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Licensed Nursing Home Administrator (LNHA) - Sign On Bonus
The Laurels of Mt. Vernon
Health services administrator job in Mount Vernon, OH
$20,000 Sign-On Bonus Are you motivated to be a leader in a skilled nursing community? As a Licensed Nursing Home Administrator (LNHA) with The Laurels of Mt. Vernon, you will manage, lead and insure profitability of the facility. The Laurels of Mt. Vernon offers one of the leading employee benefit packages in the industry. This includes: * Comprehensive health insurance - medical, dental and vision. * 401K with matching funds * DailyPay (********************************** , a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it. * Paid time off (beginning after six months of employment) and paid holidays * Flexible scheduling * Tuition reimbursement and student loan forgiveness * Free CNA/STNA certification * Zero cost uniforms Responsibilities * Establish financial and programmatic goals for the facility and conduct an annual evaluation of goal achievement. * Provide input into the annual operating budget. * Monitor monthly performance of facility in relation to the budget and intervene as needed. * Recruit, hire and provide orientation/training for a sufficient number of qualified staff to carry out facility programs and services. * Interpret and assure implementation of company policies and procedures. * Insure the highest quality of care is provided at all times. Qualifications * Minimum of bachelor's degree or equivalent. Advanced degree preferred. * Proven leadership ability with at least three (3) years of experience as an administrator in either a long-term or sub-acute care facility. * Current administrator's license in the state or . We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123
$60k-96k yearly est. 1d ago
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Bilingual Behavioral Health Care Manager
Heritage Health Network 3.9
Remote health services administrator job
This role works closely with Care Team Operations, Clinical Operations, Behavioral Health clinicians (LMFT/LCSW/LPCC), Community Health Workers (CHWs), Compliance, Finance (for authorizations), Care Operations Associates, and external partners including hospitals, primary care providers, behavioral health agencies, housing providers, and community-based organizations.
Responsibilities
Serve as the primary point of contact for assigned members with behavioral health and psychosocial complexity, building trust through consistent, trauma-informed engagement.
Conduct comprehensive, holistic assessments addressing behavioral health, substance use, functional status, social determinants of health, safety risks, and care gaps.
Develop, implement, and maintain person-centered care plans that integrate behavioral, medical, and social goals; update plans following transitions of care or changes in condition.
Coordinate services across the continuum of care, including behavioral health providers, primary care, hospitals, housing supports, transportation, social services, and community-based organizations.
Conduct required in-person home or community visits based on acuity, risk stratification, and payer requirements.
Support Transitions of Care (TOCs) by completing timely follow-up, coordinating post-discharge services, and reinforcing discharge instructions and medication understanding.
Utilize motivational interviewing, behavioral coaching, and health education to promote engagement, adherence, self-management, and long-term member stability.
Identify, escalate, and address behavioral health risks, safety concerns, service delays, benefit lapses, and environmental barriers using HHN escalation protocols.
Coordinate and track referrals, appointments, transportation, and follow-ups to ensure continuity and timeliness of care.
Maintain accurate, timely, and audit-ready documentation of all assessments, encounters, and interventions in eClinicalWorks (ECW) and other HHN systems.
Meet or exceed HHN and health plan productivity standards, including outreach cadence, encounter requirements, documentation timeliness, TOC completion, and quality measures.
Actively participate in multidisciplinary case reviews, care conferences, team huddles, and escalations with nurses, behavioral health clinicians, CHWs, care operations, and compliance.
Assist members with plan navigation, eligibility redeterminations, social service applications, housing resources, and crisis intervention support.
Communicate professionally with members and care partners using HHN-approved channels, including phone, RingCentral, secure messaging, and SMS workflows.
Contribute to continuous quality improvement efforts by identifying workflow gaps, documenting barriers, and sharing insights to improve care delivery.
Uphold confidentiality and comply with all HIPAA, Medi-Cal, ECM, and payer regulatory requirements.
Remain flexible and responsive to member needs, including field-based work and engagement in community settings.
Skills Required
Bilingual (English/Spanish) proficiency required to support member engagement and care coordination.
Strong ability to build rapport and trust with diverse, high-need member populations.
Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools.
Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals.
Demonstrated skill in conducting holistic assessments and developing person-centered care plans.
Experience with motivational interviewing, trauma-informed care, or health coaching.
Strong organizational and time-management skills, with the ability to manage a complex caseload.
Excellent written and verbal communication skills across in-person, telephonic, and digital channels.
Ability to work independently, make sound decisions, and escalate appropriately.
Knowledge of Medi-Cal, SDOH, community resources, and social service navigation.
High attention to detail and commitment to accurate, audit-ready documentation.
Ability to remain calm, patient, and professional while supporting members facing instability or crisis.
Comfortable with field-based work, home visits, and interacting in diverse community environments.
Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences.
Competencies
Member Advocacy: Champions member needs with urgency and integrity.
Operational Effectiveness: Executes workflows consistently and flags process gaps.
Interpersonal Effectiveness: Builds rapport with diverse populations.
Collaboration: Works effectively within an interdisciplinary care model.
Decision Making: Uses judgment to escalate or intervene appropriately.
Problem Solving: Identifies issues and creates practical, timely solutions.
Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes.
Cultural Competence: Engages members with respect for their lived experiences.
Documentation Excellence: Produces accurate, timely, audit-ready notes every time.
Strong empathy, cultural competence, and commitment to providing individualized care.
Ability to work effectively within a multidisciplinary team environment.
Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations.
Job Requirements
Education:
Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field.
Licensure:
Licensed LMFT, LCSW, LPCC.; certification in care coordination or CHW training is a plus.
Experience:
1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations.
Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred.
Familiarity with Medi-Cal, ECM, and community resource navigation.
Travel Requirements:
Regular travel for in-person home or community visits (up to 45%).
Physical Requirements:
Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
$61k-76k yearly est. 11h ago
Public Health Program Administrator - Medical Marijuana
Commonwealth of Pennsylvania 3.9
Remote health services administrator job
Begin a rewarding and exciting career with the Pennsylvania Department of Health! We are seeking an experienced and detail-oriented Public Health Program Administrator to join our team in the Division of Customer Relations. In this role, you will support the Medical Marijuana Program's mission of providing access to medical marijuana for patients with a serious medical condition. If you are looking forward to using your knowledge in the analysis of health care services, apply today!
DESCRIPTION OF WORK
In this position, you will work with program consultants and contracted vendors to support the provision of medical marijuana through a safe and effective method of delivery. Your work will involve planning and developing Customer Relations Division (CRD) program direction, including the creation of operational policies and procedures. Some examples of CRD programs, services, and systems include Medical Marijuana Assistance Program (MMAP) and the MMAP Helpdesk, Medical Marijuana Helpdesk and the ticketing system, and the Medical Marijuana Registry. You will assess and evaluate program performance and achievements to identify service gaps. After your evaluation, you will recommend methods for program improvement. Further duties will include developing new guidelines, rules, and regulations, as well as revising existing regulations, in accordance with federal and state laws. Additionally, you will establish and maintain effective working relationships with internal and external partners, service providers, stakeholders, and governmental entities.
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
Full-time employment
Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.
Salary: In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY
QUALIFICATIONS
Minimum Experience and Training Requirements:
One year as a Public Health Program Associate 2 (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
A bachelor's degree and two years of professional experience in the development, analysis, or monitoring of programs, grants, or contracts in health, human services, social or behavioral services, health care services, or health insurance; or
An equivalent combination of experience and training.
Other Requirements:
PA residency requirement is currently waived for this title.
You must be able to perform essential job functions.
How to Apply:
Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date
.
Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.
Veterans:
Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans.
Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals).
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.
EXAMINATION INFORMATION
Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
Your score is valid for this specific posting only.
You must provide complete and accurate information or:
your score may be lower than deserved.
you may be disqualified.
You may only apply/test once for this posting.
Your results will be provided via email.
