4 jobs found

About us: People Serving People is the largest and most comprehensive emergency shelter for families experiencing homelessness in Minnesota and a dedicated leader in homeless prevention. If you want to help transform communities and see families thrive, then People Serving People is the place for you. What do we need: The Human Resources (HR) Manager leads the strategic and day-to-day operations of the HR department with a focus on the administration of human resources policies, procedures, and programs. The HR Manager carries out responsibilities in the following functional areas: departmental development, Human Resource Informational Systems (HRIS), employee relations, training and development, benefits, compensation, human resource compliance, organizational development, and employment. Responsibilities: Essential Functions of the job: Assist the HR Implementation Director, Chief People and Culture Officer, the CEO, and COO with short- and long-term organizational and strategic planning related to areas of HR subject matter expertise. Collaborate with the leadership team to develop and implement plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the objectives and mission of the organization. Monitors and ensures the organization's compliance with federal, state, and local employment laws and regulations, and recommended best practices; reviews and modifies policies and practices to maintain compliance. Maintains knowledge of trends, best practices, regulatory changes, and new technologies in human resources, talent management, and employment law; applies this knowledge to communicate changes in policy, practice, and resources to upper management. Fosters a success-oriented, compassionately accountable environment within the company. Assists in leading the organization's ongoing human capital management process, ensuring the highest level of workforce acquisition, retention, and optimization. Oversees all functions related to human resources, including recruiting, onboarding, performance management, employee engagement, compensation, benefits management. Conducts research and analysis of organizational trends including review of reports and metrics from the organization's human resource information system (HRIS) or talent management system. Develop annual goals and implement them. Partners with HR Implementation Director, Chief People and Culture Officer, Director of Belonging, and HR Specialist to support the development and sustainability of People Serving People's culture, emphasizing our organizational commitment to inclusion and racial equity. Prepare and analyze quarterly reports based on key performance indicators for the Human Resources department. Make recommendations and take action based on data with a commitment to continuous improvement. Support the leadership team by maintaining the performance management system, individual performance plans, and retention plans. Ensure that all leaders are trained in the performance management system and that all employees receive regular feedback and reviews. Partners with HR Implementation Director and Chief People and Culture Officer to address employee relations complaints and issues in accordance with employment law and policy to ensure a positive working environment and mitigate employer liability in consultation with external legal counsel, as needed. Develop and modify, on an ongoing basis, the policies, procedures, and other guidance documents, including incorporating best practices and addressing changes in employment law regulations and industry practices. Support organization by coordinating recruiting and interviewing program; counseling managers on candidate selection best practices; conducting and analyzing exit interviews; and recommending changes. Leads benefits communication which includes new hire orientations, enrollment, and changes for new staff and during annual open enrollment. Develop, prepare and oversee management of HR forms and shared staff resources including staff phone list, department rosters, other needed lists and rosters, policies, procedures, and employee handbook. Ensure compliance with all relevant employment laws such as FLSA, FMLA, ADA and OSHA. Performs other duties assigned by HR Implementation Director. Supervisory Responsibilities: Supervises Human Resources Coordinator. Pay and Benefits: $65,000 - $75,000 annual salary Full-Time, Monday through Friday, from 8:00 a.m. to 4:00 p.m. Medical, dental, and vision insurance available. Company-paid life and disability insurance. 401(k) with employer contribution at 6 months. 40 days of PTO per year. Reduced cost parking or metro pass. Cellphone reimbursement. Reduced childcare rates. Financial wellness benefit. The chance to make a real difference in the community. Education Required: Bachelor's Degree in Human Resources or related field. HR Certification required (SHRM-CP, SHRM-SCP, SPHR or PHR). Minimum of 7-10 years experience or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job. Computer Skills: Proficient with Microsoft Office Suite or related software, including virtual meeting platforms. Other Qualifications: Excellent verbal and written communication skills. Excellent interpersonal, negotiation, and conflict resolution skills. Excellent organizational skills and attention to detail. Strong analytical and problem-solving skills. Ability to prioritize tasks and to delegate them when appropriate. Ability to act with integrity, professionalism, and confidentiality. Thorough knowledge of employment-related laws and regulations. Proficiency with or the ability to quickly learn the organization's HRIS and talent management systems. Experience with racial equity, inclusion, justice, belonging, and engagement initiatives for staff. Knowledge of power, privilege, oppression, and how they function within a nonprofit organization, and able to use this knowledge to guide work. Knowledgeable of the impact of trauma and willing to center trauma-responsive principles in operations and operational decision-making. Familiar with the historical and present-day consequences of systemic racism and willing to apply an equity lens in operational decision-making Experience with supportive supervision and supervision across differences. Compensation details: 0 Yearly Salary PI2cf69e8f8e7d-1726

Location: Mockingbird Towers 4th FLR PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for effective utilization and quality management of the health plan network. Supports the clinical activities of PCHP Utilization Management, Quality Management, Clinical Policy, Technology Assessment, Credentialing, Population Health and Fraud, Waste and Abuse Functions to assure comprehensive, high quality health care to plan members in accordance with managed care and PCHP policies. Monitors clinical care needed to produce optimal health outcomes and cost-effective care. MINIMUM SPECIFICATIONS Education Must have successfully completed an Accreditation Council for Graduate Medical Education (ACGME) or American Medical Association (AMA) approved residency in an appropriate specialty to the PCHP population. Master's degree in business administration, healthcare administration, or a related discipline preferred. Experience At least five (5) years of clinical practice experience in a specialty relevant to the care of PCHP members. Experience in the development of medical policies, procedures and programs is preferred. Qualifications to perform clinical oversight for the services provided by the health plan to include but not limited to education, training or professional experience in medical or clinical practice preferred. Past participation in a managed care UM committee preferred. Peer Review, medical policy/procedure development experience preferred. Experience in Utilization/Quality Program management preferred. Certification/Registration/Licensure Must be currently licensed for the practice of medicine in the State of Texas. Must meet and maintain licensing and registration requirements as required by the State of Texas for Managed Care Medical Directors. Board certification in the relevant specialty preferred. Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Working knowledge of managed care principles and Texas Medicaid Regulations is preferred. Must understand and demonstrate knowledge of principles of care coordination and collaboration, population health and social determinants of health, clinical evaluation of evidence-based care and value-based purchasing. Must be familiar with the role of pharmacy and behavioral health in managing health care. Ability to apply medical knowledge and principles to business challenges in order to achieve significant member, business, and quality outcomes. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Reviews prior authorization, concurrent, and pre-service and post-service appeals request for medical necessity and resolves grievances related to medical quality of care. Participates in identification and analysis of process improvement of jobs design, work processes, and workflows for the clinical area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the managed care delivery system and PCHP. Facilitates conformance to Medicaid, NCQA and other regulatory requirements. Provides clinical oversight for utilization management, disease management and quality management activities as assigned by the PCHP Chief Medical Officer or Medical Director including participation in development of medical policies and procedures for coverage and authorization and clinical standards and guidelines based on evidence-based medicine. As assigned by the Chief Medical Officer or Medical Director, serves as chairperson or member of managed care committees, and participates on various community and interdisciplinary committees. Performs peer to peer calls as necessary to support the utilization management process. Strategy Assists the Chief Medical Officer or Medical Director in oversight, evaluation, and administration of the clinical aspects of PCHP fraud, waste and abuse programs. Assists the Chief Medical Officer or the Medical Director and the Pharmacy Director of PCHP in overseeing and administering the pharmacy benefit for PCHP members including coordination of care between the Medical and Pharmacy benefits. Analyzes data to establish health care provider profiles and define acceptability of physician performance and evaluates the effectiveness of UM practices by actively monitoring for over and under-utilization. Participates in development, implementation, and monitoring of annual goals and objectives for PCHP that support the mission and objectives of Parkland. Participates in assessment of existing education programs offered to providers and members, developing and evaluating such programs, and provides implementation support for Quality Improvement activities. Quality Integrate health literacy principles into all communication including Members and Providers. Support strategies that meet clinical, quality and network improvement goals. Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develop processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. As assigned by the Chief Medical Officer or Senior Medical Director, assists in representing PCHP on clinical activities with relevant State and local bodies such as the Texas Department of Insurance, Texas Health and Human Services Commission, and Texas Medical Association. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Promote activities to achieve operational efficiency. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Professional Accountability Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values. Adheres to organizational policies, procedures, and guidelines. Completes assigned training, self-appraisal, and annual health requirements timely. Adheres to hybrid work schedule requirements. Attends required meetings and town halls. Recognizes and communicate ethical and legal concerns through the established channels of communication. Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information. Maintains confidentiality at all times. Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies. Job Accountabilities Identifies and analyzes the design of jobs, work processes, workflows, etc. for the area and implements appropriate changes to improve effectiveness, productivity, and efficiency that support the overall goals of the department and Parkland. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans . click apply for full job details

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Job Summary: The Executive Director of Nursing (EDON) is a registered professional nurse who provides leadership and management for five (5) to twenty (20) cost centers for a specific service line through the application of advanced competencies in communication; job knowledge, professionalism and business skills. This executive is a member of the chief nursing officer's or AVP Nursing's administrative team and serves as their designee for assigned responsibilities. This leader effectively partners with hospital leadership, medical staff and other departments to create a center of excellence for their service line and to meet the hospital's vision, mission and goals. This role has a range of approximately FTEs in a medium or large complex case setting that is 350 to 800 beds. This EDON also handles a budget with a range from 60 to 300 million dollars. The Executive Director of Nursing provides direct leadership for a group of nurse managers/directors or departments and who comprise their specialty service line. He/she is a standard bearer and holds leaders and staff accountable for the delivery of safe, quality care and services through effective communication, fiscal accountability, and employment of transformational leadership., instilling an accountability-based practice setting. The executive director of nursing serves as sponsor for performance improvement; inspires others to seek opportunities to grow and improve their performance and successful applies lean and evidenced based practice to ensure all targets pillar outcomes are achieved. This executive employs all safety first interventions and as the chief safety officer creates a culture of safety for his/her service line through the development/use of these skills by other leaders, physicians and staff. He/she effectively uses data and technology to make decisions and proactively mitigates unnecessary risks for his/her area of responsibility providing instruction and mentoring for assigned leaders to be able to do the same. This executive ensures that nurse managers and staff create a desirable, safe work environment that enables the organization to meet or exceed all licensure, regulatory and accreditation standards. He/She models the way by fostering exemplary skills in attaining effective teamwork and collaboration with physicians, staff, patients and other departments. It is expected that all Nurse Leaders are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. As a member of the patient services team, it is expected the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals. Core Responsibilities and Essential Functions: Exemplary Practice and Outcomes Holds self and staff to the highest professional standards and ethics ensuring corporate compliance standards etc. are met by leaders and staff. Is an active member of ones professional community and serves as a role model for professional nursing practice and nursing leadership advances the field through transformational executive leadership, support of shared governance, and scholarly activity Successfully works with the nurse administrators and supervisors to employ change management strategies and instills in self and others the curiosity to explore new knowledge and ideas. Priority clinical operations areas of focus: o Lead care teaming redesign across 65+ primary care locations o Oversee implementation of clinical quality programs as it relates to back office process and workflow o Act as SME for nursing process, policy, and procedure in the ambulatory setting, and support across the continuum o Development and oversight of ongoing annual learning programs for licensed and unlicensed staff including preceptorship o Support clinical competency of licensed and unlicensed staff o Lead continued development and implementation of nursing/clinical structure into clinical operations across all practice sites o Process owner/leader for Employee Health Covid Pathway for all Wellstar employees Resources and Support Engages leaders in decision- making and partners with others to promote patient centered care and service excellence while effectively providing leadership and management skills for a specific business/clinical unit, possesses strong and effective negotiation and mediation skills Serves to support the nursing administrators and supervisors to promote the effective running of the care delivery system and ensures that the clinical processes of care are working as intended. Serves as a resource for all leaders and accepts additional leadership responsibilities. Analyzes and manages financial resources; uses lean and other quality skills to reduce waste and improve performance of operations and clinical systems of care. Hires and develops an engaged team of leaders and staff that raises each others performance to achieve quality and safety goals Interdisciplinary Teamwork and Collaboration Effectively communicates to diverse audiences on nursing, health care and organizational issues and this includes the ability to set standards and holds leaders and staff accountable for performance standards. Proactively establishes a health work place by reducing unnecessary conflict - resolves it when necessary promotes and achieves positive team dynamics Establishes partnerships by employing strong relationship building skills with all hospital leaders and medical staff by striving to understand others (and situations) and keeping the long view in mind is fair and just using reflective practice skills to monitor self and leader performance/interaction skills exercising coaching and guiding skills Creates opportunities for self and leaders to grow professionally and implements a desirable workplace to recruit and retain talented leaders and staff Professional Development Seeks opportunities to advance knowledge and skills through formal and information education offerings to enhance ones understanding of how healthcare is financed and how to manage a diverse nursing workforce. Represents the organization positively to the community, building credibility and willingness to serve on committees and taskforces as needed to share knowledge and skill; champion a service line or need; and seeks opportunities to advance skill and scope of responsibilities Evidence Based Practice and Research Effectively identifies areas of improvement of leaders and clinical systems and sponsors projects to improve the same. Includes assuring nursing division meets or exceeds licensure, regulatory and accreditation standards. Applies the effective use of data and evidence to support decision making for clinical and operational responsibilities and demonstrates awareness of legal and ethical issues related to patient and staff data, information and confidentiality Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education: Either a Bachelors degree or a Masters degree in Nursing is required. Masters degree is required. Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact is required. BLS - Basic Life Support or BLS-I - Basic Life Support - Instructor is required. Additional License(s) and Certification(s): Currently licensed as a Registered Nurse in the State of Georgia or hold a privilege to practice in the State of Georgia under the Enhanced Nurse Licensure Compact (eNLC) is required. Must have a current BLS card from the American Heart Association on the first day of employment in position. National certification in nursing administration or clinical specialty is preferred. Required Minimum Experience: Minimum 10 years of experience as a Registered Nurse is required. and Minimum 5 years of progressive operational leadership in a manager or director level role is required. Required Minimum Skills: Should possess excellent verbal and written communication skills and relationship building a knowledge of the health care environment leadership that includes such skills as successfully implementing and managing a change process ability to use systems thinking- and inspire, coach others to be successful model the way for professional practice professionalism and teamwork/collaboration for self/department/medical staff and possess necessary business skills to manage human and material resources. Must be a continuous learner who understands health care financing strategy and operations for running a business unit(s) and effectively employ data and technology to support work processes and make decisions. Supports shared governance or shared decision making . click apply for full job details