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Operations Vice President jobs at Sharecare

- 7316 jobs
  • Operations Manager - VBCM (Remote)

    Sharecare 4.4company rating

    Operations vice president job at Sharecare

    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** Job Summary: The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly leading and managing teams of Care Managers, providing guidance and supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of the program are being met. This role is responsible for operational processes and initiatives that support achievement of performance goals and providing support as needed to the Director of Clinical Care Operations. Essential Job Functions: Provide consistent development and retention of a team of Care Managers with the support of Operations Leadership and training team. Act as a mentor and coach to the Care Managers, highlighting development opportunities that will positively impact the greater team and aid in their personal development as a Care Manager. Provide performance management for the team of Care Managers to include formal performance evaluations and delivery of performance feedback. Appropriately utilizes diagnostic tools and reports to identify feedback opportunities for colleague performance improvement and recognition. Continually evaluate performance against objectives for the team, develop strategies and implement initiatives to achieve performance goals. Interact with CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. Provide clinical/coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. Collaborate with the Operations Leadership Team to monitor program delivery performance to ensure that contractual requirements as well as the financial, clinical, and quality objectives of the VBCM program are being met. Participate in the new hire process of Care Managers. Participate in quality improvement activities. Specific Skills/ Attributes: Ability to interpret and understand contract requirements. Demonstrated critical and analytical thinking. Track record of ability coaching staff to successfully meet performance goals. Exceptional problem-solving and decision-making skills in a collaborative team and matrixed environment. Demonstrated strategic and creative thinker (i.e., ability to develop and execute plans and can articulate vision, forecast, and anticipate results). High energy individual with positive, enthusiastic approach. Must be comfortable with ambiguity of program. Self-directed with exceptional organizational skills. Excellent verbal and non-verbal communication skills. Ability to recognize, embrace and support the philosophy, mission, values and vision of Sharecare with leadership practices. Qualifications: Current licensure as a Registered Nurse is required; Compact state preferred Bachelor's degree preferred 5+ years' experience in Care/Case Management NCQA experience preferred Certified Case Manager preferred Prior management and supervision of a clinical team is preferred. Health Plan experience is required. Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications. Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies. This position will be based from a home office which must satisfy all HIPAA requirements and minimum internet connectivity requirements. Ability to communicate with members, other members of the team, physicians, and plan representatives. Ability to effectively present information to audiences with a variety of knowledge/skill levels Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
    $93k-134k yearly est. Auto-Apply 22d ago
  • Director of Clinical Operations- RN

    Heart of Hospice, LLC 3.5company rating

    Gretna, LA jobs

    We are hiring for a Clinical Director - RN with Hospice Experience. At Heart of Hospice, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. You can find a home for your career here. leadership and engagement with diverse teams across the operation opportunities to create strategies that drive best-in-class care for patients & families flexibility for true work-life balance career and leadership development If you love nursing and have an interest in healthcare operations, this is a great opportunity for you! The Clinical Director (Registered Nurse, RN) is responsible for overseeing and directing the patient care operations of the home care facility under the direction of the Home Health Executive Director. Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company. Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care. Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations. Enhances the profitability of the agency and engages with the team to assure the quality of services delivered. Education & Experience Must be a licensed registered nurse in the state of operation. At least 3 years of experience in a hospice, home health, or other health care service delivery system setting preferred. At least 2 years of healthcare leadership preferred. Current CPR certification. Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation. Additional State Requirements LA: Must have at least three (3) years experience as a Registered Nurse with one of these years consisting of full-time experience in providing direct patient care in a hospice, home health, or oncology setting. Must not be employed by more than one (1) hospice provider.
    $94k-109k yearly est. Auto-Apply 5d ago
  • Pharmacy Operations Manager

    Methodist Health System 4.7company rating

    Dallas, TX jobs

    Your Job: The Manager of Pharmacy professional responsible for the supervision of pharmacy operations including the activities of pharmacists and supportive personnel. Supports and promotes the vision, mission, and strategic plans of Methodist Health System. Your Job Requirements: • Graduate of an accredited school of pharmacy. • 2 years of Hospital Pharmacy experienced desired. • Licensed as a registered pharmacist by the Texas State Board of Pharmacy • Certified as a pharmacist preceptor by the Texas State Board of Pharmacy • Prefer 3 to 5 years in a healthcare setting • Strong proficiency using Microsoft Office products • Strong oral and written communication skills • Ability to provide vision and leadership • Ability to plan and schedule the work of others Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team • Assists in planning, evaluation, and implementation of progressive pharmacy programs for the hospital/health system and assists in establishing, writing, implementing, and enforcing guidelines of the pharmacy department and Methodist Health System • Coordinates and communicates staffing and training schedule for pharmacists as well as support personnel if needed. Schedule, time off requests, and schedule change requests are processed in a timely manner. • Completes and communicates annual and ongoing evaluations to pharmacists and other personnel. • Supervises and supports pharmacy personnel. Provides assistance to pharmacists and supportive personnel with problems related to patient care and their assigned duties. • Assumes duties of a staff pharmacist whenever necessary • Assumes responsibility for the pharmacy in the absence of the director • Oversees drug inventory control. Ensures proper handling, storage, and security of medications. • Establishes appropriate control, tracking, and auditing of narcotics Methodist Dallas Medical Center is one of North Texas' best places to work. And it keeps getting better. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital. It is home to the only adult Level I Trauma Center in southern Dallas, the first and only Certified Comprehensive Stroke Center in southern Dallas, and the newly renovated Linda and Mitch Hart Breast Center. Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. Our reputation as an award-winning employer shows in the distinctions we've earned: Magnet -designated hospital 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023 Top 10 Military Friendly Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly Employer, 2023 Level III Neonatal Intensive Care Unit Liver, kidney, and pancreas transplantation programs
    $56k-82k yearly est. Auto-Apply 5d ago
  • Assoc Prgm Dir

