Director of clinical operations full time jobs - 67 jobs

Medical Director [Physician Administrator 3] (2600003J) Organization: Youth Services - Central OfficeAgency Contact Name and Information: *********************** Unposting Date: Feb 12, 2026, 11:59:00 PMWork Location: DYS William Green Building 30 West Spring Street 5th Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: NegotiableSchedule: Full-time Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: MedicalTechnical Skills: Juvenile CorrectionsProfessional Skills: Attention to Detail, Collaboration, Teamwork Agency OverviewJOIN OUR TEAM! About Us…Our mission at the Ohio Department of Youth Services (DYS) is to improve Ohio's future by habilitating youth and empowering families and communities. We believe that all youth will be given an opportunity to live up to their greatest potential and staff are our greatest resource.DYS is the juvenile corrections system for the state of Ohio. DYS is statutorily mandated to confine felony offenders, ages 10-21, who have been adjudicated and committed by one of Ohio's 88 county juvenile courts. During their stay with DYS, youth are engaged in programming that is designed to address their criminological and behavioral needs. DYS reaches thousands of youth in facilities and those on parole.Our Guiding Principles…Demonstrate staff are our greatest resource Treat everyone with respect Cultivate a trauma responsive environment for staff and youth to thrive Provide the best support and services for youth and families Advance our culture of inclusion through understanding and appreciating staff and youth differences Commit to and encourage collaboration and continuous improvement to produce better outcomes for those we serve Celebrate collective successes and support one another through opportunities to improve To learn more about DYS, please visit our website by clicking here Job DescriptionDYS is seeking an enthusiastic Administrator to serve as the Medical Director (Physician Administrator 3) for the agency to include three juvenile correctional facilities. The position will be based in our downtown Columbus office but may require travel to our facilities and regional locations, as needed. Duties include, but are not limited to:Development of policy and procedure for all medical services.Formulates recommendations and plans to improve delivery and quality of integrated medical services.Advises DYS Superintendents and other officials on relevant medical services for the youth.On call 24/7 for medical advice/crisis. Assists with development and assures implementation of health care programs for DYS youth.Evaluates medical care being delivered to youth through the quality assurance program to identify opportunities for improvement.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsLicense to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code.Must have valid Driver's License Job Skills: Medical, Juvenile Corrections, Collaboration, Teamwork, Attention to DetailSupplemental InformationBACKGROUND CHECK NOTICE:The final candidate selected for this position will be required to undergo a pre-employment drug screening and criminal background check that includes results from BCI and FBI, Ohio Department of Public Safety and Ohio Department of Taxation. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.PRE-SERVICE TRAINING:The final candidate selected will be required to attend 3 weeks of mandatory, paid Pre-Service Training at the DYS Training Academy in Orient, Ohio. Pre-Service Training is Monday - Thursday, 7:00 am - 5:00 pm.DYS is a “qualifying employer” for purposes of the federal Public Service Loan Forgiveness [PSLF] program.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

**Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + **4 x 10h (Fri, Sat, Sun, Mon)** + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryAetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. Practice Spine Surgery. . . . From Your Home! Aetna, a CVS Health Company, is hiring physicians that are board certified in Orthopedic Spine or Neurosurgery to expand Aetna's medical management program. This is an exciting opportunity to address member needs across the continuum of care and provide clinical expertise to the spine team. The medical directors are responsible for precertification reviews of claim determinations, and provide clinical, coding and reimbursement expertise using multiple computer based applications. This is a full time position, offering a salary with yearly raises, health insurance, 401K, stock plans and other benefits and an opportunity to use your skills but work regular hours in a remote position from anywhere in the United StatesThis is a remote based (work at home) based anywhere in the US. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications. Required Qualifications* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Preferred Qualifications* Previous healthcare insurance experience. Education* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience. Pay RangeThe typical pay range for this role is:$174,070. 00 - $374,920. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Regional (Ohio) Sales and Clinical Manager Juvly Aesthetics is a leading organization in the healthcare and aesthetics industry, dedicated to providing innovative solutions and exceptional patient care. Our mission is to enhance the well-being of our clients while fostering a culture of growth, collaboration, and integrity. Location: In office role, with primary OH location in Columbus/Polaris. Travel to other OH locations: Cincinnati, Cleveland, as required. Job Summary: We are seeking an experienced Regional Sales and Clinical Operations Manager to join our team at Juvly Aesthetics. The ideal candidate will focus on driving sales and business growth while collaborating with the Clinical Training Team to ensure standards are met and there is continuous growth and improvement. Reporting directly to the Chief of Staff, this role is pivotal in combining sales acumen with team leadership to contribute to the success of our clinics. A background in either medical or aesthetic work is preferred. Responsibilities: Sales Growth: Develop and implement strategies to increase revenue and expand our client base. Operational Oversight: Ensure smooth day-to-day operations of the clinics, promoting efficiency and a positive work environment. Team Collaboration and Leadership: Collaborate with the Clinical Training and Operations Teams to ensure clinical standards are upheld and to foster professional growth among team members. Reporting: Report directly to the Chief of Staff, providing regular updates on clinic performance, sales targets, and team development. Marketing Collaboration: Work closely with the Marketing Team to enhance social media presence and promote services. Customer Experience: Uphold high standards for facility cleanliness and customer-facing services to ensure an exceptional patient experience. Financial Participation: Contribute to financial planning and budget management to support the clinic's overall success. Strict attention to inventory and waste. Regulatory Compliance: Maintain compliance with healthcare regulations and company policies. Communication: Provide regular progress updates through remote platforms and collaborate with operations team members. Requirements: Experience: Prior management experience in sales, office, or clinic management; experience in the