$50k-75k yearly est. 3d ago
Health Services Administrator - RN
Armor Correctional Health Services 4.8
Health services administrator job in Columbus, OH
Excellent outcomes start with great people, and Armor has an exciting opportunity for a HealthServicesAdministrator - RN to join our team at Franklin County jail in Columbus, Ohio. Why Should You Choose Us? Join an organization with exceptional teamwork and leadership support. Provide patient care in a safe environment and make a difference in someone's life! Access competitive pay, generous education and development support, and a comprehensive benefits package.
You'll be eligible for the following:
* On-Demand Payment (Make any day payday)
* Retirement plans
* Health, Dental and Vision Insurance
* Short Term Disability and Life coverage
* Nursing (RN) school loan repayment assistance
* Generous Paid Time Off
* Health Savings Account
Responsibilities
* Direct and manage the administrative function of a correctional facility to include oversight of all facets of facility operation, fiscal responsibility, and day-to-day management of staff.
* Directly and administratively supervise facility employees, including final approval of hiring decisions, performance appraisals, scheduling, training, employee development, disciplinary actions, and conflict mediation; determines staff salary levels; develops procedures and assigns work tasks to improve efficiency.
* Review, interpret, recommend and implement administrative policies to ensure adherence to contract and regulatory requirements; identify and resolve issues regarding administrative and fiscal matters and regularly evaluate administrative systems and services.
* Participate in the design, establishment, and maintenance of the organizational structure and assist in recruiting professional staff and independent contractors as required.
* Develop and manage the facility's annual budgets and perform periodic cost and productivity analyses.
* Represent the facility externally and internally on committees and at meetings as required.
* Oversee and review all external contracts to ensure adequate reimbursement for clinical services and adherence to contract requirements.
Qualifications
* Bachelor's Degree in Business, HealthcareAdministration, Nursing, or Public Administration required
* Strong health care administrator background is ideal in this environment.
* Willing to travel 10% of the time
* Three years of administrativehealthcare experience are required.
* Excellent interpersonal skills include negotiation and conflict resolution skills.
* Solid understanding of data analytics with the ability to generate, analyze and interpret data.
* Excellent time management and organizational skills with a proven ability to meet deadlines
* Experience leading a team of healthcare professionals
* Ability to pass pre-employment Level 2 clearance to include a background check and drug screen
At Armor Health, we are raising the standard of care to impact the lives of those we serve by partnering with exceptional correctional organizations to improve health care outcomes. We support patients and foster the holistic wellness and well-being of the lives entrusted in our care. Armor is laser-focused on providing the best-in-class interventions to ensure optimal outcomes. We are a dynamic team that is transforming and revolutionizing correctional healthcare through our core values of embracing change, taking ownership, attention to detail, a sense of urgency, and a results-oriented collaborative environment.
$65k-102k yearly est. Auto-Apply 32d ago
Practice Administrator Primary Care & Endocrinology
Crouse Hospital 4.6
Remote health services administrator job
Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family. Here#s what we offer: Monday-Friday work week Supportive team environment Competitive starting rates based on experience Annual salary increases Opportunities for professional growth # stability within a fast-growing Medical Practice Longevity and consistency of management Tuition reimbursement program Affiliation with Crouse Hospital Other benefits include: Generous Health/Dental/Vision # Life insurance, Flexible spending account or Health savings account # available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match. Position Overview: Responsible for all day-to-day operations and activities of two offices # a Primary Care office with 9 providers and an Endocrinology office with 7 providers.#Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care.# Ensures efficient utilization of all resources.# Provides leadership, supervision and motivation of all staff.# Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community. Responsibilities: Greet, receive and handle patients in a courteous, professional manner. Promote favorable patient relations while maintaining patient confidence at all times. Develop and conduct programs for enhancing patient relations. Coordinate office and hospital activities Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary. Coordinate activities of clinical, front office support, surgical scheduling and ancillary services. Assures proper inventory levels of medical and office supplies. Invoice submission and tracking for pro allocation of budget. Ensure accuracy of patient information collected at time of registration. Ensure all revenue and charges are captured and forwarded to billing company. In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. Work closely with the hospital to ensure proper functions are taking place. Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing. Create and maintain the call and consult schedule to be typed up and emailed accordingly. Track appointment data to determine no show rate, distance for scheduling out, etc. Provide for adequate office staff Prepare and manage position descriptions for each position in cooperation with Human Resources. Assist in recruiting, interviewing, hiring, retaining and terminating staff. Maintain and manage master schedule of staff across the office. Analyze and forecast staffing needs.# Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity. Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources. Conduct annual performance evaluations and monitor quality of work of staff. Train new staff to an adequate level that allows them to keep up with the demands of their position. Take steps in resolving conflicts when they arise. Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources. Track physician paid time off. Track provider continuing medical education. Track SNF hours for required provider and submit to Finance on a monthly basis. Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity. Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts.# Maintain workers compensation portals to ensure all providers stay active. Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support. Retaining quality of work Implementing a level of understanding with staff training, education, policy and procedure information. Tracking of productivity/work flow of both in-practice and work from home staff. Setting up monthly meetings with staff, physicians and APPs. Implement new workflow to provide the best care. Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed. Cover areas within the department when needed. Track phone system to ensure we are answering in a timely manner. Maintain the quality of patient care Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care. Help resolve patient billing issues. Discharge patients professionally when needed. Manage and resolve patient complaints. Determines and updates operating procedures for office procedure manual. Promote participation from staff on operational and quality issues. Assures adherence to OSHA requirements at all times. Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to:#Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM). Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach. Perform other group-related projects and duties, as necessary Participate with senior management in strategic, operational, fiscal and long term planning. Assist in development of annual budget and manages the practice within the established budget.# Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director. Manage good faith estimate (GFE) costs per procedure are completed. Delinquent dictation point of contact for the hospital Completes open superbill list. Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities.# Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities.# Discloses PHI as necessary according to company policy. Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies.# Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required. Patient Care Environment:#Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather. This individual is expected to assist in meeting the goals set forth by the Executive Director.# This will include other duties as assigned by members of the management staff. Qualifications: To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment.# The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required Qualifications: Associates Degree in Health Care Science, Business Administration or equivalent. Current Basic Life Support Certification. Minimum of 5 years# experience in ambulatory/clinic setting. Minimum of 5 years# supervisory experience. Demonstrated experience with systems, process and work flow. Proven excellent interpersonal and communication skills. Desirable Qualifications: Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse. Bachelor#s degree in Nursing, Health Care Science, Business Administrator or equivalent. Demonstrated competence interpersonal and intra professional relations. Demonstrated competence in acute care patient management/organization. Demonstrated commitment to collaboration with physician to individualize and enhance patient care. Experience in a physician office. Salary Range: $83,000 - $115,000
Why Crouse Medical Practice?
At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family.
Here's what we offer:
* Monday-Friday work week
* Supportive team environment
* Competitive starting rates based on experience
* Annual salary increases
* Opportunities for professional growth & stability within a fast-growing Medical Practice
* Longevity and consistency of management
* Tuition reimbursement program
* Affiliation with Crouse Hospital
Other benefits include: Generous Health/Dental/Vision & Life insurance, Flexible spending account or Health savings account - available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match.
Position Overview:
Responsible for all day-to-day operations and activities of two offices - a Primary Care office with 9 providers and an Endocrinology office with 7 providers. Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all staff. Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community.
Responsibilities:
* Greet, receive and handle patients in a courteous, professional manner.
* Promote favorable patient relations while maintaining patient confidence at all times.
* Develop and conduct programs for enhancing patient relations.
* Coordinate office and hospital activities
* Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary.
* Coordinate activities of clinical, front office support, surgical scheduling and ancillary services.
* Assures proper inventory levels of medical and office supplies.
* Invoice submission and tracking for pro allocation of budget.
* Ensure accuracy of patient information collected at time of registration.
* Ensure all revenue and charges are captured and forwarded to billing company.
* In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems.
* Work closely with the hospital to ensure proper functions are taking place.
* Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing.
* Create and maintain the call and consult schedule to be typed up and emailed accordingly.
* Track appointment data to determine no show rate, distance for scheduling out, etc.
* Provide for adequate office staff
* Prepare and manage position descriptions for each position in cooperation with Human Resources.
* Assist in recruiting, interviewing, hiring, retaining and terminating staff.
* Maintain and manage master schedule of staff across the office.
* Analyze and forecast staffing needs. Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity.
* Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources.
* Conduct annual performance evaluations and monitor quality of work of staff.
* Train new staff to an adequate level that allows them to keep up with the demands of their position.
* Take steps in resolving conflicts when they arise.
* Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources.
* Track physician paid time off.
* Track provider continuing medical education.
* Track SNF hours for required provider and submit to Finance on a monthly basis.
* Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity.
* Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts.
* Maintain workers compensation portals to ensure all providers stay active.
* Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support.
* Retaining quality of work
* Implementing a level of understanding with staff training, education, policy and procedure information.
* Tracking of productivity/work flow of both in-practice and work from home staff.
* Setting up monthly meetings with staff, physicians and APPs.
* Implement new workflow to provide the best care.
* Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed.
* Cover areas within the department when needed.
* Track phone system to ensure we are answering in a timely manner.
* Maintain the quality of patient care
* Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care.
* Help resolve patient billing issues.
* Discharge patients professionally when needed.
* Manage and resolve patient complaints.
* Determines and updates operating procedures for office procedure manual.
* Promote participation from staff on operational and quality issues.
* Assures adherence to OSHA requirements at all times.
* Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to: Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM).
* Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach.
* Perform other group-related projects and duties, as necessary
* Participate with senior management in strategic, operational, fiscal and long term planning.
* Assist in development of annual budget and manages the practice within the established budget.
* Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director.
* Manage good faith estimate (GFE) costs per procedure are completed.
* Delinquent dictation point of contact for the hospital
* Completes open superbill list.
* Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities. Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities. Discloses PHI as necessary according to company policy.
* Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies. Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required.
* Patient Care Environment: Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather.
* This individual is expected to assist in meeting the goals set forth by the Executive Director. This will include other duties as assigned by members of the management staff.
Qualifications:
To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment. The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Required Qualifications:
* Associates Degree in Health Care Science, Business Administration or equivalent.
* Current Basic Life Support Certification.
* Minimum of 5 years' experience in ambulatory/clinic setting.
* Minimum of 5 years' supervisory experience.
* Demonstrated experience with systems, process and work flow.
* Proven excellent interpersonal and communication skills.
* Desirable Qualifications:
* Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse.
* Bachelor's degree in Nursing, Health Care Science, Business Administrator or equivalent.
* Demonstrated competence interpersonal and intra professional relations.
* Demonstrated competence in acute care patient management/organization.
* Demonstrated commitment to collaboration with physician to individualize and enhance patient care.
* Experience in a physician office.
Salary Range: $83,000 - $115,000
$83k-115k yearly 11d ago
Home Health Administrator
Pruitthealth 4.2
Remote health services administrator job
Home HealthAdministrator - 2600951 Description Administrator- Home HealthServicesHome is where the heart is! That's why PruittHealth @ Home is committed to caring for our patients and residents, as well as providing our employees with a rewarding career as a member of our PruittHealth family.
JOB PURPOSE: The Regional Administrator is responsible for the overall operation and supervision of our growing Home Health division.
KEY RESPONSIBILITIES:• Operational Oversight• Direct all day-to-day functions, ensure the availability of a Clinical Manager during operating hours, and maintain compliance with federal and state regulations.
• Budget Planning and Implementation• Census Growth and Referral Management• Supervision of Staff• Adherence to all Rules and Regulations pertaining to Home Health• OASIS Compliance: Oversee the reporting of OASIS data, which measures patient outcomes in home health care.
• Patient Rights: Ensure patients are informed of their rights and that any complaints or concerns are addressed.
• Patient Care: Oversee comprehensive patient assessments and care plans, ensuring continuous updates and coordination among care providers.
• Comprehensive Care: Ensure coordination of services among all disciplines throughout the care of patient care delivery.
• Quality Assurance & Performance Improvement (QAPI): Lead initiatives to improve the quality of care and ensure regulatory compliance across all regional agencies.
• Infection Control: Ensure infection prevention and control measures are in place.
• Staffing & Management: Interview, hire, and retain qualified personnel, while providing ongoing performance reviews and guidance.
• Knowledge Base: Familiarity with OASIS, Home Care Home Base, RCD (Review Choice Demonstration), and PDGM (Patient-Driven Groupings Model) are essential for this role.
As a member of our team, clinicians will have access to top-of-the-market pay structures with unlimited income potential, progressive benefit plan, mileage reimbursement, opportunity for career growth, additional pay incentives, and flexible schedules - plus a great team environment that reflects our commitment to caring for our 16,000 partners.
To apply please email Britany.
Kerr@pruitthealth.
com Qualifications MINIMUM EDUCATION REQUIRED:• Bachelor's Degree with training and experience in healthcareadministration MINIMUM EXPERIENCE REQUIRED:• At least two (2) years of supervisory experience in home health.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Candidates must have one of the following qualifications• Physical Therapist, Occupational Therapist, Speech Therapist, Registered Nurse or other Authorized Healthcare Provider.
• Must have a valid and unrestricted professional license in state of practice.
ADDITIONAL QUALIFICATIONS: (Preferred qualifications)• Experience in administration/ management of Home Health programs.
• Knowledge of Oasis, Home Care Home Base, RCD and PDGMFamily Makes Us Stronger.
Our family, your family, one family.
Committed to loving, giving, and caring.
United in making a difference.
We are eager to connect with you! Apply Now to get started at PruittHealth!As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
For Florida Job Postings Only:For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit *************
flclearinghouse.
com Job: Administrative Primary Location: South Carolina-Ladson Schedule: Full-time : Shift:1st ShiftJob Posting: Jan 16, 2026, 3:34:48 PM Work Locations: PH @ Home - Charleston 139 Gateway Drive Ladson 29456
$52k-77k yearly est. Auto-Apply 6h ago
Manager Reimbursement Services (CPC, CRC, or RHIT), Geisinger Health Plan
Geisinger Medical Center 4.7
Remote health services administrator job
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
Yes We are seeking a strategic and experienced leader to oversee our Reimbursement Services team. This role is responsible for guiding the planning, analysis, and implementation of reimbursement methodologies for healthcare providers. The ideal candidate will manage both short- and long-term reimbursement initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to assess the impact of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is required: CPC, CRC, or RHIT.
Job Duties:
Oversees the Reimbursement Services team members who lead the planning, analysis, consultation and direction of the reimbursement methodology for healthcare providers. Oversees short and long term reimbursement initiatives with the ability to work closely with senior management to develop strategic goals and implement reimbursement initiatives. Leads the forecasting process related to changes in reimbursement methodology and associated financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives.
A minimum of one certification is required: CPC, CRC, or RHIT.
Coordinates and provides oversight for the ongoing analysis and planning of industry reimbursement changes.
Coordinates ongoing physician fee changes and primary care capitation analysis.
Provides impact analysis as fee changes occur.
Coordinates the ongoing fee revision process.
Ensures efficient and timely processing of problem claims for all lines of business and all markets, including new and expansion markets.
Monitors and evaluates provider-specific payment waivers and distinctive edit exclusions negotiated within the provider network.
Consultative activities with internal and external customers to assist with the development of reimbursement strategies related to TPA or new market relationships.
Provides consultative support on all financial planning issues related to provider reimbursement.
Evaluates reimbursement initiatives and changes in payment to control medical expense.
Leads implementation of new or existing predictive modeling software tools, as well as, supports the accuracy and integrity of reimbursement related information.
Assists with presentations to provider network managers to educate on industry trends in reimbursement, reimbursement changes and tools and templates available for requesting reports on historical provider reimbursement.
Ensures that accurate predictive modeling is done by line of business (Medicare versus Commercial).
Recommends reimbursement opportunities by utilizing statistical reports, reimbursement summary documents and industry information to conduct review and analysis of coding practices or fee levels.
Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment against contracted payment terms.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
#LI-REMOTE
Position Details:
Education:
Bachelor's Degree- (Required), Bachelor's Degree-Business Administration/Healthcare Management (Preferred)
Experience:
Minimum of 3 years-Managing people, processes, or projects (Required)
Certification(s) and License(s):
Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association
Skills:
Builds Relationships, Computer Literacy, Manages Conflict And Crisis, Manages Projects And Functions, Mathematics
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
EXCELLENCE: We treasure colleagues who humbly strive for excellence.
LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
$79k-112k yearly est. Auto-Apply 60d+ ago
Nursing Home Administrator (LNHA)
The Laurels of Gahanna
Health services administrator job in Columbus, OH
Are you motivated to be a leader in a skilled nursing community? As a Licensed Nursing Home Administrator (LNHA) with The Laurels of Gahanna, you will manage, lead and insure profitability of the facility while promoting The Laurel Way.
Benefits:
Comprehensive health insurance - medical, dental and vision.
401K with matching funds.
DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
Paid time off (beginning after six months of employment) and paid holidays.
Flexible scheduling.
Tuition reimbursement and student loan forgiveness.
Zero cost uniforms.
Responsibilities:
Establish financial and programmatic goals for the facility and conduct an annual evaluation of goal achievement.
Provide input into the annual operating budget.
Monitor monthly performance of facility in relation to the budget and intervene as needed.
Recruit, hire and provide orientation/training for a sufficient number of qualified staff to carry out facility programs and services.
Interpret and assure implementation of company policies and procedures.
Insure the highest quality of care is provided at all times.
Qualifications:
Minimum of bachelor's degree or equivalent. Advanced degree preferred.
Proven leadership ability with at least three (3) years of experience as an administrator in either a long-term or sub-acute care facility.
Current administrator's license in the state.
Ciena Healthcare:
We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$60k-95k yearly est. 1d ago
Practice Administrator - Emergency Medicine - Remote - Nationwide
Vituity
Remote health services administrator job
Jacksonville, FL - Seeking Practice Administrator Everybody Has A Role to Play in Transforming Healthcare As a Practice Administrator, you play a vital role in our mission to improve lives. Provide direct, business operations support to our medical directors, site physician partners, advanced providers and scribe (when applicable) employees. At Vituity we know the impact you can have.
Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
* Act as the operational administrator for the site Vituity leadership and as the interface for the practice to the hospital and community.
* Act as the front-line liaison for the provider team with hospital C-Suite, nursing leadership, nursing staff, and Vituity support team.
* Provide executive support to the site medical director and site management team to meet contract expectations.
* Provide support for all site financials to include, but not limited to, contract stipends, expense reimbursements, and site payroll timecards.
* Act as the super user for all Vituity software applications and as a point person for hospital software and hardware systems.
* As appropriate to site practice, provide support to Vituity providers acting as a percipient witness in criminal or civil disputes including, but not limited to, receiving and routing subpoenas, scheduling depositions and trial testimony as applicable, development of a provider fee schedule, and including malpractice carrier as appropriate.
* Provide office management to include, but not limited to, all aspects of meeting management, office systems, supplies, site events, and customer service.
* As applicable to the practice line, facilitate all aspects of the daily patient census and attend daily multi-disciplinary rounds.
* As applicable to the site practice, responsible for all aspects of the site clinical schedules to ensure adequate coverage with no disruption to patient care.
* Collect, track, and analyze all site financial and operational data.
* Project management as needed of the site operational programs to include, but not limited to, Operations Meetings, Patient Experience Program, Quality/Performance Improvement Program, Advanced Provider and/or Scribe Programs, and Student or Resident rotations.
* Ensure all aspects of recruiting and on-boarding are completed for new providers and employees as well as locums and reservists and/or residents and students.
* Ensure all licensed providers complete their recredentialing timely and appropriately for their licensing, certificates, and credentials required by Vituity and hospital Medical Staff Office.
* Ensure all site partners and employees remain in compliance with Vituity and hospital programs and other mandated training or requests.
* Act as the point person for all Vituity People Operations (Human Resources) relations to include, but not limited to, ensuring accurate site roster and compliance with employment law and Vituity policies.
* Develop and maintain site orientation checklists and manuals.
* Collaborate with Medical Director and Site Management Team in developing and maintaining site practice policies and procedures.
* As applicable to practice line, responsible for all medical records and data submission to Revenue Cycle Management in a timely manner and responsible for appropriate charge capture in designated system, sending notices and follow up as appropriate.
* Ensure billing and documentation compliance through completion of site WIP/TAD lists, answering provider routine questions, and schedule/hosting/participating in the monthly meeting with Revenue Cycle Management billing team.
* Ensure completion of mandated forms and requests as appropriate to include, but not limited to, death certificates, physician office requests, State specific Workers Compensation and Motor Vehicle Department reporting compliance, and pharmacy requests.
Required Experience and Competencies
* Two to three years of experience in an office or healthcare setting required.
* Associate or Bachelor's degree in Business Administration, Human Resources or related field strongly preferred.
* Experience working in the healthcare field is preferred.
* Knowledge of healthcare and medical terminology preferred.
* Knowledge of general Human Resource principles preferred.
* Knowledge of Federal, State, and County Agencies who regulate the Healthcare Industry preferred.
* Intermediate to advanced MS Excel, Word, PowerPoint, and Outlook skills.
* Strong consultation skills and the ability to seek out information.
* Strong work ethic, organizational skills, and interpersonal skills.
* Ability to prioritize and work in a stressful environment.
* Ability to be self-directed, motivated, and sensitive to deadlines.
* Ability to express ideas and convey information effectively in verbal and written communications.
* Able to create a positive environment, clearly understand client / customer relationships, and promotes Vituity positive image.
* Ability to understand and apply information management principles, data analysis interpretation and continuous quality improvement tools/methodologies.
* Ability to maintain flexibility, cooperation and participate in cross-organizational performance improvement activities.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
* Ability to establish and maintain effective working relationships as required by the duties of the position.
* Ability to read, understand and communicate in English sufficient to perform the duties of the position.
* Ability to evaluate and convey information in legible reports to Human Resource, Finance, and Executive groups.
The Practice
Ascension St. Vincent's Riverside Hospital - Jacksonville, Florida
* STEMI Receiving Center and Stroke Center.
* 240-bed facility with a 50-bed Emergency Department.
* Annual volume of 38,000 patients.
* Beautiful waterfront views of the St. John's River, with a great physician lounge.
The Community
* Jacksonville, Florida, the largest city by area in the U.S., offers a dynamic mix of urban excitement and natural beauty, making it a fantastic place to work and call home.
* Located in Northeast Florida along the St. Johns River, it boasts landmarks like the Cummer Museum of Art and Gardens and the historic Riverside neighborhood.
* Just a short drive away are beautiful beaches like Jacksonville Beach and Amelia Island, perfect for sunbathing and water sports.
* The city's diverse activities include exploring the Jacksonville Zoo, attending concerts at VyStar Veterans Memorial Arena, or strolling along the Riverwalk.
* Residents enjoy a warm climate with mild winters and sunny summers.
* Sports enthusiasts cheer for the NFL's Jacksonville Jaguars or enjoy college football at the annual Florida-Georgia game.
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
* Superior health plan options
* Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
* Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
* Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
* Student Loan Refinancing Discounts
* Professional and Career Development Program
* EAP, travel assistance, and identify theft included
* Wellness program
* Commuter Benefits Program
* Purpose-driven culture focused on improving the lives of our patients, communities, and employees.
We are excited to share the base salary range for this position is $20.97 - $26.22, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
* Benefits for part-time and per diem vary. Please speak to a recruiter for more information.
Applicants only. No agencies please.
$21-26.2 hourly 31d ago
Critical Care Medic
Medflight 3.7
Health services administrator job in Columbus, OH
Full-time Description PARAMEDIC II
PARTNERS FOR LIFE. Partners - not employees. Our partners are woven together for the same purpose and have chosen to embark on a lifelong partnership of respecting each other and the patients we serve. Encompassing the principles of
Servant
Leadership
, our partners follow the core values of Safety, Integrity, Excellence, Accountability, and Compassion in our pursuit to provide premier medical transportation services. Through our acclaimed in-house education program, our partners are given opportunities for career and personal growth with an emphasis on work/life balance. All positions are provided with industry competitive compensation and benefits.