    Legacy Health 4.6company rating

    Vancouver, WA jobs

    Your work, in partnership with the Clinical VP of Medical Education and Training Program Directors, ensures that every resident or student training at Legacy walks away that much more prepared for for their future career. Your expert knowledge and compassionate nature guides Residents through learning experiences in Inpatient and/or Outpatient settings. You are always looking for ways to improve the education program so staff and patients enjoy the best possible outcomes. You reflect the Legacy mission of making life better for others. Responsibilities: Teaching Responsibilities: Participates in the instruction and supervision of the Internal Medicine residents in the outpatient and inpatient settings. Presents teaching conferences on a regular basis, and, if requested, to include a yearly grand-rounds. Provides inpatient clinical on-call services for the Department of Medicine and Legacy Clinics in the Faculty On-Call Schedule. Demonstrates a strong interest in the education of residents. Devotes sufficient time to the educational program to fulfill one's supervisory and teaching responsibilities. Administrative Responsibilities Assists in the general administration of the Program to meet the requirements of the Accreditation Council on Graduate Medical Education, including those activities related to the recruitment, selection, instruction, supervision, counseling, evaluation and advancement of residents as well as the maintenance of records related to program accreditation. Assists in the Department's compliance with the requirements of any training grants received by the Department. Attends and participates in training program and Department of Medicine meetings and committees. Monitors quality of medical records and coordinates regular record audit of residents. Assists Program Director in ensuring residents participate in self-assessment. Administers and maintains an educational environment conducive to educating residents. Professional Development Role models Scholarship, Professionalism, and Accountability. Demonstrates strong commitment to the delivery of safe, quality, cost-effective, patient-centered care. Establishes and maintains an environment of Inquiry and Scholarship. Participates in academic societies and in educational programs designed to enhance one's educational and administrative skills. Participates in research conferences and research that leads to publication or presentation at national meetings. Participates in conferences, journal clubs, faculty development workshops, and self-directed learning to continuously improve skills necessary to administer Training Program and effectively teach in the Training Program. Qualifications: M.D. or D.O. Approved residency in Internal Medicine Documented clinical, academic, and administrative experience to ensure effective implementation of the Program Requirements of the Residency Review Committee for Medicine of the Accreditation Council for Graduate Medical Education Licensure: Certified, American Board of Internal Medicine or American Osteopathic Board of Internal Medicine Medical License for the applicable state Pay Range: USD $249,600.00 - USD $249,600.00 /Yr. Our Commitment to Health and Equal Opportunity: Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************
    $249.6k yearly Auto-Apply 1d ago
  • Exec Dir, Clinical and Research Operations - #1 Hospital in CA

    Cedars-Sinai 4.8company rating

    Beverly Hills, CA jobs

    The Executive Director is responsible for the daily coordination of the department, for which they have responsibility, including clinical practice, research operations, human resource management, fiscal accountability, productivity and regulatory compliance. This role will exhibit leadership, humanism and professionalism in the management of the assigned department. Demonstrates and creativity and serves as a catalyst for effective changes. The Executive Director will oversee the Samuel Oschin Cancer Center, Medical Oncology, Pediatric Oncology, Division of Radiation Oncology and Hematology and Cell Therapy, The Breast Center, and The Boutique at Cedars Sinai, in addition to Patient and Family Support Services Programs (SW, RD, SCM, Wellness Resilience and Rehab), and Survivorship Programs Collaborate, and review Research protocols for clinical and operational needs to enable the provision of clinical trials across all entities of the Health System for Cedars-Sinai Cancer. Work in partnership with leadership of the Medical Center, Medical Network, and other CS Cancer affiliations to support an environment of continued integration, patient safety, and quality care Knowledge and understanding of the trends and forces that shape the health care delivery system, the provision of care, and other emerging issues in health care. Demonstrates flexibility and initiative to effectively lead change efforts to respond to environmental or organizational change. Manages the department's fiscal budget including effective expense reduction, utilization management, budget control and new revenue generation. Manages clinic operations meeting staffing and productivity targets. Proven personnel management strength including demonstrated ability to select, motivate, develop and retain people and promote collaborative team efforts. Proven experience in leading quality and service improvement activities and achieving outcomes, which respond to customer expectations. Assesses market opportunities, developing business plans and implementing programs to respond to such opportunities. Develops outreach relationships to expand reach and services with community partners and affiliates. Experience in effectively leading the design and organization of work, and allocation of resources to achieve appropriate staffing levels and mix, and productivity levels. Articulates organizational goals and vision and regularly communicate relevant information to subordinates. Demonstrates and promotes leadership behaviors and cultural values as defined in the CSMC mission and vision goal statements. Delegates appropriately and establishes effective accountability mechanisms. Coaches and develop subordinates. Is perceived as fair and impartial. Inspires enthusiasm, trust and positive work environment. Effectively manages conflict. Serves as a positive role model. Represents CSMC in a professional and supportive manner. Consistently demonstrate and foster in others, the principles of Continuous Quality Improvement in all areas of responsibilities. Promotes a service culture. Fosters continuous improvement of systems and processes. Promotes a culture of “always ready” regarding regulatory requirements. Employs a customer focus. Creates an empowering work climate. Breeds collaborative teamwork and problem solving. Broadly communicates values and expectations regarding quality. Achieves measurable improvement in quality of services in areas of responsibility. Supports and takes ownership of CSMC's values, strategies, objectives and policies. Develops group spirit and teamwork. Maintains constructive work relationships with other departments in achieving CSMC goals. Facilitates an open flow of information across CSMC. Actively supports collaboration within and across organizational boundaries. Actively participates as a team member. Provides feedback constructively to peers and superiors. Maintains positive relationship with peers, superiors, members of the medical staff, board of directors, and community. Establishes systems for appropriate management controls in all areas of responsibility. Ensure organizational compliance with legal and regulatory standards, internal policies and procedures, moral and ethical codes. Actively supports workforce diversity and takes initiative to attain Affirmative Action Plan objectives. Contributes to the development of strategic and operational plans, programs and policies of CSMC. Develops and implements measurable objectives consistent with the organization's mission, goals and timetables. Anticipates, is flexible and adjusts plans to meet changing conditions. Organizes work to ensure timely, effective and economic use of resources. Develops ways to measure progress, evaluate results, and take corrective action in a timely manner. Demonstrates political and interpersonal acumen in making sound business decisions. Oversees research efforts throughout the departments and with external funding sources and regulatory agencies. Ensures compliance with internal policies and external regulatory agencies. Oversee the Academic Program process including professorial appointments, development of new contracts, contract renewals, independent contracts, faculty on and off boarding, and faculty annual performance appraisals. Qualifications Minimum of five years in a leadership role with at least three years of Administration experience. Effectively demonstrate their ability to proactively address and resolve systems outcome issues through effective interpersonal skills & by communicating complex theoretical and technical concepts to all levels of personnel About UsCedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. About the TeamCedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most. Req ID : 13417 Working Title : Exec Dir, Clinical and Research Operations - #1 Hospital in CA Department : Cancer Serv Line Operations VP Business Entity : Cedars-Sinai Medical Center Job Category : Academic / Research Job Specialty : Research Studies/ Clin Trial Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $107.09 - $192.76
    $107.1-192.8 hourly 1d ago
  • Senior Manager, Research Operations - The Angeles Clinic & Research Institute

    Cedars-Sinai 4.8company rating

    Los Angeles, CA jobs

    Join Cedars-Sinai! Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report's “Best Hospitals 2024-2025” rankings. Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us! Discover why we have been recognized nine years in a row on the “Best Hospital” Honor Roll by U.S. News & World Report. The Angeles Clinic & Research Institute has established an international reputation for developing new cancer therapies, providing the best in experimental and traditional treatments, and expertly guiding and training the next generation of clinicians. Our board-certified fellowship-trained medical oncologists, surgeons, immunotherapists, pathologists, and dermatologists work closely together to advance cancer care. We are committed to bringing innovative therapeutic options to all our patients with cancer. Why work here? Beyond an outstanding benefits package and competitive salaries, we take pride in hiring the best, most committed employees. Our staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a multifaceted, inclusive environment that fuels innovation and the gold standard of care we strive for. Join our team and contribute to groundbreaking research. The Senior Manager, MN Research Operations provides strategic leadership to the clinical, regulatory, and financial units of the assigned CRO. Directs managers/supervisors assigned to these units within the CRO by establishing and implementing operational standards and monitoring progress and compliance. Serves as the subject matter expert on best practices on clinical trial management, regulatory requirements. Responsible for the strategic expansion and ongoing achievements of the CRO, in partnership with the Director of Operations and Medical Director. Primary Duties and Responsibilities: Responsible for the strategic planning, organizing, and oversight of the TACRI CRO including the development of strategies for patient recruitment, compliance, performance and quality improvement, operational efficiency, and employee engagement. Ensures the development of TACRI's clinical research infrastructure that supports the clinical research community and is consistent with expectations of NCI-designated Cancer Centers as outlined in the Cancer Center Support Grant (CCSG) guidelines. Ensures that all institutional, local, state, and Federal Regulations, Good Clinical Practice (GCPs), ICH, and IRB requirements are met and that all research programs within TACRI are structured to continue to meet these expectations. Supervises a team of highly skilled and efficient clinical research staff charged with upholding the same expectations and requirements including continued focus on increasing efficiencies, improving quality control, and providing a robust training and education program. Provides expertise, guidance, and oversight to the operational units within the CRO (clinical, regulatory, finance, quality, training, information systems, etc.). Supports the implementation and/or maintenance of requirements as outlined in the National Cancer Institute's, Cancer Center Support Grant guidelines relative to all clinical research requirements (i.e. Clinical Protocol and Data Management, Accrual of Women and Underrepresented groups to clinical trials and associated Data Tables). Supervises the development, implementation, and updating of standard operating procedures (SOPs) to ensure consistent, safe, and efficient management of clinical trials and continuous improvements in the fiscal integrity of clinical research activities. Administrative management of the electronic systems used to monitor CRO performance and efficiency and participation in the development or the selection of institutional systems that would impact the CRO operations and conduct of clinical research in the TACRI. Provides oversight for generation of monthly reports including but not limited to CRO performance, accrual, monitoring, time to activation, audit visits, and financial performance. Ensure accuracy of clinical trial information in all CTMS, clinical trial databases, and tracking systems. Ensure quality, timely, and accurate data and report submission. Assists in the growth of TACRI clinical research program throughout Cedars-Sinai Cancer Network and Affiliate sites alongside institutional leadership. Integration of Cedars-Sinai and the TACRI central research administration initiatives and serve as a pilot for expanding clinical research support services enterprise-wide as appropriate. Represents the TACRI CRO on Health System committees and task forces. Serves as liaison to advance clinical research interests including participation in community outreach. Oversees financial resources, development, and management of clinical trials budgets; and in conjunction with the Executive Director of the CRO and TACRI Finance Director prepare, monitor, and forecast the CRO annual operations budget. Responsible for the full range of supervisory functions, including assessing staffing needs; interviewing and evaluating candidate qualifications; hiring and onboarding new team members; maintaining and enhancing staff competence through ongoing training and development; assigning and reviewing work; evaluating performance; recommending compensation actions; and administering disciplinary measures up to and including termination of employment, in accordance with organizational policies and procedures. Serves as an effective leader by fostering a positive and supportive work environment that encourages self-directed staff, promotes professional growth and contribution, and applies human resource policies fairly and consistently. Qualifications Educational Requirements: Bachelor's degree in related field. Master's degree in Science or related field preferred. Experience Requirements: 5 years of experience in clinical research required. 4 years of managerial level experience required. Evidence of progressive leadership experience. Knowledge and/or experience with NCI CCSG expectations is preferred. Previous experience coordinating and managing oncology clinical research programs preferred. #Jobs-Indeed #LI Req ID : 13101 Working Title : Senior Manager, Research Operations - The Angeles Clinic & Research Institute Department : Angeles Research Inst Business Entity : Cedars-Sinai Medical Care Foundation Job Category : Academic / Research Job Specialty : Academic/Research Services Overtime Status : EXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $57.33 - $94.60
    $57.3-94.6 hourly 1d ago
  • Executive Director of Clinical Operations, Maternal Child and Inpatient Services