medical, retail, or beauty industry is highly preferred. Leadership Skills: Ability to motivate, develop, and inspire a both clinical and sales-driven team to achieve their best performance. Communication Skills: Excellent interpersonal and communication abilities. Technical Proficiency: Comfortable using basic technology and operating systems for communication and office tasks. Healthcare Knowledge: Basic understanding of healthcare regulations and medical law is preferred. Educational Background: A background in clinical or medical work is preferred but not required. Essential Skills and Abilities: Reliable and punctual. Thrives in a dynamic and fast-paced environment. Energetic, personable, and passionate about aesthetics. Proven ability to coach and lead a successful clinical or sales team. Drive and assist in both local and social media marketing endeavors. Ability to prioritize multiple tasks effectively. Ability to learn and use all tech & systems efficiently. Job Type: Full-time, approximately 40 hours per week. Salary: Compensation includes a base pay with the potential for a variable component or bonus based on productivity. Benefits: Medical, Dental, and Vision insurance Life Insurance 401(k) retirement plan Paid vacation and holidays Generous Staff Treatment program Family and Friends program Extensive training opportunities Technologically advanced clinic Why Join Juvly Aesthetics: At Juvly Aesthetics, we believe our success is built on the leadership and dedication of our team members. We empower our managers and staff to take ownership of their roles and contribute meaningfully to the growth of our clinics. Join Us: If you are a driven professional looking to make a significant impact in the aesthetics industry, we invite you to apply and become a part of our dynamic team. Apply Today!

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position directs planning, organization, and operation of the laboratory services. The position is responsible for the overall coordination of testing processes within the campus and in conjunction with other OhioHealth hospitals and OhioHealth Laboratory Services. **Responsibilities And Duties:** 60% Manages all aspects of the hospital laboratory services to meet customer needs and support hospital and department balanced scorecard goals. This includes: direct responsibility for Laboratory operations and ownership/coordination of cross-functional, laboratory-related processes through leadership with Nursing, other departments, the medical staff, and administration. The Director is responsible for the development and management of department operating and capital budgets, as well as personnel issues within the department. 15% Ensures Laboratory Department complies with relevant Joint Commission, CAP, CLIA, and FDA standards, as well as any other state/federal/local agency rules or professional standards. Ensures hospital complies with blood handling and use standards as defined by JCAHO and any other state/federal/local regulatory body. 15% Represents the RMH Laboratory Department on appropriate hospital/system committees 10% Participates in other activities within the hospital or system as necessary. **Minimum Qualifications:** Bachelor's Degree (Required) **Additional Job Description:** Field of Study: laboratory medicine Field of Study: Advanced degree in healthcare management or business. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Lab Administration Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position. License to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code. Must have valid Driver's License Job Skills: Medical, Juvenile Corrections, Collaboration, Teamwork, Attention to Detail Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. BACKGROUND CHECK NOTICE: The final candidate selected for this position will be required to undergo a pre-employment drug screening and criminal background check that includes results from BCI and FBI, Ohio Department of Public Safety and Ohio Department of Taxation. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration. PRE-SERVICE TRAINING: The final candidate selected will be required to attend 3 weeks of mandatory, paid Pre-Service Training at the DYS Training Academy in Orient, Ohio. Pre-Service Training is Monday - Thursday, 7\:00 am - 5\:00 pm. DYS is a “qualifying employer” for purposes of the federal Public Service Loan Forgiveness [PSLF] program. DYS is seeking an enthusiastic Administrator to serve as the Medical Director (Physician Administrator 3) for the agency to include three juvenile correctional facilities. The position will be based in our downtown Columbus office but may require travel to our facilities and regional locations, as needed. Duties include, but are not limited to: Development of policy and procedure for all medical services. Formulates recommendations and plans to improve delivery and quality of integrated medical services. Advises DYS Superintendents and other officials on relevant medical services for the youth. On call 24/7 for medical advice/crisis. Assists with development and assures implementation of health care programs for DYS youth. Evaluates medical care being delivered to youth through the quality assurance program to identify opportunities for improvement. JOIN OUR TEAM! About Us… Our mission at the Ohio Department of Youth Services (DYS) is to improve Ohio's future by habilitating youth and empowering families and communities. We believe that all youth will be given an opportunity to live up to their greatest potential and staff are our greatest resource. DYS is the juvenile corrections system for the state of Ohio. DYS is statutorily mandated to confine felony offenders, ages 10-21, who have been adjudicated and committed by one of Ohio's 88 county juvenile courts. During their stay with DYS, youth are engaged in programming that is designed to address their criminological and behavioral needs. DYS reaches thousands of youth in facilities and those on parole. Our Guiding Principles… Demonstrate staff are our greatest resource Treat everyone with respect Cultivate a trauma responsive environment for staff and youth to thrive Provide the best support and services for youth and families Advance our culture of inclusion through understanding and appreciating staff and youth differences Commit to and encourage collaboration and continuous improvement to produce better outcomes for those we serve Celebrate collective successes and support one another through opportunities to improve To learn more about DYS, please visit our website by clicking here The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. Sign On Bonus $7,500.00 As the Clinical Director, you will oversee and direct the patient care operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. Primary Responsibilities: Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations. Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered All CMS and state regulations must be followed regarding supervision of nursing services If Clinical Director is not an RN, Executive Director/Administrator or Patient Care Manager must be designated as supervising RN for nursing services unless state regulations dictate otherwise You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in the state of practice or PT/OT/SLP, must have current applicable license in the state Current CPR certification Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation #LHCjobs Preferred Qualifications: 1+ years of supervisory and/or management experience in home health setting or related healthcare setting Ability to manage multiple tasks simultaneously Able to work independently Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