Join our journey - we are going places and you are an integral part of that future.
Summary
Provides advanced life support in a prompt, resourceful, and efficient manner to all patients transported by MedFlight regardless of the mode of transport. Collaborates with Nurse in compliance with established protocol and regulatory requirements to provide support services and transport. Responsible for maintaining compliance with CAMTS requirements and all associated documentation. Actively participates in external education / marketing initiatives in order to protect and maintain MedFlight's market base.
Competitive Pay and Benefits with the following Shift Differentials
Monday-Thursday: 7:00 p.m. - 7:00 a.m. $2.00 per hour
Friday, Saturday & Sunday: 7:00 p.m. - 7:00 a.m. $3.00 per hour
Saturday & Sunday: 7:00 a.m. - 7:00 p.m. $2.00 per hour
Minimum Qualifications
Certifications and licensures required upon hire and throughout employment:
Current Ohio certification as a Paramedic. (Additional state licensures may be required depending on the location of the MedFlight Region).
Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS).
Valid Driver's License and maintenance of an acceptable driving record as determined by insurance carrier for coverage.
Training required upon successful completion of orientation, and annually throughout employment:
Emergency Vehicle Operations Course (EVOC)
Rotor Wing Safety (if in the RW Division)
Certifications required within six (6) months of hire and throughout employment:
Pediatric Advanced Life Support (PALS)
Advanced Stroke Life Support (ASLS)
Certifications required within twelve (12) months of hire and throughout employment:
International Trauma Life Support (ITLS)
PHTLS and TNCC also accepted trauma certifications
Neonatal Resuscitation Program (NRP)
Certifications required within twenty-four (24) months of hire and throughout employment:
Advanced Practice Certification: FP-C, CCP-C
Paramedics must maintain all other licensures as deemed necessary by management.
Three (3) years active experience as Paramedic in an active EMS Department and/or Paramedic role.
Advanced airway management skills strongly desired.
Work requires comprehensive knowledge of emergency transportation procedures and a thorough understanding of their application in the medical transportation environment.
Work requires the skills necessary to quickly and safely transport patient using available resources, prioritize requests, and assists with patient care as directed. Work requires the skills necessary to assess and prioritize patient needs, formulate treatment plans, and alter treatment as necessary.
Manages and copes effectively with stress related to the care of patients, families, and unpredictable situations within various care settings.
Work requires interpersonal skills necessary to interact effectively with internal and external personnel in stressful situations and to act as a representative of MedCare to the public.
Must be able to sit driving for long periods of time.
Must demonstrate alertness at all times.
Ability to assist in the loading and unloading of patients, on cots, up to 300+lbs. Pulling and pushing the cot in and out of the mode of transportation of the patient, maintaining the cot in a horizontal position.
Performs work exposed to heat, wind, rain, altitudes and in rough terrain such as hills, in ice/snow, climb fences, etc.
Exposure to infectious diseases and chemical contaminants. May be exposed to hazards involved with exposure to aircraft and mobile vehicles. May be exposed to bruises, superficial lacerations, back, ankle or muscle strain and/or needle punctures while on duty.
Required to bend, stoop and carry equipment over rough terrain without any limitations in range of motion and use proper body mechanics.
Must be able to withstand high amounts of stress in uncontrolled environments.
Must maintain competency on assigned and alternate modes of transport.
MedFlight and MedCare provide equal employment opportunities to all applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job.
It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job.
Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time.
This job description is not an employment agreement or contract.
$59k-106k yearly est. 60d ago
Manager, Advisory Services, Community Health
Premier Healthcare Solutions 4.4
Remote health services administrator job
Advance public health impact with data, strategy and execution. Premier's Community Health Advisory Team helps state agencies and health leaders modernize systems, strengthen equity and turn policy into measurable performance through analytics, collaboration and hands-on expertise.
What will you be doing:
The Manager works collaboratively within a team of highly qualified Advisory consultants to deliver performance improvement to healthcare systems. This position will be primarily responsible for performing billable work for clients. The role of the Manager is to actively lead and manage a significant workstream or project. Responsibilities include determining client needs in terms of the engagement statement of work; lead, guide, complete and provide quality assurance over data analyses; interpret data analyses and form initial recommendations; develop final recommendations and solutions for client consideration; develop deliverables and presentations materials for various audiences; assist in the implementation of recommended improvements; assist and manage risk and issues with project leadership; manage project or workstream economics and project administrative activities and logistics.
The Manager participates and oversees all aspects of the workstream, or project assigned. They are responsible for the day-to-day management of all activities and staff assigned to their workstream or project. The Manager works in a team environment to provide input, guidance, and quality assurance to team deliverables and presentations during each phase of a project. The Manager will provide mentorship and guidance to all staff working with them on projects. The Manager is responsible for building strong, referenceable client relationships.
The Manager is required to also participate in Premier internal activities including practice development, required, and approved educational opportunities throughout the year and learning the various technologies Premier offers to its clients. Additionally, the Manager should:
• Maintain utilization targets for client billable projects
• Create value through meaningful client relationship management, solution development and implementation
delivery
• Create a positive team environment by enriching staff skills and knowledge and creating a productive and
collaborative environment
• Create value for the Advisory practice through meaningful participation in practice related activities aimed at
growing and enriching the Practice as a whole or individual Service Lines within the Practice
Key Responsibilities
Responsibility #1- 60%
• Execute/direct/oversee data analyses, initiate interpretations, and conclusions, and prepare verbal and graphic presentations, using methods that are professionally sound and efficient relative to project objectives and conform to standards. Perform quality assurance on project deliverables.
• Assist in determining client needs by effectively leading client interviews and utilizing various tools and analytical methods. Summarize analytical findings in a coherent manner and draws insight from observations, interviews, and data analyses. Develops accurate conclusions from findings. Draft's recommendations and potential solutions for team leadership review. Develops final recommendations and solutions for client review.
• Effectively execute on project plans in accordance with engagement statements of work and to client satisfaction.
• Develop presentations and deliverables for client audiences that communicate strategy and outcomes.
• Generate billings revenue by conducting assigned analyses, write and prepare reports, and assist clients in implementing desired changes.
• Guide and lead project management related activities for assigned projects.
• Manage the budget and expenses for their assigned projects and manage project profitability.
• Manage staff assigned to their projects including providing mentoring and education for staff.
• Participate in risk and issue identification and mitigation along with the project leadership team.
Responsibility #2 - 15%
• Participate in practice development activities for the Advisory Services Practice overall or for the Service Lines within the Practice.
Responsibility #3 - 10%
Learn Premier based technologies and services.
Responsibility #4 - 10%
• Actively listen for market opportunities on current engagements and collaborative networks and communicates potential leads to managers.
• Contribute to the development of sales presentation deliverables using prescribed formats and technology; proactively seeks out opportunities to participate.
• Identifies opportunities to improve profitability
Responsibility #5 - 5%
Complete all required training requirements on an annual basis.
Required Qualifications
Work Experience:
Years of Applicable Experience - 5 or more years
Education:
Bachelors (Required)
Preferred Qualifications
Skills:
• Coordinate and deliver effective presentations (verbal and written) to client audiences to communicate project outcomes, recommendations, and strategy
• Ability to conduct analyses, oversee, and mentor others in the delivery and production of client deliverables
• Ability to relate to clients and team members in an effective and collaborative manner
• Ability to lead work groups to successful outcomes
Experience:
• Experience in Health Systems Finance, Operations (clinical, support or operations), Operational or Strategic Consulting, Strategic Planning or Decision Support Analytics
• Experience leading cross-functional teams
Education:
Master's Degree; RN license or other professional license in clinical area of expertise; PMP/Lean Certification
This is a remote position and requires up to 75% travel.
Additional Job Requirements:
Remain in a stationary position for prolonged periods of time
Be adaptive and change priorities quickly; meet deadlines
Attention to detail
Operate computer programs and software
Ability to communicate effectively with audiences in person and in electronic formats.
