Director of Clinical Operations
Development and management of budget reputed company medical care Works with the site medical expense team to reputed company direction for actions to control targeted costs for inpatient and outpatient services Ensure compliance with State and Federal regulations, as reputed company as company policies and procedures reputed company the reputed company of the patient-data reputed company system to ensure consistency in the data entry and reputed company Coordinate plans with the local and national reputed company committee to reputed company with CMS regulations and National accreditation agencies Strategize with the senior staff regarding: Program expansion Business development New models
Collaborate cross-functionally to meet site business goals and objectives Engage and drive reputed company staff in implementing activities to meet business goals Implement and support new programs and/or new care models Participate in and reputed company special project reputed company that reputed company reputed company building opportunities for the participants, and allows others to display leadership capabilities
Manage salary, bonus incentives, and enforce work rules in a manner that rewards excellent performance, and maximizes staff retention while meeting budget requirements Directly reputed company, supervise, and reputed company reputed company of CSM’s Maintain overall accountability for clinical team development and performance reputed company the orientation, training and ongoing education and reputed company development of the health services staff Conduct regular agenda driven meetings with staff to address issues, concerns, and to communicate corporate and site-specific philosophy Promotes United culture to ensure succession planning
reputed company and routinely update comprehensive medical management work plans/programs for the site reputed company the medical expense data analyses Determine required improvement efforts for the site, based on reputed company relative to targets and budgeted matrices Strategize and implement the clinical model. reputed company on reputed company, to appropriately reduce medical cost while incorporating the skills of reputed company whenever possible reputed company on reputed company improvement and clinically appropriate utilization, while incorporating the skills of reputed company
Coordinate reputed company program and contractual requirements, maintaining compliance with regulatory and accreditation requirements reputed company the development of reputed company-designed processes, which will be evident in efficient daily work flows that support the achievement of business goals reputed company the integration of the local reputed company assurance committee activities Identify any reputed company issues and implements reputed company initiatives for improvement Use reports and other available materials to analyze performance & gaps (know your numbers) reputed company & support implementation of corporate & local processes to support reputed company Improvement (QI) and to reputed company business goals Identify system level opportunities to support QI reputed company clinical support and education Hold team responsible for reputed company in prioritized areas reputed company best practices across the organization through participation on workgroups
Implement a program to address the needs of the marketplace Strategize and evaluate methodologies for program reputed company and integration reputed company partnering organizations Conduct regular agenda-driven meetings with selected partners to promote program visibility, and to support a dynamic, results-oriented relationship with selected organizations, contracted facilities, or associated consortium or corporation
Manage salary, bonus incentives, and enforce work rules in a manner that rewards excellent performance, and maximizes staff retention while meeting budget requirements Directly reputed company, supervise, and reputed company the health services leadership team Maintain overall accountability for clinical team development and performance
Personal and reputed company Accountability: Create an environment that facilitates reputed company to initiate actions that produce reputed company results Ability to hold self and others accountable for actions and results Answers for one’s own behavior and actions
Career Planning: Develops own career reputed company reputed company others in the development of their career planning Create an environment in which reputed company and personal reputed company are an expectation.
Ethics: reputed company high ethical standards and UHG reputed company values into everyday work activities
RN degree certified through a national state reputed company and with reputed company license reputed company and unrestricted license in the state which you reputed company 5+ years of leadership and management experience in an organization that serves the elderly or chronically ill population Experience with Medicare, reputed company and managed care in a reputed company of health care settings Leadership and management experience in effective team building and reputed company reputed company improvement programs Proven solid negotiation skills, budget management experience and regulatory knowledge Proven ability to work across functions and businesses to reputed company business goals Proven effective in motivating and mentoring colleagues and peers reputed company’s license and reputed company to reliable transportation
Master’s degree; ideally in nursing, health sciences, reputed company services or business 3+ years of experience at reputed company Leadership and management experience in a SCC market as a CSM or Sr. CSM with reputed company in effective team building and reputed company improvement Knowledge and understanding of geriatrics clinical management Proficient in reputed company Proficient computer skills Proven ability to reputed company and maintain reputed company customer relationships Proven ability to quickly adapt to change and drive change management reputed company team and market Proven high level of organizational skills, self- motivation, and ability to manage time independently