We're seeking an Executive Director, Transformation & Servicing Innovation to join our dynamic team. This is a critical role that will serve as a strategic partner to the Head of Servicing Operations and the Head of AI Strategy and Transformation, shaping the future of how we operate. As the Executive Director of Transformation & Servicing Innovation within the Transformation & Servicing Innovation team, you will be at the forefront of a pivotal period of strategic evolution, responsible for leading significant transformation across a massive 12,000+ Full-Time Equivalent organization, primarily composed of call center and back office agents. You will dramatically enhance our client service capabilities, instill a culture of continuous improvement, and champion innovative new ways of working, with a strong focus on leveraging cutting-edge Artificial Intelligence. This is more than just a leadership position; it's an opportunity to be the primary orchestrator of our Servicing Operations' transformation portfolio. You will bridge the gap between bold strategic vision and flawless operational execution, ensuring our client services remain at the pinnacle of efficiency, effectiveness, and customer satisfaction. If you thrive in complex environments, are a master influencer, and possess a relentless promote for impactful delivery, this role offers an unparalleled chance to make a profound impact on our Consumer and Community Banking client base and thousands of our front-line specialists. Job Responsibilities Define and Drive Strategic Transformation: Collaborate closely with leadership to identify and prioritize high-impact opportunities within Servicing Operations. Develop and execute a comprehensive transformation roadmap, with a strong focus on becoming an AI-enabled organization ready for future ways of working. Translate high-level goals into actionable initiatives, establishing clear, measurable KPIs. Champion AI and Emerging Technologies: Lead the strategic direction for leveraging AI, agentic capabilities, and large language models (LLMs) to unlock significant operational efficiencies and reshape future work practices within Servicing Operations. Orchestrate Transformation Initiatives: Take ownership as the central point of contact for Servicing Operations' transformation portfolio. Strategically organize and drive a robust portfolio of initiatives, ensuring rigorous tracking, on-time and on-budget delivery, and seamless integration into business operations. Lead Cross-Functional Change: Act as a local champion and primary integrator, fostering a culture of innovation and continuous improvement. Build strong coalitions across all organizational levels, effectively communicating the "why" behind changes, celebrating successes, and proactively mitigating resistance. Identify & Implement Operational Enhancements: Utilize data and analytics to pinpoint inefficiencies and areas for optimization within servicing operations. Champion the adoption of emerging technologies to boost productivity, elevate customer experience, and strengthen operational resiliency. Mitigate Risk & Ensure Compliance: Proactively identify and manage risks associated with transformation initiatives. Ensure unwavering compliance with regulatory, operational, and organizational policies throughout all changes to processes and systems. Foster Cross-Team Collaboration: Partner with Servicing Operations leaders, front-line managers, staff, and CCB Ops & Product Teams to uncover pain points, inform opportunities, and secure prioritization for AI and innovative solutions. Develop Data-Driven Business Cases: Create compelling, data-driven business cases for each proposed initiative, quantifying potential impacts across cost, expense savings, risk mitigation, and both customer and employee experience. Enhance Transparency & Buy-in: Establish routines to improve transparency of cross-firm initiatives within Servicing Operations. Provide regular, credible reporting on transformation progress to key strategic stakeholders, proving the value of our investments and ensuring strong buy-in from leadership and staff for smoother adoption of new technologies and processes. Drive Leadership Alignment & Representation: Report directly to the Head of Customer Service Strategy, Customer Experience, and Performance Excellence, with dotted line accountability into the Head of AI Strategy & Transformation Office. Act as a key representative for the Servicing Organization in senior leadership meetings, articulating and advancing Operations-led strategic initiatives through impactful executive-level presentations. Required qualifications, skills, and capabilities 15 years of progressive leadership experience with a strong focus on large-scale business transformation and operational excellence. Demonstrated expertise in large-scale client service environments (10,000+ employees), particularly within call centers and investigation operations, understanding their unique challenges and opportunities. Proven management consulting background with extensive experience in strategic problem-solving, organizational design, process re-engineering, and complex change management. Deep expertise in leading and driving organizational change, including cultural transformation, technology adoption, and workforce evolution. Strong track record of leveraging technology (especially AI/ML) to significantly improve efficiency, customer satisfaction, and operational performance. Exceptional strategic thinking and analytical skills, capable of translating complex data into actionable insights and strategic recommendations. Robust technology and operations knowledge, including expertise in policy, procedures, risk, and controls. Bachelor's degree required. Flexibility to travel as needed. Preferred qualifications, skills, and capabilities Master's degree in Business Administration, Engineering, or a related field is highly preferred;

JobID: 210694416 JobSchedule: Full time JobShift: Base Pay/Salary: Chicago,IL $142,500.00-$225,500.00 Are you looking to shape the future of operational excellence and efficiency? Interested in leading transformation and growth? If so, join our team today! Asset Based Lending Originations is a team within Specialty Operations in Wholesale Lending, responsible for originating all syndicated and bilateral transactions for Corporate Investment and Commercial Banks. As the the Asset Based Lending Operations (ABL) Executive Director, you will lead a team that works closely with ABL sales, customers, bankers, risk, legal, and other stakeholders to onboard ABL client transactions. You will be at the forefront of intelligent automation, driving digitization and operational innovation to deliver measurable outcomes and support Asset Based Lending strategic objectives. Job responsibilities * Strategic Leadership & Collaboration: Develop a strategic plan to recruit and build a highly visible, client-facing, global operations team. Oversee partnerships across multiple stakeholders, using your deep understanding of business success factors and data to define and manage Objectives and Key Results (OKRs), Key Performance Indicators (KPIs), and metrics. * Business Analysis & Solution Delivery: Direct strategy