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WellMed, part of the Optum family of businesses, is seeking a Director of Clinical Services to join our team in Mcallen, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be whileCaring. Connecting. Growing together. The Director of Clinical Services is responsible for the management and supervision of all branch operations including home health for all GSTX markets. They will implement and maintain performance improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff and performs all functions in professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care. The Director of Clinical Services will assure consistent, appropriate, and cost effective care by actively managing patient / client needs, payer's expectations, company policy compliance, and agency financial objectives. They will maintain accountability for achieving financial targets / profitability for the operation by empowering and challenging people, recruiting and training the best people, delivering quality in everything they do, providing the right incentives, providing the resources people need, and creating an environment that enables people to be successful. Position Highlights & Primary Responsibilities: Directs the daily operations of the GSTX branches (Alice, Corpus Christi, McAllen, and El Paso) to ensure the provision of safe, quality, cost-effective care to patients that contributes to the financial success of the branch Regularly evaluates the services and care provided by the branches to ensure compliance with regulatory requirements, company policies and procedures and sound business practices Directs the recruitment, hiring, and development of sufficient clinical and non-clinical staff to ensure the delivery of safe and consistent quality care to all patient/clients 24/ 7 Assures that clinical caregivers have demonstrated the ability to perform accurate and complete assessments, communicate with physicians, plan for service delivery, plan for discharge, and make excellent professional decisions Directs or delegates the assignment of staff, monitoring of daily and weekly schedules, and the matching of caregiver qualifications to patient/client needs, Manage quality through patient/client care appraisals and employee supervision Directs and participates in care coordination activities that effectively coordinate communication regarding patient/client problems, needs, psychosocial and spiritual concerns, and implementation of an individualized, interrelated plan of care Manages documentation to ensure that the patient/client's clinical record meets legal and regulatory requirements, facilitates care, enhances the continuity of care, helps coordinate treatment and evaluation of the patient/client, and establishes medical necessity so payers will reimburse for the services that are provided Develops and maintains a working knowledge of all services and resources available within the company and the community. Directs staff to meet patient/client needs through the identification and use of all available resources Responsible for interfacing with intake to assure that patient/client's are not admitted for clinical service (case accepted) until they have received an assessment visit and a determination has been made that they are appropriate for home care Responsible for annual evaluations of staff according to company policy and procedures and federal/state regulations Directs ongoing skill evaluations to assure that the staff's abilities are consistent with the needs of individual patient/clients and the marketplace Supervises clinical and operational processes by managing staff and ensuring flow of information and documentation from inquiry through discharge of all patient/clients Provides support and documentation needed to facilitate reimbursement Assists with the development of an annual market assessment, budget, and business plan and monitors expenditures and adherence to company policies through the implementation of controls Assists the Vice President with assessing business opportunities and provides information on costs that can be used in determining the feasibility of pursuing local managed care opportunities. When directed, gathers information about marketplace pay and bill rates Schedules staff meetings to communicate with employees, caregivers when appropriate, regarding the needs and concerns of patient/clients and their families, referral sources, clinical updates, policy and procedure changes, and payer sources and the potential for business that these customers represent Discusses operational issues to identify issues that may compromise optimal service to customers Employs marketing and promotional efforts within the community to support the achievement of sales and earning objectives Effectively services all signed contracts Implements and maintains Quality Assurance Performance Improvement for the branch by participating in Quality Assessment and Improvement and CHAPs activities and assures participation of all appropriate staff Provides information that enables the collection and root-cause analysis of data to identify opportunities for improvement, develops/oversees the development and implementation of action plans that result in continuous quality improvement Oversees branch operations and makes adjustments where needed to increase the overall efficiency of the department Investigates complaints and incidents, and oversees and appropriate outcome/ resolution Submits reports on or before deadline dates Provides back up support and handles other functional role responsibilities, as required, to assure that operational needs are met Execute additional tasks and responsibilities as needed to contribute to the overall success and operational efficiency of the organization In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor degree in health or business administration required. (four additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's Degree) Registered Nurse with 6+ years of experience in clinical leadership / management role 2+ years of experience in a community health or home health setting Recent experience in acute care or home care (within last 2 years) Working knowledge of governmental home health agency regulations, