monitor admissions program for census management.
Attend team meetings and complete all training courses timely as required.
Other duties as assigned.
Join our Team. Join our Mission.
Chief Executive Officer
Atlanta, GA jobs
The ideal candidate will manage the overall operations of the company as well as develop and implement strategies that meet the needs of the customers, the stakeholders, and the employees. They will be responsible for making key decisions and executing the culture of the company.
Responsibilities
Take lead across all aspects of the company by reviewing how departments work together
Make key decisions that will affect the facilities direction and profit margin
Build a positive and productive culture in the workplace
Qualifications
Bachelor's degree or equivalent experience
MHA/MBA
Currently working as a behavioral executive, i.e. CEO at a Behavioral Health facility or as a director of a large acute care facility with a large multi-unit psych department.
A working knowledge of behavioral health management practices and clinical operations.
A working knowledge of SUD Substance Abuse Disorder Treatment, behavioral health management practices and clinical operations.
An advanced knowledge of state and federal regulatory and various accreditation requirements related to behavioral health management.
10+ years' experience in behavioral health related field
Strong leadership, decision making and communication skills
Chief Executive Officer
Rancho Mirage, CA jobs
Full-Time | Executive Leadership | Inpatient Rehabilitation
Lead with Vision. Elevate Patient Recover. Inspire a Culture of Compassionate Care.
Rehabilitation Hospital of Southern California, a modern freestanding Inpatient Rehabilitation Facility (IRF), is seeking an experienced, strategic, and purpose-driven Chief Executive Officer (CEO) to lead our high-performing team in Rancho Mirage, California.
Our hospital specializes in comprehensive, patient-centered rehabilitation services for individuals recovering from stroke, brain injury, spinal cord injury, amputation, neurological conditions, and other complex medical issues. With a strong focus on restoring independence and improving outcomes, we are proud to deliver nationally recognized care that truly changes lives. Accredited and nationally recognized for quality, the Rehabilitation Hospital of Southern California is committed to exceptional patient outcomes and compassionate care.
What We're Looking For
• Proven leadership at the CEO or senior executive level in inpatient rehab, or acute care settings
• Demonstrated success in hospital operations, quality improvement, and regulatory compliance
• Strong financial and strategic acumen
• A collaborative leadership style focused on patient outcomes and team improvement
• Bachelor's degree required; (preferred) master's degree in healthcare or business administration
• Minimum of eight (8) years of experience in hospitals and/or healthcare
• Minimum of five (5) years in an administrative or operational role in post-acute care (specifically physical rehabilitation)
What We Offer
• Competitive executive compensation
• Full benefits package including medical, dental, vision, 401(k), and wellness programs
• Generous Earned Time Off (ETO)
• Relocation assistance available
• A purpose-driven environment focused on excellence in care, outcomes, and innovation.
Why Choose Rancho Mirage, CA?
Rancho Mirage is a desert paradise where luxury meets tranquility. Known for its upscale resorts, world-class golf courses, and spa experiences, the city also offers a vibrant culinary and arts scene surrounded by stunning mountain landscapes. Just 110 miles from both Los Angeles and San Diego, you'll enjoy the serenity of the desert with quick access to major coastal hubs. This location offers sunshine, sophistication, and inspiration year-round.
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👉 Apply via 𝗁𝗍𝗍𝗉𝗌://𝗐𝗐𝗐.𝖾𝗋𝗇𝖾𝗌𝗍𝗁𝖾𝖺𝗅𝗍𝗁𝖼𝖺𝗋𝖾𝖾𝗋𝗌.𝖼𝗈𝗆/𝖾𝗑𝖾𝖼𝗎𝗍𝗂𝗏𝖾/𝗃𝗈𝖻𝗌
Posted Total Compensation (CA)
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It's not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $195,000 to $205,000.
Operations Director, Home Care
Timonium, MD jobs
BAYADA Home Health Care is currently seeking an experienced *Operations Director* to join our newly opened *Timonium, MD Skilled Nursing* office. Are you looking for an extraordi nary growth and leadership opportunity with a top company in a fast-growing industry? Would you like that growth and success to be part of making a real difference in people's lives? We're BAYADA Home Health Care-a leading home health care company-and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. In this dynamic environment, you will have the chance to apply your entrepreneurial and relationship-building skills and lead a caring, professional team that is instrumental in providing the highest quality care to our clients.
*Responsibilities for a Director:*
* Fully responsible for the management and services including budgeting, planning, recruiting and fiscal management.
* Monitor the quality and appropriateness of all services provided by your staff to ensure compliance and client satisfaction while ensuring adequate staff education, training and evaluation.
* Support your team, mentor your Associate Director, and grow your office by keeping abreast of industry and community trends and referral opportunities.
* Service-focused, professional, warm and communicative, our Directors are embodiments of The BAYADA Way , representing our network of home care professionals to our various audiences across the nation.
*Qualifications for a Director:*
* Four year college degree preferred
* Minimum two years of verifiable supervisory or management experience in the healthcare industry, preferably in home health care
* Knowledge of Medicare regulations, including OASIS and PPS
* Knowledge of *Maryland *regulations
* Demonstrated record of goal achievement and of successfully taking on increased responsibility with positive results
* Proven interpersonal, recruiting and employee relations skills
* Proven ability to organize, manage, market and grow an office
* Demonstrated PC and communication skills, especially in regard to networking with the community and representing our organization to various groups and agencies
* Ambition to grow and advance beyond current position and responsibilities
* Bilingual in Spanish and English a plus
*Why you'll love BAYADA:*
* *Competitive compensation package: *
* The role offers a base salary ranging from $90,000 to $100,000, along with potential bonus opportunities.
* BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business.
* *Award-winning workplace*: proud to be recognized by
* Newsweek's Best Place to Work for Diversity
* Newsweek's Best Place to Work for Women
* Newsweek's Best Place to Work (overall)
* Newsweek's Best Place to Work for Women and Families
* Glassdoor Best Places to Work
* Forbes Best Places to Work for Women
* *Weekly pay*
* *Work life balance: *Monday-Friday 8:30-5pm hours
* *AMAZING culture:* we are a mission driven nonprofit organization, focused around three core values of compassion, reliability, and excellence.
* *Strong employee values and recognition*: we utilize a BAYADA Celebrates page for daily recognition, along with Hero spotlights, Key Action of the Week meetings to connect back to our mission and celebrate staff, discounts/perks and partnerships, an Awards Weekend trip, and more.
* *Diversity, equity, inclusion, and belonging: *Join groups like our Women in Limitless Leadership Employee Resource Council, Lean In circles, Racial and Ethnic Diversity (RED) Council, Pride LGBTQIA+ Council, Military Community Network, Solutions and Accessibility for Equality (SAFE) Council, Fostering Acceptance Inspiring Trust and Harmony (F.A.I.T.H), and more.
* *Growth opportunities*: advancement opportunities, continued education opportunities, Udemy courses, webinars, and more
* *Check out our blog*: [
* *Benefits*: BAYADA Home Health Care offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
* * *To learn more about BAYADA Home Health Care benefits, [
#LIRX
*As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.*
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in [here](
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Director, Payer Strategy & Engagement, Remote
Vice president job at Aledade
The Director of Payer Strategy & Engagement will lead and execute the strategic intent of Aledade's partnerships with national and regional health plans as we help primary care providers shift into value-based care. The role will be responsible for collaborating closely with internal teams and external partners to demonstrate the value that Aledade brings to payer partnerships.Primary Duties:
Manage strategic payer portfolios across all states and segments to maximize platform contribution, including building multi-year strategic plans
Develop and build strong, collaborative relationships with payer partners to align and execute on shared priorities, including preparation and leadership of payer national JOCs, drive payer-specific coordination across Aledade functional teams (ie., data, quality, financial, growth workstreams), consistent creation and sharing of Aledade's value story
Contribute to the company's goals on health plan contracting for commercial, Medicare Advantage and Medicaid value-based contracts via your assigned payer partnerships
Develop, lead, and mentor a team for strong execution and effective storytelling with data; develop and implement processes to increase productivity of team to practice at the top of license
Other duties as assigned
Minimum Qualifications:
Bachelor's degree
12 yrs. experience in health plan contracting, payer relations, or healthcare strategy in value-based care, preferably with Medicare Advantage; 6-8 yrs. management experience.
Expert in relationship management and portfolio management
Proven ability to build and lead a high performing team
Excellent storytelling with data skills to influence and collaborate with both internal and external stakeholders.
Strong strategic planning and analytical skills
Ability to assess financial and operational outcomes of contracts
Passionate about driving the shift from fee-for-service to value based care
Ability to think beyond one's immediate team and contribute to making Aledade holistically better
Preferred Qualifications:
Master's degree
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more!
At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************
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