and execution of business analysis activities to deliver actionable insights and solutions, influencing cross-departmental strategies, decisions, and readiness for automation initiatives. * Senior Stakeholder Engagement: Collaborate with senior management and stakeholders to resolve complex problems, making broad decisions that impact operational efficiency and growth. * Operational, Financial, and Technical Oversight: Manage operational, financial, and technical activities, including budgeting and business planning, while ensuring adherence to firm standards, controls, and governance for Asset Based Lending originations operations. * Capability Assessment & Roadmap Development: Assess and build intelligent automation capabilities within the organization, collaborating with technology teams to establish the operating model and develop a strategic roadmap for capability growth and development. * Team Leadership: Manage team members and key resources directly or indirectly, holding accountability for operational success and fostering a culture of continuous improvement and innovation. Develop talent within the team through effective learning plans, training, coaching, and ongoing support. Required qualifications, capabilities, and skills * 10+ years of experience (or equivalent expertise) in leading operations and/or large-scale business transformation. * Bachelor's degree. * Experience in commercial lending transactions and loan documentation. * Strong influencing and communication skills with all levels of stakeholders, building strong partnerships to deliver results. * Relevant process management experience, including analyzing as-is business processes, mapping process flows, analyzing complex data, recommending improvements, and implementing them using industry-standard practices and tools. * Ability to lead in a continuously changing and agile business environment. * Inclusive, supportive leadership with the ability to collaborate across functional teams; lead across boundaries and realize the benefits of a globally diverse workforce. * Proven ability to make decisions and advise others with a strong understanding of business risk implications. * Extensive business and technical expertise, with advanced problem-solving methodologies focused on analyzing complex operating models, anticipating issues, and leveraging technology. * Demonstrated experience applying advanced knowledge of at least one intelligent automation application. Preferred qualifications, capabilities, and skills * MBA or Master's degree * Advanced skills with a broader understanding of business analysis, design, development, testing, and deployment

**Become a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. **Responsibilities:** + Oversee the process for direction and support to clinical and operational leadership regarding Medicare and governmental audit trends, denials, and any CMS initiative and/or demonstration projects. + Collaborates with leadership team in the development of an education plan to improve processes to preserve and recover revenue. + Analyzes region-wide outcome indicators to measure achievement of quantitative and qualitative standards. Assists in the development, implementation and analysis of internal and external benchmarking programs to measure the region's effectiveness in improving performance + Maintains region-wide Performance Improvement program which includes Customer Satisfaction, complaints, infection monitoring, Incident Reporting, and quarterly branch PI activity + Provides feedback and recommendations for changes to policies and processes, procedures and systems to enhance measures taken to improve performance + Communicate with Corporate leadership, Regional and Divisional leaders as appropriate to resolve issues that may place patients or the company at risk + Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the Operations Support team and communicates Performance Improvement results + Participate in special projects and performs other duties as assigned. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Nursing or related field + 10-15 years progressively responsible experience in home health or hospice industry that includes performance improvement and outcomes measurement + 5 years' experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and application of regulations and performance improvement standards + Strong Project management principles and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and apply regulatory requirements + Excellent verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and regular attendance + Approximate percent of time required to travel: 30% + Performs other related duties as assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN, PT or OT preferred + More than 3 years of grievance and appeals experience + Strong knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Job DescriptionJob Type: Full-time / Part -time We are seeking an experienced and skilled Director of Nursing to lead our home health care team. The successful candidate will be responsible for overseeing the nursing department, ensuring high-quality patient care, and driving clinical excellence. This leadership role requires a strong clinical background, excellent communication skills, and the ability to manage and develop staff. Key Responsibilities: 1. Leadership and Management: - Provide leadership and direction to the nursing staff, including recruitment, training, and development. - Foster a culture of excellence, compassion, and safety. - Manage staffing, scheduling, and budgeting for the nursing department. 2. Clinical Oversight: - Ensure high-quality patient care and outcomes through regular visits, audits, and feedback. - Develop and implement clinical policies, procedures, and guidelines. - Collaborate with physicians, therapists, and other healthcare professionals to ensure comprehensive care. 3. Quality Improvement: - Develop and implement quality improvement initiatives to enhance patient outcomes and satisfaction. - Analyze data and metrics to identify areas for improvement. - Implement evidence-based practices to drive clinical excellence. 4. Regulatory Compliance: - Ensure compliance with regulatory requirements, including OASIS, Medicare, and Medicaid. - Maintain accreditation standards and survey readiness. 5. Staff Development: - Develop and implement staff education and training programs. - Mentor and coach nursing staff to enhance their skills and knowledge. 6. Communication and Collaboration: - Communicate effectively with patients, families, staff, and other stakeholders. - Collaborate with interdisciplinary teams to ensure seamless care transitions. Requirements: - Education: Bachelor's degree in Nursing required; Master's degree preferred. - Licensure: Current RN licensure in the state of practice. - Experience: Minimum 5 years of experience in home health care, with at least 2 years in a leadership role. - Certifications: CPHQ, QIAL, or other relevant certifications preferred. - Skills: - Strong leadership, management, and communication skills. - Ability to analyze data and drive quality improvement initiatives. - Excellent problem-solving and critical thinking skills. What We Offer: - Competitive salary and benefits package. - Opportunity to lead a dynamic team. - Professional development and growth opportunities. If you're a motivated and experienced nursing leader looking for a new challenge, we'd love to hear from you!