    Saint Joseph Health System 4.5company rating

    Mishawaka, IN jobs

    *Employment Type:* Full time *Shift:* Day Shift *Description:* The Executive Director of Clinical Operations, Maternal Child and Inpatient Services at Saint Joseph's Health System partners with the Medical Director of the service line to strategically plan and lead in the development and continuous quality improvement of the service line and/or achieving key outcomes. They provide oversight of the overall quality, service, operations and financial performance of the service line and assume integration of the service line with the organization. Position responsibilities: * Uses solid advanced leadership skills to assure that quality patient care and services are delivered through the Service Line, resulting in positive clinical performance. * Assures that key clinical indicators are identified; appropriate targets are set: clinical results meet organizational targets. * Uses national, regional, and internal result databases/research to assist in identifying the service line's opportunities, as well as methods, for improving clinical results. * Assures that effective written and oral communication methods and processes are in place involving the Director, Medical Director, other leaders, and direct care staff to discuss patient care issues. * Assures that care and services are rendered and documented so as to meet all organizational and service line objectives. * Is visible on clinical area on a regular basis to assess and promote culture of service excellence. * Assures the identification, development, and retention of key employees throughout the service area. * Uses innovation in achieving and maintaining organizational targets for patient perception of care, physician perception of care, and associate perception of SJHS as a workplace. * Integrates services within the organization contributing to a seamless delivery of care/products. * Assures that patient care guidelines used within the service line include the continuum of care. * Serves as a resource across departmental lines for assistance in resolution and /or clarification of issues involving the service line. * Assures that support departments, such as finance, outcomes management, marketing, patient financial services, etc. are integrated into the planning, execution and evaluation of all Service Line activities as appropriate. * Assures that direct care staff, all relevant clinical disciplines, including physicians, are included in PI activities and strategic planning. * Actively seeks opportunities to contribute expertise in a variety of activities including community involvement (ie committees, projects) to assist the organization to achieve its strategic initiatives. * Assures that service line financial targets are met. * Participates in annual forecasting and determining Service Line financial targets. * Approves annual budgets prepared by managers/directors; assists when necessary. * Plans and advocates for capital needs during the annual budget process. * Reviews dashboards of key targets, identifies variances and trends; works with Medical Director and managers/directors as appropriate to resolve variances. * Is knowledgeable regarding reimbursements by payor class for services rendered; partners with Patient Financial Services to assure that appropriate reimbursements are being received. * Uses and encourages innovation in resource utilization; assures fiscally efficient operations. * Prepares concise review of service line. * Uses innovation and expert knowledge of industry trends and market opportunities to strategically plan for service line enhancements/expansion or alterations in focus. * Annually updates the service line business plan and strategic initiatives assuring the plan is aligned with the organization. * Regularly assesses market and technological opportunities for application at SJHS. Identifies those opportunities that would contribute to strategic initiatives; develops and implements plans for maximizing identified opportunities for growth. * Develops and regularly reviews succession plans for expected and unexpected vacancies in key service line positions. * Functions as the expert in service line products and services; enhances expertise with readings, networking, site visits, and seminars. * Duties & responsibilities include accuracy of documenting services and supplies provided to patients, including those that may produce patient charges. If designated as a “Revenue Lead”, additional responsibilities will include revenue reconciliation and charge-error correction as specified by departmental process and hospital policy. * Manages subordinates in respective department(s). Is responsible for the overall direction, coordination, and evaluation of these department(s). * Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. * Actively demonstrates the organization's mission and core values and conducts oneself at all times in a manner consistent with these values. * Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information. What's required: * A minimum of 5-10 years of experience in service line management in an organization of comparable size, range and scope of product lines and services. * Master's degree in Nursing, Healthcare Administration, or related field. * A current RN License in the State of Indiana. * Must have a general knowledge of diagnostic treatment and aftercare, methodologies and programs. * National Certification preferred. * Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needs. *Why Saint Joseph Health System?* At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care. *What we offer:* * Tuition reimbursement for all full and part-time colleagues effective first day of employment * Benefits day one (Including: Medical, Dental, Vision, PTO, Life, STD/LTD, etc.) * Retirement savings account with employer match * Generous paid time off program + 7 paid holidays * Colleague well-being resources * Employee referral incentive program *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.
    $65k-84k yearly est. 4d ago
  • Sr. Director - Care Coordination/Care Transitions

    Methodist Le Bonheur Healthcare 4.2company rating

    Jonesboro, AR jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. What you will do Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population. Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities. Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios. Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources. Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance. Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise. Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance). Collaborates with clinical departments to embed care management principles into service lines and care pathways. Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure. Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices. Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment. Education Qualifications Master's Degree Clinical Master's Degree Business Administration Experience Qualifications Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization. 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative Preferred: Work with EPIC EHR Skills and Abilities Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership. Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies. Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements. Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups. Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment. Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs. Extensive knowledge of reimbursement practices, payer regulations, and value-based care models. Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy. Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work. Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs. Licenses and Certifications Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers Accredited Case Manager - American Case Management Association Case Manager - The Commission for Case Manager Certification Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers Registered Nurse Arkansas - Arkansas State Board of Nursing Registered Nurse Mississippi - Mississippi Board of Nursing Registered Nurse Tennessee - Tennessee Board of Nursing Supervision Provided by this Position Manages system utilization review team and facility level case management leadership. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $135k-206k yearly est. Auto-Apply 1d ago
  • Sr Director Medical Staff Services

    Methodist Le Bonheur Healthcare 4.2company rating

    Jonesboro, AR jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals. Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners. In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners. Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals. Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD. Executes strategy by enacting objectives and operational tactics within areas of responsibility. Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies. Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws. Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes. Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives. Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment. Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities. Education/Formal Training Requirements Bachelor's Degree Business Administration Bachelor's Degree Public Health Administration Bachelor's Degree Healthcare Administration Master's Degree Business Administration Master's Degree Public Health Administration Master's Degree Healthcare Administration Work Experience Requirements 5-7 years Interacting with providers, senior administrative staff and board of trustees 5-7 years Management System level quality programs Training others in tools and techniques of Quality Improvement Licenses and Certifications Requirements Six Sigma Black Belt - The Council for Six Sigma Certification Knowledge, Skills and Abilities Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements. Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities. Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting. Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance. Familiarity with medical terminology required. Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills. Excellent interpersonal, written, and oral communications skills. Strong management and leadership skills. Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment. Ability to communicate and work with physicians, nurses, managers, and other related departments. Ability to develop and effectively manage change as well as build consensus. Ability to work independently, exercise appropriate action and good business judgment. Ability to troubleshoot problems and follow up appropriately. Ability to simultaneously lead and manage multiple high priority projects and responsibilities. Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns. Supervision Provided by this Position Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff. Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $135k-206k yearly est. Auto-Apply 1d ago
  • Sr Director Medical Staff Services

    Methodist Le Bonheur Healthcare 4.2company rating

    Memphis, TN jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals. Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners. In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners. Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals. Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD. Executes strategy by enacting objectives and operational tactics within areas of responsibility. Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies. Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws. Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes. Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives. Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment. Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities. Education/Formal Training Requirements Bachelor's Degree Business Administration Bachelor's Degree Public Health Administration Bachelor's Degree Healthcare Administration Master's Degree Business Administration Master's Degree Public Health Administration Master's Degree Healthcare Administration Work Experience Requirements 5-7 years Interacting with providers, senior administrative staff and board of trustees 5-7 years Management System level quality programs Training others in tools and techniques of Quality Improvement Licenses and Certifications Requirements Six Sigma Black Belt - The Council for Six Sigma Certification Knowledge, Skills and Abilities Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements. Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities. Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting. Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance. Familiarity with medical terminology required. Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills. Excellent interpersonal, written, and oral communications skills. Strong management and leadership skills. Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment. Ability to communicate and work with physicians, nurses, managers, and other related departments. Ability to develop and effectively manage change as well as build consensus. Ability to work independently, exercise appropriate action and good business judgment. Ability to troubleshoot problems and follow up appropriately. Ability to simultaneously lead and manage multiple high priority projects and responsibilities. Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns. Supervision Provided by this Position Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff. Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $122k-188k yearly est. Auto-Apply 1d ago
  • Sr. Director - Care Coordination/Care Transitions

    Methodist Le Bonheur Healthcare 4.2company rating

    Jackson, TN jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. What you will do Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population. Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities. Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios. Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources. Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance. Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise. Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance). Collaborates with clinical departments to embed care management principles into service lines and care pathways. Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure. Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices. Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment. Education Qualifications Master's Degree Clinical Master's Degree Business Administration Experience Qualifications Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization. 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative Preferred: Work with EPIC EHR Skills and Abilities Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership. Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies. Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements. Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups. Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment. Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs. Extensive knowledge of reimbursement practices, payer regulations, and value-based care models. Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy. Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work. Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs. Licenses and Certifications Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers Accredited Case Manager - American Case Management Association Case Manager - The Commission for Case Manager Certification Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers Registered Nurse Arkansas - Arkansas State Board of Nursing Registered Nurse Mississippi - Mississippi Board of Nursing Registered Nurse Tennessee - Tennessee Board of Nursing Supervision Provided by this Position Manages system utilization review team and facility level case management leadership. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $122k-188k yearly est. Auto-Apply 1d ago
  • Sr. Director - Care Coordination/Care Transitions

    Methodist Le Bonheur Healthcare 4.2company rating

    Memphis, TN jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. What you will do Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population. Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities. Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios. Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources. Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance. Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise. Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance). Collaborates with clinical departments to embed care management principles into service lines and care pathways. Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure. Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices. Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment. Education Qualifications Master's Degree Clinical Master's Degree Business Administration Experience Qualifications Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization. 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative Preferred: Work with EPIC EHR Skills and Abilities Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership. Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies. Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements. Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups. Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment. Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs. Extensive knowledge of reimbursement practices, payer regulations, and value-based care models. Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy. Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work. Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs. Licenses and Certifications Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers Accredited Case Manager - American Case Management Association Case Manager - The Commission for Case Manager Certification Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers Registered Nurse Arkansas - Arkansas State Board of Nursing Registered Nurse Mississippi - Mississippi Board of Nursing Registered Nurse Tennessee - Tennessee Board of Nursing Supervision Provided by this Position Manages system utilization review team and facility level case management leadership. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $122k-188k yearly est. Auto-Apply 1d ago
  • Sr. Director - Care Coordination/Care Transitions

    Methodist Le Bonheur Healthcare 4.2company rating

    Hernando, MS jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. What you will do Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population. Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities. Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios. Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources. Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance. Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise. Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance). Collaborates with clinical departments to embed care management principles into service lines and care pathways. Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure. Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices. Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment. Education Qualifications Master's Degree Clinical Master's Degree Business Administration Experience Qualifications Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization. 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative Preferred: Work with EPIC EHR Skills and Abilities Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership. Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies. Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements. Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups. Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment. Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs. Extensive knowledge of reimbursement practices, payer regulations, and value-based care models. Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy. Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work. Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs. Licenses and Certifications Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers Accredited Case Manager - American Case Management Association Case Manager - The Commission for Case Manager Certification Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers Registered Nurse Arkansas - Arkansas State Board of Nursing Registered Nurse Mississippi - Mississippi Board of Nursing Registered Nurse Tennessee - Tennessee Board of Nursing Supervision Provided by this Position Manages system utilization review team and facility level case management leadership. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $120k-184k yearly est. Auto-Apply 1d ago
  • Sr Director Medical Staff Services

    Methodist Le Bonheur Healthcare 4.2company rating

    Jackson, TN jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals. Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners. In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners. Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals. Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD. Executes strategy by enacting objectives and operational tactics within areas of responsibility. Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies. Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws. Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes. Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives. Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment. Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities. Education/Formal Training Requirements Bachelor's Degree Business Administration Bachelor's Degree Public Health Administration Bachelor's Degree Healthcare Administration Master's Degree Business Administration Master's Degree Public Health Administration Master's Degree Healthcare Administration Work Experience Requirements 5-7 years Interacting with providers, senior administrative staff and board of trustees 5-7 years Management System level quality programs Training others in tools and techniques of Quality Improvement Licenses and Certifications Requirements Six Sigma Black Belt - The Council for Six Sigma Certification Knowledge, Skills and Abilities Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements. Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities. Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting. Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance. Familiarity with medical terminology required. Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills. Excellent interpersonal, written, and oral communications skills. Strong management and leadership skills. Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment. Ability to communicate and work with physicians, nurses, managers, and other related departments. Ability to develop and effectively manage change as well as build consensus. Ability to work independently, exercise appropriate action and good business judgment. Ability to troubleshoot problems and follow up appropriately. Ability to simultaneously lead and manage multiple high priority projects and responsibilities. Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns. Supervision Provided by this Position Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff. Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $122k-188k yearly est. Auto-Apply 1d ago
  • Sr Director Medical Staff Services

    Methodist Le Bonheur Healthcare 4.2company rating

    Hernando, MS jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals. Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners. In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners. Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals. Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD. Executes strategy by enacting objectives and operational tactics within areas of responsibility. Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies. Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws. Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes. Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives. Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment. Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities. Education/Formal Training Requirements Bachelor's Degree Business Administration Bachelor's Degree Public Health Administration Bachelor's Degree Healthcare Administration Master's Degree Business Administration Master's Degree Public Health Administration Master's Degree Healthcare Administration Work Experience Requirements 5-7 years Interacting with providers, senior administrative staff and board of trustees 5-7 years Management System level quality programs Training others in tools and techniques of Quality Improvement Licenses and Certifications Requirements Six Sigma Black Belt - The Council for Six Sigma Certification Knowledge, Skills and Abilities Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements. Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities. Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting. Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance. Familiarity with medical terminology required. Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills. Excellent interpersonal, written, and oral communications skills. Strong management and leadership skills. Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment. Ability to communicate and work with physicians, nurses, managers, and other related departments. Ability to develop and effectively manage change as well as build consensus. Ability to work independently, exercise appropriate action and good business judgment. Ability to troubleshoot problems and follow up appropriately. Ability to simultaneously lead and manage multiple high priority projects and responsibilities. Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns. Supervision Provided by this Position Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff. Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $120k-184k yearly est. Auto-Apply 1d ago
  • Sr Director Medical Staff Services