Day-to-day contact with others (co-workers and/or the public)
Making independent decisions
Ability to work in a collaborative business environment in close quarters with peers and varying interruptions
Working Conditions: Remote
Travel Requirements: Travel 61-80% within the US
Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met.
Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $113,000 - $188,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges.
Employees also receive access to the following benefits:
· Health, dental, vision, life and disability insurance
· 401k retirement program
· Paid time off
· Participation in Premier's employee incentive plans
· Tuition reimbursement and professional development opportunities
Premier at a glance:
Ranked #1 on Charlotte's Healthiest Employers list for 2019, 2020, 2022, and 2023 and 21st Healthiest Employer in America (2023)
Named one of the World's Most Ethical Companies by Ethisphere Institute for the 16th year in a row
Modern Healthcare Best in Business Awards: Consultant - Healthcare Management (2024)
The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting
For a listing of all of our awards, please visit the Awards and Recognition section on our company website.
Employees receive:
Perks and discounts
Access to on-site and online exercise classes
Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people.
Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer.
Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at ************.
Information collected and processed as part of any job application you choose to submit to Premier is subject to Premier's .
$57k-79k yearly est. Auto-Apply 28d ago
Manager Behavioral Health Services
Carebridge 3.8
Health services administrator job in Columbus, OH
JR167272 Manager Behavioral HealthServices Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the Medicaid line of business. Location: Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
How will you make an impact:
* Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures.
* Ensures staff adheres to accreditation guidelines.
* Supports quality improvement activities.
* May assist with implementation of cost of care initiatives.
* May attend meetings to review UM and/or CM process and discusses facility issues.
* Hires, trains, coaches, counsels, and evaluates performance of direct reports.
* Responsibilities for BH UM may include: Manages a team of licensed clinicians and non-clinical support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination, accurate interpretation/application of benefits, corporate medical policy and cost efficient, high quality care; manages consultation with facilities and providers to discuss plan benefits and alternative services; manages case consultation and education to customers and internal staff for efficient utilization of BH services; leads development and maintenance of positive relationship with providers and works to ensure quality outcomes and cost effective care; assists in developing clinical guidelines and medical policies used in performing medical necessity reviews; provides leadership in the development of new pilots and initiatives to improve care or lower cost of care.
Minimum requirements:
LICENSURE REQUIREMENTS FOR ALL FUNCTIONS:
* Requires current, active, unrestricted license such as LCSW (as applicable by state law and scope of practice), LMHC, LPC, LMSW (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
* For Government business only: LAPC, and LAMFT are also acceptable if allowed by applicable state laws and any other state or federal requirements that may apply; provided that the manager's director has one of the types of licensures specified in the preceding sentence.
* Licensure is a requirement for this position.
EDUCATION/EXPERIENCE REQUIREMENTS:
* Prior experience in Managed Care setting required.
* Additional requirements for BH UM: MS in social work, counseling, psychology or related behavioral health field or a degree in nursing and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and experience, which would provide an equivalent background.
* Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.
Preferred Skills, Capabilities, and Experiences:
* Leadership and prior management experience.
* Experience in managed care.
* Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered.
* Proficiency in MS Office and data reporting.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$65k-84k yearly est. Auto-Apply 60d+ ago
Medical Practice Manager (Remote)
Tembo Health
Remote health services administrator job
ABOUT THE COMPANY
Tembo Health is a virtual medical practice that helps patients in nursing homes receive care in hard to access specialties like psychiatry and cardiology. Our mission is to improve healthcare outcomes. The status quo is unacceptable, as our seniors have difficulty receiving specialty care leading to worse healthcare outcomes including re-hospitalizations. By partnering with nursing homes, Tembo Health drives quality improvement with our network of world-class clinicians. Our technology allows our clinicians to provide both complex and quality care with a seamless user experience integrating medical data from various sources.
Our leadership team has deep expertise in clinical medicine, clinical transformation, operations, and technology with experience at top institutions including BCG, GE, Harvard Hospitals, Mount Sinai, Northwell Health, and Oscar. We're backed by prominent investors including Bloomberg Beta, B Capital Group, and Resolute Ventures. We've proven product market fit over the past two years, have customer traction in NY, TX, and MI, and are scaling upon our success.
In other words, it's a great time to get in on the ground floor!
ABOUT THE ROLE
We're looking for a Practice Manager to assist us with our growing clinical team.
Responsibilities.
Manage day-to-day clinical operations. You'll be asked to coordinate and execute all non-clinical aspects of patient care, starting with patient registration through appointment note sharing through claim followup/
Implement and refine billing and credentialing You'll contract with the major payor and enroll new providers. You'll submit claims, research superior billing methods, and more.
Develop tools that improve the work of all team members. You'll leverage Athena, Google Suite and other tools to directly build tools that will help the team with things like tracking project progress. You'll also lend your insight to the Engineering team to build tools for clinicians and others within our EMR.
Sample Work Plan
With in the first week, you'll own and manage day-to-day clinical operations with activities like
patient registration
preauthorizations
claim submission
claim followup
Within the first month, you'll have used your experience to get us working more efficiently than most offices with activities like
cleaning up our billing processes
instituting a plan for credentialing
Within first three months, you'll use your management skills make sure our operations can serve our quickly scaling company through activities like
owning contracting and onboarding processes for providers
owning onboarding processes for facilities
Within 6 months, you'll use you problem solving skills and innovation develop best in class procedures across the company
implement high levels of automation within the EMR
serve as subject matter expert with Engineering team to build tools for the clinical and account management teams
ABOUT YOU
Qualifications.
You'll be successful in this role if
You know the Athena EMR
You strive to make things efficient
You love the challenge of figuring out something new
You're not afraid to pick up the phone
You keep great notes
You've worked in or managed a medical practice or similar
Suggested Requirements.
The following experiences are suggested but not required:
You've worked on large or growing teams
Experience with national provider contracts
$99k-166k yearly est. 6d ago
Nursing Home Administrator - Forensic Expert
Robson Forensic 4.0
Health services administrator job in Dublin, OH
You are a Nursing Home Administrator with a BSN and RN experience, seeking an intellectually stimulating new challenge. You possess a deep understanding of long-term care operations and patient safety.
You are already an expert. Robson Forensic will train you to be a
forensic
expert.
As a Nursing Home Administrator Forensic Expert, you will:
Investigate cases within long-term care facilities.
Analyze complex scenarios, applying your comprehensive knowledge of standards and practices.
Write clear, scientifically sound reports.
Provide expert testimony.
You will delve into the "why" behind incidents, critically assessing decision-making, operational procedures, and the standard of care. This role offers you a chance to:
Use your cumulative clinical training, experience, and critical thinking skills.
Collaborate with highly respected experts.
Continuously learn and grow.
Make a tangible difference.
Locations: Columbus/Dublin, OH, & Dallas/Fort Worth/Irving, TX
Requirements:
You have a Bachelor's degree in Nursing and your Master's degree is a plus.
You have Nursing Home Administrator Certification (NHA license preferred).
You have 5+ years of broad administrative and operational experience in a Nursing Home or Long-Term Care Residential Facility.
You have 10+ years of clinical RN experience, especially in wound care, pressure ulcers, and prevention.
Your teaching/precepting experience is preferred.
Your CWON and/or WCC certifications are preferred.
Your correctional medicine experience is a plus.
You have exceptional analytical and communication skills (written & verbal).
You can work both independently and as part of a collaborative team.
You are willing to travel approximately 20% on average.
You have a valid driver's license and the ability to drive.
Prior forensic experience is
not
required. We seek professionals eager to apply their deep industry knowledge to a challenging new domain.
About Us:
Robson Forensic is a national leader in expert witness consulting, providing technical expertise across many fields within engineering, architecture, science, and a broad range of specialty disciplines.
Employees at Robson Forensic work alongside highly respected experts from both industry and academia. Our forensic experts are engaged in meaningful casework that is consequential to industry and society. Robson Forensic provides a unique working dynamic that blends collaboration and autonomy.