Job Title: LTL Operations Executive Division: Account Management Reports To: Senior Director of Account Management FLSA Status: Full-Time; Exempt The LTL Operations Executive role supports the day to day LTL freight operation. This individual will assist with processing shipments, resolving discrepancies, and managing key communication between internal teams and carriers. The role requires attention to detail, strong organizational skills, and the ability to learn transportation management systems. The ideal candidate will be proactive, customer-focused, and eager to develop their logistics expertise. ESSENTIAL DUTIES AND RESPONSIBILITIES Research, analyze, and resolve BOLs discrepancies through TMS and email. Dispute invalid or incorrect charges when necessary. Understand, organize, gather paperwork, and file/process freight claims with carriers. Provide customer operations with up-to-date market knowledge and changes through internal communication. Ability to quote and understand current rates and rate structures. Build and adjust LTL orders in TMS's (transportation management systems) at the request of customer operations. Managing LTL imports through Kanopi tool. Resolving reconsignments and rescues/ OSD's. Partner with other teams (customer, carrier, sales). Building and maintaining relationships with dispatchers through quality communication. Interface with Zipline technology/TMS vendors Understand, organize, gather paperwork to initiate claims process Improve basic LTL rating classification and processes knowledge. Requirements REQUIRED SKILLS AND COMPETENCIES Thrives in a role where multi-tasking and problem-solving are the daily norm Is resourceful, proactive, and accountable Is customer-service oriented Can positively respond to change and adapt to new customers and business priorities Is open to new opportunities and responsibilities Is a team player Has a genuine interest in continuous learning Has strong communication and interpersonal relationship-building skills Can generate positive energy through trust-building interactions with prospects, clients and colleagues

**REM Community Services** **,** a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. **Regional Director of Operations for Intellectual & Developmental Disabilities Services** **Salary: $85,000** **SUMMARY** + Position Type: Full-time, exempt, salaried supervisor role. + Scope of Role: + Oversees the operations of a large region within a state with revenues of around **$15 million.** + Key Responsibilities: + Implements the strategic direction for operations and ensures alignment with the state business goals and objectives. Oversees the quality of services provided including implementing initiatives to improve quality. May manage a support functions team (e.g., HR, QA, Finance, health, maintenance, etc.). **ESSENTIAL JOB FUNCTIONS** _To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below._ **Leadership and Supervision:** 1. Oversight: Oversees implementation of operations and individual's supported service and supports for all service lines within a region of a state. 2. Personnel: Provides leadership including direct supervision of Area Directors and/or Program Directors, and the regional support team; implements Sevita employee practices; oversees regional safety and workers' compensation implementation; approves involuntary terminations and reviews written warnings. Collaborates with Talent Acquisition (TA) team on regional hiring needs; instructs Area Directors to submit position request form. Recruits, hires, and interviews Area Directors; communicates all decisions on candidates to TA team. Consults with Area Directors and TA teams on hiring of Program Directors. 3. Training: Monitors new hire retention and coaches Area and Program Directors on new hire training and onboarding to ensure new hires are set up for success; provides orientation, training, and guidance to Area Directors; delivers training as a facilitator as needed for team (i.e., state-wide initiatives); coaches ADs on ongoing training efforts. **Financial Management:** 1. Management: Responsible for the financial performance of a regional business unit, reviews financial statements, oversees regional purchasing, understands and acts on all financial drivers with ability to interpret a P&L for their region with support from Finance, and ensures billing compliance and documentation. 2. Overtime: Oversees regional overtime dashboard, including ensuring requisitions are open for aliases with overtime, high overtime utilizers are being monitored, etc.; implements strategies to manage overtime. 3. Individuals' Served Funds Management: Safeguards individuals' funds and ensures compliance within region. **Census Management:** 1. Marketing: Coordinates with marketing to fulfill collateral, social media, virtual tours, and other marketing needs within their regions. 2. Referrals: Oversees relationship with state referral partners (MCOs, state referrals) and escalates potential issues (e.g., unresponsive case manager, etc.); approves referral decisions to admit individuals into our services, removing escalated barriers to serving individuals. 3. Census Performance: Monitors census and referral dashboards, reviewing progress against census targets, analyzing admissions, discharges, and leave days trends, and ensuring timely and proactive response and thorough placement decision making; identifies and implements corrective actions to address census challenges in their regions (i.e., staffing/training need, referral/marketing need, process or system improvements, etc.). **Growth and Development:** 1. Strategy: Implements the strategic direction for the region and ensures alignment with the state business goals and objectives; implements regional core growth strategy to increase volume; executes strategic plans to achieve growth targets. 2. Scouting: Responds to local requests for proposals to address payer needs; identifies and participates in new start development initiatives as appropriate; and identifies potential acquisition partners. **Stakeholder Relations:** 1. Program Stakeholders: Maintains and fosters relations with the community, referral partners, and funders. 