    Methodist Le Bonheur Healthcare 4.2company rating

    Forrest City, AR jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Administers system-wide compliance programs by implementing compliance systems and processes designed to ensure compliance with applicable laws and regulations as well as internal policies and procedures. In conjunction with MLH leadership, develops the system strategies and direction of medical staff focused performance assessment and improvement, and credentialing at MLH. Responsibilities include all aspects of quality, performance improvement and medical staff credentialing including operational support, quality planning and quality monitoring. Utilizes statistical tools, benchmarking resources, performance measurement, quality management and other resources to determine trends, identify opportunities for improvement and lead change of medical staff quality and credentialing within MLH. Leads improvement of clinical processes that depend primarily on LIP.Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Provides leadership, authority and direction to ensure accountability for programs, processes and initiatives required, enacted by or placed upon the Medical Staff Services Department. Directs and supervises Director,Medical Staff & Credentialing, Manager/Quality Integration, and Medical Staff Governance Coordinator to achieve goals. Facilitates and integrates the work of Patient Safety and Quality programs in collaboration with Regulatory Readiness, Risk Management, Chief Medical Officers, Chief Nursing Officers, Process Improvement & Innovation and Information Technology. Considers impact to, and promotes adoption by the Medical Staff and Allied Health Practitioners. In collaboration and with direction from system leadership, implements key strategic objectives for all aspects of health care quality improvement involving the Medical Staff and Allied Health Practitioners. Oversees all Medical Staff programs related to Credentialing, Privilgeing, Peer Review, Professinal Practice Evaluations, and Professional Conduct for ahderence to Medical Staff Governance and regulatory standards. Encompasses approximately 2,350 practitioners holding privilges at Memphis and Olive Branch hospitals. Serves as a subject matter expert. Researches, maintains, and shares knowledge of best practices and relevant trends for areas of oversight. Demonstrates understanding of regulatory standards and governance to lead associates in MSSD. Executes strategy by enacting objectives and operational tactics within areas of responsibility. Educates Medical Staff Executive Officers and Department Chairs of responsibilities when elected and provides consultation to solve problems with commitment to follow policies. Promotes confidentiality and protection of privilege afforded to practitioners per applicale laws. Advises Corporate HR on Allied Health Caregiver authorizations to resolve conflicts and improve processes. Prepares, reviews, and approves departments' proposed annual budgets and explains significant variances to Sr. Vice President. Identifies areas of improvement or opportunity for clinical and financial improvement in areas throughout the hospital via comparative benchmarking and quality initiatives. Monitors and evaluates Associate performance and clarifies work expectations, and assists with goal setting; promotes cooperation among individuals and groups. Develops and implements processes through orientation, training and education to ensure that the competence of all staff members is assessed, maintained, improved and demonstrated throughout their employment. Develops MLH staff through orientation, training, and education in principles of process improvement. Promotes, maintains, demonstrates and communicates the value of self-development and enhancement of the professional competency of staff through quality improvement activities and other educational opportunities. Education/Formal Training Requirements Bachelor's Degree Business Administration Bachelor's Degree Public Health Administration Bachelor's Degree Healthcare Administration Master's Degree Business Administration Master's Degree Public Health Administration Master's Degree Healthcare Administration Work Experience Requirements 5-7 years Interacting with providers, senior administrative staff and board of trustees 5-7 years Management System level quality programs Training others in tools and techniques of Quality Improvement Licenses and Certifications Requirements Six Sigma Black Belt - The Council for Six Sigma Certification Knowledge, Skills and Abilities Demonstrated understanding of quality management, statistical analysis, safety and regulatory requirements. Demonstrated knowledge of Informatics, EMR technology, data analysis, and other electronic applications to execute strategies based on system priorities. Strong background in quality, benchmarking, and data analysis, teambuilding and budgeting. Working understanding and knowledge of hospital/healthcare operations and strategy as it relates to quality, accreditation, and quality improvement performance. Familiarity with medical terminology required. Possess effective collaborative skills, negotiation and influencing skills, goal-setting, conflict resolution, staff development, and customer service skills. Excellent interpersonal, written, and oral communications skills. Strong management and leadership skills. Ability to adapt and respond to complex, fast paced, rapid growth/results oriented environment. Ability to communicate and work with physicians, nurses, managers, and other related departments. Ability to develop and effectively manage change as well as build consensus. Ability to work independently, exercise appropriate action and good business judgment. Ability to troubleshoot problems and follow up appropriately. Ability to simultaneously lead and manage multiple high priority projects and responsibilities. Ability to analyze and evaluate data and problems, develop alternative solutions and identify trends and patterns. Supervision Provided by this Position Oversees the Director, Medical Staff Services, Quality Improvement Specialists, Manager, Physician Quality, Physician Quality coordinator, and additional support staff. Active role in Administrative, Board and Medical Staff committee leadership throughout Methodist Healthcare related to Physician Quality and Performance Improvement. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $134k-205k yearly est. Auto-Apply 1d ago
  • Sr. Director - Care Coordination/Care Transitions

    Methodist Le Bonheur Healthcare 4.2company rating

    Forrest City, AR jobs

    If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview The Senior Director of Care Coordination and Care Transitions is responsible for developing, organizing, and managing the operations of the Care Coordination department, with direct supervision of facility-level case management leadership across the MLH system. This position leads and evaluates case management initiatives in collaboration with clinical leadership and social services teams to ensure seamless care transitions, resource optimization, and patient advocacy. Models appropriate behavior as exemplified in MLH Mission, Vision, and Values. What you will do Leads the strategic design and implementation of system-wide care management programs to ensure optimal clinical and financial outcomes for the MLH patient population. Oversees the planning, execution, and continuous improvement of case management and care coordination processes across all MLH facilities. Directs system-level initiatives to reduce extended length of stay and improve patient throughput, especially for complex discharge scenarios. Champions patient-centered care initiatives that align with MLH's mission and promote efficient use of clinical resources. Serves as a senior advisor to MLH executive leadership on regulatory trends, policy changes, and their impact on care delivery and financial performance. Defines and standardizes roles, workflows, and performance expectations for case managers and social workers across the enterprise. Develops integrated care coordination models that support seamless transitions of care between inpatient, outpatient, community, and MLH-affiliated entities (e.g., Alliance). Collaborates with clinical departments to embed care management principles into service lines and care pathways. Leads system-wide planning and response efforts for regulatory audits, ensuring compliance and minimizing financial exposure. Partners with Patient Financial Services, Corporate Compliance, and Clinical Operations to enhance revenue cycle performance and care documentation practices. Works closely with system finance and contracting teams to evaluate payer agreements and identify opportunities for revenue optimization and care alignment. Education Qualifications Master's Degree Clinical Master's Degree Business Administration Experience Qualifications Five (5) years in clinical health care setting, including direct experience in care coordination, discharge planning, patient advocacy, and resource utilization. 7-9 years Social Work Eight (8) years of progressively responsible and leadership in social work, case management or nursing administrative Preferred: Work with EPIC EHR Skills and Abilities Executive presence and strategic communication skills, with the ability to serve as a trusted advisor to MLH system leadership. Deep understanding of regulatory policies, healthcare reform initiatives, patient care delivery models, and advanced care management strategies. Proven expertise in clinical data analysis, performance metrics, and outcomes-based research to drive system-wide improvements. Exceptional oral and written communication skills, with the ability to influence and collaborate across diverse stakeholder groups. Strong working knowledge of financial management, strategic planning, and operational forecasting in a complex healthcare environment. Insight into internal and external forces shaping healthcare delivery, including policy, market dynamics, and community needs. Extensive knowledge of reimbursement practices, payer regulations, and value-based care models. Demonstrated leadership capabilities in coaching, mentoring, and navigating complex organizational challenges with resilience and diplomacy. Comprehensive understanding of care management systems, regulatory compliance, and standards of practice in case management and social work. Mastery of healthcare management principles, including budgeting, workforce planning, and operational oversight of large-scale clinical programs. Licenses and Certifications Care Guidelines Specialist - ISC-GRC - Millman Care Guidelines Licensed Clinical Social Worker Tennessee - Tennessee Board of Social Workers Accredited Case Manager - American Case Management Association Case Manager - The Commission for Case Manager Certification Licensed Master Social Worker Mississippi - Mississippi Board of Examiners for Social Workers Licensed Advanced Practice Social Workers Tennessee - Tennessee Board of Social Workers Licensed Master Social Worker Tennessee - Tennessee Board of Social Workers Registered Nurse Arkansas - Arkansas State Board of Nursing Registered Nurse Mississippi - Mississippi Board of Nursing Registered Nurse Tennessee - Tennessee Board of Nursing Supervision Provided by this Position Manages system utilization review team and facility level case management leadership. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
    $134k-205k yearly est. Auto-Apply 1d ago
  • Chief Executive Officer