We are an Equal Opportunity Employer.
How to Apply:
If this opportunity meets your expectations for a challenging and rewarding career, and you meet our minimum requirements, please apply and attach your resume and a cover letter outlining your professional background and experience.
$69k-95k yearly est. Auto-Apply 45d ago
LTSS Service Care Manager - Behavioral Health
Centene 4.5
Remote health services administrator job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a Remote position - Must be located in Kansas - Douglas County, Miami County or Franklin County or surrounding areas
Up to 50% Travel required
Position Purpose:
Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.
Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc
Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience.
License/Certification:
Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMFT, LMHC, LPC and/or RN with BH experience required
Travel: 50%. required
Pay Range: $26.50 - $47.59 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$26.5-47.6 hourly Auto-Apply 60d+ ago
Health Services Director
The Estates at Knightsbridge
Health services administrator job in Columbus, OH
*Perks and Benefits*
Earn up to 1% wage increase every quarter
401K Retirement Plan with Safe Harbor matching contribution
Length of Service Bonus Program of up to $5,000
Employee Referral Bonus of up to $1,000
Access to earned wages prior to payday
Generous PTO Plan
Career Development
An employee engaged scheduling system
Affordable Medical, Dental, Vision, Supplemental Benefits
Sinceri Senior Living Discount Marketplace
Walking Spree rewards for healthy habits
Oh, and did we mention an amazing Team Environment?
*Some benefits may vary depending on position and employment status
Minimum Eligibility Requirements:
Licensed Practical Nurse (LPN or LVN) with a strong senior living background
Current and active state license in good standing
Previous supervisory or management experience in a related healthcare setting
Ability to build effective relationships with residents, family members, and staff
Strong documentation skills
Proficient in developing systems for monitoring resident health conditions and ensuring efficient and safe delivery of care
Excellent organizational skills and ability to prioritize tasks to accommodate fluctuating resident and facility needs
Professional representation of the facility and a positive demeanor
Experience in training and staff development
Essential Functions:
Collaborate with the Administrator in hiring, supervising, evaluating, and providing progressive discipline for all care staff
Develop and monitor work schedules for Caregivers and Nursing staff to ensure optimal staffing levels for quality resident care
Serve as a member of the facility management team and act as Administrator in their absence
Assist with marketing responsibilities and build networks with healthcare community referral sources
Provide training to staff on health-related topics and maintain training records
Act as a role model for professional appearance, communication, and conduct
Oversee the resident assessment process and ensure accurate and updated service plans
Coordinate resident and family care conferences
Serve as a liaison between residents, families, and physicians regarding healthcare issues
Monitor and evaluate changes in resident condition, implement effective interventions, and document accordingly
Perform skilled nursing tasks as per policy and state law
Ensure safe and accurate medication management, maintaining proper documentation and storage
Implement systems to monitor resident health concerns, such as weight and nutrition, skin integrity, mobility, fall management, and challenging behaviors
Maintain an adequate inventory of healthcare supplies and equipment, following facility protocols for purchasing
Monitor the Alert Charting system and review Resident Health Records for compliance and quality standards
Demonstrate courtesy, gentleness, and effective communication techniques when interacting with residents
Provide resident care in a safe and dignified manner, always upholding resident dignity, choice, and respect
Stay updated on current OSHA and state regulations and ensure facility compliance with resident care and nursing functions
#LI-C1
$65k-95k yearly est. 3d ago
Senior Director, Health & Benefits, Client Service Team
WTW
Health services administrator job in Columbus, OH
As a Senior Director you will make a valuable difference every day to our high-profile clients and prospects by developing leading edge solutions to address their health and benefits and broader benefits issues. You will lead large, highly visible client engagements as well as develop and manage active pipelines, grow relationships with current and prospective clients, and demonstrate how our organization's superior strategic resources and capabilities can address their concerns. You will serve as a key voice to the marketplace of one of the world's leading HR consulting firms and have the ability to contribute to the evolution of health care delivery in North America.
**The Role**
+ Serve as the strategic partner and trusted advisor to large, complex clients in the design and management of their health and benefits programs,
+ Primary accountability for creating and executing a business strategy to penetrate the local and regional market in obtaining completely new Health and Benefits clients of the company; retain and grow revenue with clients once on board
+ Meet or exceed revenue and market penetration goals
+ Serve as senior Health and Benefits strategist for clients, ensuring that health and welfare plan design meets clients' needs and fits within overall benefits strategy
+ Raise awareness of WTW's capabilities in the marketplace through conference appearances and various other profile building venues
+ Contribute to the development of new tools and approaches
+ Build relationships internally with sales and marketing team and consultants within and outside H&B to effectively collaborate on sales opportunities
+ Help to identify and develop future talent
**Qualifications**
**The Requirements**
+ 15+ years' experience in the design/management of large group health and welfare plans gained in a consulting or brokerage environment
+ Track record of success in managing and growing large client relationships, together with proven ability to generate revenue
+ An executive presence with polished and well developed written and oral communication skills
+ Ability to influence and collaborate with senior management and work across all levels of an organization
+ Interest and aptitude in keeping abreast of latest developments in health and welfare plan strategy and contributing to the development of new tools and approaches
+ Excellent Microsoft Office skills, particularly in Excel and PowerPoint
+ Availability to travel regularly
+ Bachelor's degree preferred; high school diploma required
+ State Life and Health license required within 90 days of joining
+ This is a hybrid position and is open to candidates based near any of WTW's offices in Chicago, Illinois; Minneapolis, Minnesota; Cleveland or Columbus, Ohio; or Pittsburgh, Pennsylvania.
**Compensation and Benefits**
Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).
**Compensation**
The base salary compensation range being offered for this role is $200,000.00 - $250,000.00 USD annually.
This role is also eligible for an annual short-term incentive bonus.
**Company Benefits**
WTW provides a competitive benefit package which includes the following (eligibility requirements apply):
+ **Health and Welfare:** Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources.
+ **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (*********************************************************************************************************** ( _Washington State only_ )
+ **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k).
Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records.
**The position allows for flexible working:**
At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a "hybrid" style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and "hybrid" is not a one-size-fits-all solution.
We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.
Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.
EOE, including disability/vets
$65k-95k yearly est. 10d ago
Senior Director, Health & Benefits, Client Service Team
Willis Towers Watson
Health services administrator job in Columbus, OH
As a Senior Director you will make a valuable difference every day to our high-profile clients and prospects by developing leading edge solutions to address their health and benefits and broader benefits issues. You will lead large, highly visible client engagements as well as develop and manage active pipelines, grow relationships with current and prospective clients, and demonstrate how our organization's superior strategic resources and capabilities can address their concerns. You will serve as a key voice to the marketplace of one of the world's leading HR consulting firms and have the ability to contribute to the evolution of health care delivery in North America.
The Role
* Serve as the strategic partner and trusted advisor to large, complex clients in the design and management of their health and benefits programs,
* Primary accountability for creating and executing a business strategy to penetrate the local and regional market in obtaining completely new Health and Benefits clients of the company; retain and grow revenue with clients once on board
* Meet or exceed revenue and market penetration goals
* Serve as senior Health and Benefits strategist for clients, ensuring that health and welfare plan design meets clients' needs and fits within overall benefits strategy
* Raise awareness of WTW's capabilities in the marketplace through conference appearances and various other profile building venues
* Contribute to the development of new tools and approaches
* Build relationships internally with sales and marketing team and consultants within and outside H&B to effectively collaborate on sales opportunities
* Help to identify and develop future talent
Qualifications
The Requirements
* 15+ years' experience in the design/management of large group health and welfare plans gained in a consulting or brokerage environment
* Track record of success in managing and growing large client relationships, together with proven ability to generate revenue
* An executive presence with polished and well developed written and oral communication skills
* Ability to influence and collaborate with senior management and work across all levels of an organization
* Interest and aptitude in keeping abreast of latest developments in health and welfare plan strategy and contributing to the development of new tools and approaches
* Excellent Microsoft Office skills, particularly in Excel and PowerPoint
* Availability to travel regularly
* Bachelor's degree preferred; high school diploma required
* State Life and Health license required within 90 days of joining
* This is a hybrid position and is open to candidates based near any of WTW's offices in Chicago, Illinois; Minneapolis, Minnesota; Cleveland or Columbus, Ohio; or Pittsburgh, Pennsylvania.