2. Government Relations: Maintains and fosters relations with local government authorities such as counties, regional centers and managed care contractors; coordinates, encourages, and bolsters engagement for their teams to participate in advocacy efforts (e.g., advocacy days, town halls, etc.); participates in provider association meetings; and lobbies on behalf of individuals receiving services and Sevita as appropriate 3. Customer Service: Implements regional strategies to maintain and foster relations with individuals receiving services, families, and guardians; oversees implementation of individuals supported satisfaction surveys, and implements enhancement plans as appropriate. **Compliance and Regulatory Management:** 1. Quality: Oversees regional quality enhancement and implementation plan, coordinating Sevita standards, licensing requirements and individuals supported needs; and oversees regional incident reporting. 2. Incident Management: Oversees regional implementation of incident management protocol; ensures timely incident reporting and corrective action; reviews trends; develops and implements responses; and may assist with regional investigations. 3. Licensing: Maintains licensing and compliance for regional services and supports; assures timely and accurate documentation; oversees regional implementation of Sevita compliance plan; and reviews correction orders and approves regional compliance plans. **Health and Safety Management:** 1. Health and Safety Programs: Oversees development and implementation of regional health and safety programs for individuals receiving services and employees; directs supervision of nursing contracts and/or nurse supervisor as applicable. 2. Environment: Directs regional maintenance program. **Other:** + Performs other duties and activities as required, including backfilling roles under your supervision. **SUPERVISORY RESPONSIBILITIES** + Manages and supervises Area Directors and/or Program Directors, and the regional support team and assigned personnel. Completes performance evaluations, orientation, and training. Makes decisions on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves employee problems within position responsibilities. **Minimum Knowledge and Skills required for the Job** _The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job._ **_Education and Experience:_** + Bachelor's degree and Master's degree in Business or Human Services, other education and experience as required by state. + Seven to ten years of related experience with significant management experience in the human services industry. **_Certificates, Licenses, and Registrations:_** + Licensure(s) as required by state. + Other certification(s) and/or training(s) as required by the state and/or service line. **_Key Metrics:_** + Region Revenue, EBITDA + Census / Billable Units + Occupancy (%) + Referral Conversion (%) + Fleet/Transportation Optimization (Improvement %) + Budget Compliance (budget hours, census, expenses, purchasing, utilization, etc.) + Customer Satisfaction + Quality (TQS) + Program Visits + Employee Satisfaction/Engagement, Action Plan Progress and Improvement + Turnover + Individual Performance (L-H) + Technology Adoption (%) **_Other Requirements:_** + Travel as needed **_Physical Requirements:_** + **Medium Work.** Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. **_Addendum:_** + CS New Jersey - Refer to: CS NJ Addendum - All Positions Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. _As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._

About the Company ESI currently serves over 350 health care operations that employ over 48,000 employees across 14 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center” - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals. Essential Functions and Responsibilities Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census. Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers. Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies. Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas. Assist in analysis and coordination of amendments, reimbursement, and language changes. Assess resource utilization, cost management and negotiate effectively. Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement. Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies. Strategizes for facility census growth and retention. Teach, Train and Instruct facility level personnel on how to operationalize the contract. Interact with facility personnel on utilization, clinical results and managed care census. Qualifications: Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS. Knowledge of CPT-4, HCPCS, Revenue and ICD coding. Expert in Skilled Nursing Managed care plans. Experience in successful operationalizing managed care contracts in the skilled nursing environment. Knowledge of contracts and contractual interpretations for payment and benefit issues. Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting. Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising. Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent verbal and written communication skills, as well as excellent critical thinking skills. Computer savvy (Contract Logix, MS Word, MS Outlook & Excel). Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment. Present in facilities on a weekly basis, (currently as deemed appropriate). Desired Qualifications Must live in Ohio, preferably in the Columbus area. Preference for bachelor's degree in business administration, management or health care administration. Willing to travel up to 80% of the time (as deemed appropriate) Highly desire at least 2 years' experience with Managed Care contracting. Additional Information Wage Rate: Depending on Experience Position Type: Full-time, exempt employee Benefits: Medical, dental, vision, life & AD&D insurance plans, 401(k) with matching contribution, vacation, sick and holiday pay Location: Candidate must reside in the Columbus, Ohio area. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required.