    UHS 4.6company rating

    Atlanta, GA jobs

    The ideal candidate will manage the overall operations of the company as well as develop and implement strategies that meet the needs of the customers, the stakeholders, and the employees. They will be responsible for making key decisions and executing the culture of the company. Responsibilities Take lead across all aspects of the company by reviewing how departments work together Make key decisions that will affect the company's direction Build a positive and productive culture in the workplace Qualifications Bachelor's degree or equivalent experience MHA/MBA Currently working as a behavioral executive, i.e. CEO at a Behavioral Health facility or as a director of a large acute care facility with a large multi-unit psych department. A working knowledge of behavioral health management practices and clinical operations. An advanced knowledge of state and federal regulatory and various accreditation requirements related to behavioral health management. 10+ years' experience in behavioral health related field Strong leadership, decision making and communication skills
    $188k-312k yearly est. 1d ago
  • Vice President Operations

    Healthcare Recruiters International 3.7company rating

    New York, NY jobs

    About the Company Our client, a growing and mission-driven behavioral health organization with four treatment locations, is seeking a Vice President of Operations to provide executive-level leadership across clinical and administrative operations. About the Role Implementation of SOPs will be a high priority: This will be a very hands-on role, in addition to managing. This role is critical to standardizing processes, driving operational excellence, and supporting high-quality, ethical care rooted in 12-Step treatment principles. Responsibilities Operational Leadership Provide strategic and day-to-day operational oversight for four behavioral health locations Ensure consistent implementation of operational standards across all sites Serve as a key member of the executive leadership team SOP Development & Execution Design, document, and continuously improve standard operating procedures (SOPs) Ensure SOPs are scalable, auditable, and aligned with regulatory requirements Train and hold leadership teams accountable to SOP compliance Program & Clinical Support Ensure operational systems support quality patient care and outcomes Regulatory & Compliance Oversight Ensure compliance with state, federal, and accreditation standards Oversee audits, inspections, and quality assurance processes People & Performance Management Lead and mentor site-level operational leaders Establish KPIs and performance dashboards Foster a culture of accountability and continuous improvement
    $145k-236k yearly est. 2d ago
  • Director of People Operations

    A First Name Basis Home Care 2.9company rating

    Plano, TX jobs

    A First Name Basis (AFNB) is one of the fastest-growing in-home care providers in the region, with 40+ offices across four states. We're reimagining what it means to serve seniors and individuals with disabilities-by building strong caregiver careers, implementing smart clinical and scheduling systems, and ensuring compliance and care quality are never compromised We are searching for an experienced Director of People Operations to join our corporate team headquartered out of our office in Plano, TX. Position Summary: The Direcor of People Operations will own benefits administration, multi-state compliance, policy standardization, and core HR operations. This is a high-impact role focused on building scalable processes, ensuring legal compliance, and improving employee experience across the organization. Responsibilities: Lead and manage enrollment for medical benefits and 401(k) Manage leave (FMLA, maternity, etc.) Standardize tracking and employee education Update employee handbooks and benefits policies Complete ACA reporting (1095-C forms) Own workers' compensation process and documentation Build and maintain multi-state employment law matrix (non-compete, payout rules, PTO/sick time, etc.) Respond to DOL inquiries and ensure consistent job descriptions/offer letters Standardize write-ups, performance documentation, and exit interviews in Paylocity Automate and maintain accurate org charts Lead compensation benchmarking and standardize comp change processes Design and pilot a performance review process with goal setting and tracking Launch employee satisfaction surveys and standardize the employee complaint/hotline process Centralize and standardize background checks across all states Develop consistent interview frameworks and onboarding/offboarding workflows Education, Skills, Experience: 5+ years of progressive HR experience with deep expertise in benefits and multi-state compliance Proven track record owning open enrollment, ACA reporting, FMLA administration, and workers' comp. Song knowledge of federal and state employment laws (U.S.) Experience with Paylocity or similar HRIS strongly preferred Exceptional project management skills Able to drive multiple 30/60/90-day initiatives to completion Experience building or scaling HR processes in a 200-1,000 employee organization Excellent written communication (policy writing, employee handbooks, guides) High attention to detail and commitment to audit-proof documentation Benefits: Competitive pay Yearly bonus Medical benefits 401(k) with company match PTO and sick time
    $86k-130k yearly est. 4d ago

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