Compensation and Benefits
Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).
Compensation
The base salary compensation range being offered for this role is $200,000.00 - $250,000.00 USD annually.
This role is also eligible for an annual short-term incentive bonus.
Company Benefits
WTW provides a competitive benefit package which includes the following (eligibility requirements apply):
* Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources.
* Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (Washington State only)
* Retirement Benefits: Contributory Pension Plan and Savings Plan (401k).
Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records.
The position allows for flexible working:
At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a "hybrid" style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and "hybrid" is not a one-size-fits-all solution.
We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.
Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.
EOE, including disability/vets
$65k-95k yearly est. 10d ago
Health Services Director
Sinceri Senior Living 4.0
Health services administrator job in Columbus, OH
* Perks and Benefits* * Earn up to 1% wage increase every quarter * 401K Retirement Plan with Safe Harbor matching contribution * Length of Service Bonus Program of up to $5,000 * Employee Referral Bonus of up to $1,000 * Access to earned wages prior to payday
* Generous PTO Plan
* Career Development
* An employee engaged scheduling system
* Affordable Medical, Dental, Vision, Supplemental Benefits
* Sinceri Senior Living Discount Marketplace
* Walking Spree rewards for healthy habits
Oh, and did we mention an amazing Team Environment?
* Some benefits may vary depending on position and employment status
Minimum Eligibility Requirements:
* Licensed Practical Nurse (LPN or LVN) with a strong senior living background
* Current and active state license in good standing
* Previous supervisory or management experience in a related healthcare setting
* Ability to build effective relationships with residents, family members, and staff
* Strong documentation skills
* Proficient in developing systems for monitoring resident health conditions and ensuring efficient and safe delivery of care
* Excellent organizational skills and ability to prioritize tasks to accommodate fluctuating resident and facility needs
* Professional representation of the facility and a positive demeanor
* Experience in training and staff development
Essential Functions:
* Collaborate with the Administrator in hiring, supervising, evaluating, and providing progressive discipline for all care staff
* Develop and monitor work schedules for Caregivers and Nursing staff to ensure optimal staffing levels for quality resident care
* Serve as a member of the facility management team and act as Administrator in their absence
* Assist with marketing responsibilities and build networks with healthcare community referral sources
* Provide training to staff on health-related topics and maintain training records
* Act as a role model for professional appearance, communication, and conduct
* Oversee the resident assessment process and ensure accurate and updated service plans
* Coordinate resident and family care conferences
* Serve as a liaison between residents, families, and physicians regarding healthcare issues
* Monitor and evaluate changes in resident condition, implement effective interventions, and document accordingly
* Perform skilled nursing tasks as per policy and state law
* Ensure safe and accurate medication management, maintaining proper documentation and storage
* Implement systems to monitor resident health concerns, such as weight and nutrition, skin integrity, mobility, fall management, and challenging behaviors
* Maintain an adequate inventory of healthcare supplies and equipment, following facility protocols for purchasing
* Monitor the Alert Charting system and review Resident Health Records for compliance and quality standards
* Demonstrate courtesy, gentleness, and effective communication techniques when interacting with residents
* Provide resident care in a safe and dignified manner, always upholding resident dignity, choice, and respect
* Stay updated on current OSHA and state regulations and ensure facility compliance with resident care and nursing functions
#LI-C1
$60k-80k yearly est. 4d ago
Manager Clinical Staff and Operation (100% Full Time, Days)- Cardiovascular Surgery Services
Adena Health 4.8
Health services administrator job in Chillicothe, OH
The Clinic Manager II assumes primary responsibility for overseeing clinical and administrative functions of capital and operating budgets, patient registration, billing, clinical information systems, management of clinical and administrative staff and clinic marketing and planning. This position is responsible for
managing performance for Caregiver Engagement, Service Excellence, Quality & Safety and Stewardship.
Responsible for multiple small practices or a large complex practice with a score between 7 and 12 on
the Manger Trigger Tool (see below). This position ensures compliance with all regulatory and
accreditation standards, financial performance and clinic policies. Decisions are made independently or
in collaboration with others. This position has patient contact, has access to confidential information
and functions under the direct supervision of a Director.
Minimum Qualifications:
Required Educational Degree: Bachelor's Degree
Major/Area of Concentration: Any
Effective 01/01/2021 for all current Managers and New Hires Bachelor's degree required within 5 yrs (3
yrs if you already posses an Associate's degree)
Preferred Education: Bachelor's Degree in Business Administration or related field preferred
Required Certifications, Credentials and Licenses: De-escalation training within 6 months.
Required Experience: 2 - 4 years of practice management experience with progressive responsibility
Job Specific Essential Functions:
Provide operational leadership and oversight of one or more high-volume or multi-specialty
clinics.
Participate in recruitment, hiring, onboarding, training, and professional development of staff.
Direct, supervise, and evaluate performance of clinical and administrative staff.
Partners with hospital leaders to oversee outpatient ancillary operations, when applicable.
Engage physicians and staff through communication of priorities, delegation of clinic tasks, and
accountability to the achievement of goals.
Utilize huddles and rounding to facilitate problem solving, communication from AHS system
meetings, and identification of clinic concerns/issues.
Manage processes in the clinic through implementation of SOP's, auditing, correction and
suggestions for continuous quality improvement.
Develop plans for improved provider productivity by working with providers on waste
elimination, template redesign, optimization of outrotations, improving fill rate, and marketing /
sales interfaces where appropriate.
Responsible for metric tracking, root cause analysis, and improvement to meet or exceed
budgeted quality, service, volumes and expenses.
Ensure all provider encounters are captured, documented, locked in a timely manner and coded
for comprehensive revenue cycle process.
Responsible for completion of cash posting, financial deposits, A/R tracking and improvement
toward MGMA service specific days in A/R and reporting of variances
Act as liaison for providers to answer questions, communicate concerns to system, and solve
day to day issues.
Holds clinic team accountable for adherence to leadership and provider compact expectations
of communication / behavior in delivery of care for optimal service to patients.
Adhere to AHS, local, state and national legal and regulatory compliance requirements through
ongoing clinic audit reviews and corrective action
Benefits for Eligible Caregivers:
Paid Time Off
Retirement Plan
Medical Insurance
Tuition Reimbursement
Work-Life Balance
About Adena Heart and Vascular:
The Adena Heart and Vascular Institute provides advanced, comprehensive care for heart, vascular, and thoracic conditions through cutting-edge technology and a skilled team of specialists. The institute emphasizes personalized treatment plans, collaboration among experts, and a focus on both immediate and long-term health. A key feature is our new hybrid operating room, which integrates advanced imaging and surgical capabilities to perform complex, minimally invasive cardiovascular procedures-such as TEVAR and EVAR-with a multidisciplinary team. This approach reduces complications and recovery times, allowing patients to receive high-quality, innovative care close to home.
About Adena Health:
Adena Health is an independent, not-for-profit and locally governed health organization that has been “called to serve our communities” for more than 125 years. With hospitals in Chillicothe, Greenfield, Washington Court House, and Waverly, Adena serves more than 400,000 residents in south central and southern Ohio through its network of more than 40 locations, composed of 4,500 employees - including more than 200 physician partners and 150 advanced practice provider partners - regional health centers, emergency and urgent care, and primary and specialty care practices. A regional economic catalyst, Adena's specialty services include orthopedics and sports medicine, heart and vascular care, pediatric and women's health, oncology services, and various other specialties. Adena Health is made up of 341 beds, including 266-bed Adena Regional Medical Center in Chillicothe and three 25-bed critical access hospitals-Adena Fayette Medical Center in Washington Court House; Adena Greenfield Medical Center in Greenfield; and Adena Pike Medical Center in Waverly.
$61k-75k yearly est. Auto-Apply 58d ago
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