Clinical Director (BCBA) - ABA Centers of Ohio Westerville, OH Leadership Opportunity Are you a BCBA interested in taking your career in a new direction? Our Clinical Director is responsible for monitoring the daily clinical operations of a single clinic location providing ABA therapy services. The Clinical Director ensures a clear line of communication between BCBAs, RBTs, and other team members. Why We're the Best Place to Be in ABA! Dedication to Better Outcomes - Smaller caseloads combined with our established clinical infrastructure mean we can focus on delivering high-quality care and lasting impact for children and families Unlimited Career Growth - Enjoy long-term opportunities to advance your career without the pressure of private equity investors On-Demand Clinical Support - Access continuous training and resources through our ABA Academy of Excellence to stay at the top of your game Investment in Talent - We hire top talent and invest in developing our RBT teams, ensuring the best care for our clients and stability for our BCBAs Commitment to Improving Autism Care - We're serious about innovation and change, as evidenced by having our own diagnostic teams and sponsorship of the Autism Research Laboratory at Temple University What You'll Do Manage BCBAs and RBTs to ensure clinical quality Supervise the daily implementation of behavior intervention, treatment plans, and client documentation Give direct verbal/written feedback to BCBAs and RBTs regarding clinical implementation, including modeling Conduct behavior and skill-based assessments and treatment plans for clients admitted into the region as needed Support BCBAs in extended assessment opportunities (FBA, FA, preference assessment, etc.) Make monthly check-in phone calls with families Support the ABA Academy of Excellence training program by analyzing regional IOA and treatment integrity data Travel for assessments, oversight of clinical team, and support for high-risk clients Requirements Requirements BCBA certification Pennsylvania State Licensure 5 years of experience in the ABA field (preferred) Must maintain clean background/drug screenings and driving record Benefits Special, Full-Time BCBA Benefits 401(k) program with generous employer match up to 6% Performance bonuses (average $2,700 twice yearly) BCBA referral bonuses ($5,000) RBT referral bonuses ($500) Tuition reimbursement for ongoing education (up to $2,500 per semester) 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays) Medical, dental, vision, long-term disability, and life insurance CEU reimbursement Mileage reimbursement About ABA Centers of Pennsylvania ABA Centers of Ohio is a great place to work! Don't take our word for it, though. We're listed in Inc. magazine's Best in Business list for “Health Services,” honoring companies that have made an extraordinary impact in their fields and on society. Recruiter ID: #LI-BA1 ABA Centers of Ohio participates in the U.S. Department of Homeland Security E-Verify program.

Job DescriptionDescriptionCelebrating 20+ years of excellence, SkinSpirit is a top destination for aesthetic skincare and body - with over 55 locations nationwide. Our highly trained experts are the best in the industry - renowned for personalized service delivering safe, effective, medically proven treatments and optimal results. SkinSpirit is here to ensure you find joy in your skincare journey and happiness in the results you're looking for. We thrive in a people- first culture with an authentic emphasis on wellbeing. As we grow, we reinforce the integrity of our unique culture by leading with love and an unparalleled passion for what we do. We offer world-class training and education. And as industry leaders we're always innovating - bringing state-of-the-art equipment and services to our clinics. Join the SkinSpirit experience! Position Overview The Clinic Manger is a crucial position in the success of SkinSpirit. This role is responsible for setting the tone of the clinic while managing the team and clinic operations through the lens of our culture and values. The Clinic Manager will partner with their leadership and clinic team to strategically position the business for consistent growth while ensuring daily operations are smooth and effective. The Clinic Manager will empower and motivate their team while ensuring the clinic is delivering the highest level of service to clients. Why You'll Thrive at SkinSpirit Obsession with client experience: We connect with our clients on a personal level to provide the best service to meet their needs. We listen to feedback and proactively address any concerns that may arise to foster loyalty and achieve our goals Drive for excellence and continuous improvement: We are committed to exceeding expectations, both internally and externally Entrepreneurial spirit: SkinSpirit does nto have a one-size-fits-all approach. We encourage our employees to thing outside of the box and find new avenue for the growth and success of their clinic. We embrace ambiguity, learn from mistakes and fail forward Commitment to putting the team first: We recognize that it takes a village and are deeply committed to the growth and development of the people around us. We recognize when others succeed, we do too What You Will DoKey Responsibilities Set the vision and direction for the clinic team, articulating priorities, and generating enthusiasm and energy against unified goals Manage all aspects of clinic daily operations, such as organizing workflow, optimizing schedules, addressing client feedback, inventory management, revenue performance, and other administrative duties Hold the team accountable for maintaining the highest of standards as related to client service, safety and compliance Recruit, retain, and develop a high- performing and diverse team Support staff development through 1:1 touch-bases, Individual Development Plans. coaching, and training/development Improve systems, policies, and procedures to increase efficiency and level of service Additional duties and tasks as needed What You Will Bring Skills, Knowledge & Expertise Bachelor's Degree strongly desired; HS Diploma/ GED required 5+ years of relevant experience in the medical/spa industry, luxury retail, hospitality, or similar industry Experience managing, leading, coaching, and developing diverse teams and specialized talents to achieve high performance A positive attitude and desire to model a growth mindset for employees Ability to work a flexible scheduled to accomplish all major responsibilities. This includes early mornings, evenings, weekends, and holidays Strong organizational skills with the ability to manage multiple tasks simultaneously, maintain focus and adapt to unexpected situations Excellent written and verbal communication, and active listening skills; ability to communicate at all levels of the organization Fluent computer and phone skills; working knowledge of Microsoft Office (Word, Excel, Outlook) and the ability to learn about new technologies Physical Requirements Prolonged periods of: Sitting at desk and working on a computer Repeating of same movements Talking and hearing Occasional periods of: Standing, walking, use of hands and fingers, handling or feeling Reaching with hands and arms Climbing or balancing, stooping, kneeling, crouch or crawl Occasionally lift and/or move up to 20 pounds and occasionally lift/or move up to 30 pounds BenefitsWe offer a competitive benefits package which includes generous employee discounts, Friends & Family discounts and a beautiful working environment with a stellar team. We also offer paid holidays and a 401k plan with a company match program. For full- time employees (24 + hours/week) we offer Medical, Vision, and Dental insurance. Notices for Applicants Notice at Collection Privacy Policy for California Residents SkinSpirit participates in E-Verify; To learn more please visit E-Verify.gov - Employee Rights and Responsibilities SkinSpirit is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex, (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We seek to hire on the basis of merit, competence, performance, and business needs.

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. Sign On Bonus $7,500.00 As the Clinical Director, you will oversee and direct the patient care operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. Primary Responsibilities: * Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company * Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care * Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations. * Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered * All CMS and state regulations must be followed regarding supervision of nursing services * If Clinical Director is not an RN, Executive Director/Administrator or Patient Care Manager must be designated as supervising RN for nursing services unless state regulations dictate otherwise You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Current and unrestricted RN licensure in the state of practice or PT/OT/SLP, must have current applicable license in the state * Current CPR certification * Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation #LHCjobs Preferred Qualifications: * 1+ years of supervisory and/or management experience in home health setting or related healthcare setting * Ability to manage multiple tasks simultaneously * Able to work independently * Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Company: OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits. Your position perks as a Hospice Director Clinical Services (Registered Nurse/RN) * Supportive and welcoming team * Competitive pay and bonus structure * Health, dental, vision for part & full-time positions * Generous Paid Time Off plan that increases with tenure * Wellness reimbursements for physicals and gym memberships * Pre-tax FSA and HSA plans (HSA w/company contributions) * 401(k) with company matching contributions * Free Continuing Education Units * Tuition reimbursement * Company paid life and long-term disability insurance * Company paid parental leave with tenure for birth, adoption, and foster parents * Voluntary long-term care, critical illness, and accident insurance * Local and national award programs * Referral bonus program * Mileage reimbursement * Corporate discount program w/access to >300,000 businesses * Company assistance program supporting teammates in times of need How you'll make an impact as a Hospice Director Clinical Services (Registered Nurse/RN) * Supervise patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care * Support and manage Interdisciplinary Team (IDT) including scheduling, productivity, mentoring and monitoring, 1x1's, pay practices and timekeeping * Oversee the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT) * Ensure adherence to the rules and regulations of state and federal regulatory agencies * Attend/Lead Interdisciplinary Team (IDT) meetings * Process EMR documentation workflow as needed Hospice Director Clinical Services (Registered Nurse/RN) Requirements * Registered Nurse with minimum of three years in healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. BSN a plus. * Experience in leadership or management strongly preferred. * Experience with Electronic Medical Record systems a strong plus. * Strong leadership, organizational and interpersonal skills. Hospice Director Clinical Services (Registered Nurse/RN) Certifications, Licenses and Registrations * Must be a Registered Nurse licensed in the state of employment. * Certification in Hospice and Palliative Nursing a plus but not required. * Must have a valid driver's license and auto liability insurance. Care for Who I Am is Caring for Who We Are. Together We Are: Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community. WE ARE fostering an inclusive environment where every teammate matters and can be their best selves. WE ARE becoming a reflection of our patients, families, and partners. WE ARE transforming care at home for every community serve. State Specific Requirements Estimated salary range $53315 - $108487 / year. Actual salary will vary by geographic location and experience. #LI-TC1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage * Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. * Career Development: Access leadership pathways, mentorship, and personalized professional development. * Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. * Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. * Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

• Represent Day One in court, when necessary • Participate in interviews for new staff. • Provide leadership to the Counseling Team (staff and interns) through clinical supervision and reviews, consultation, training and support to ensure contract compliance and program quality. • Evaluate individual and overall team performance on a regular and ongoing basis; use collected data and information to make needed improvements including adjustments as needed to counselors' caseloads and work assignments to maximize quality of care, and staff productivity. • Ensure that participant and program goals are met in accordance with policies and procedures. • Actively monitor assigned supervisees' performance goals and professional development in accordance with agency expectations. • Conduct performance evaluations for counseling team; proactively identify and resolve performance issues. Recommend employees as appropriate for recognition or professional development. • Actively monitor accuracy and completeness of data and Counseling Services databases in accordance with agency rules and expectations. • Produces program performance reports in accordance with agency rules. • Ensure supervisees' timesheets, expenses, leave requests, etc. are complete, accurate, and in compliance with agency policies, procedures, and practices. • Support and comply with the values, policies, and practices of Day One Recovery. • Abide by the agency's confidentiality policies and HIPPA rules. • Provide occasional support or consultations as needed to promote referral services with other Day One programs or to external agencies. • Perform other duties and special projects as assigned by the Executive Director. Minimum Qualifications: The applicant must show proof of holding and must continue to maintain valid permits, licenses and certifications as may be required for this, or demonstrably similar, position as recognized by the Ohio Department of Mental Health and Addiction Services or as otherwise specified by the Ohio Revised Code or applicable Administrative Codes. The applicant must have a valid Driver's License. Applicant must have the ability to deal with and solve problems involving several variables in somewhat unfamiliar settings and topics. All the above duties and responsibilities are essential job functions subject to reasonable accommodation. All job requirements listed indicate the minimum level of knowledge, skills, and/or ability as deemed necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement list of duties, responsibilities, or requirements. Employees may be required to perform any other job-related tasks as required by their supervisor, subject to reasonable accommodation. Education: Master's Degree in human service and a minimum of five years full-time experience preferred. At minimum, LCDCIII required. Day One is an Equal Opportunity Employer; applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, and national origin, disability, age or Vietnam-era status.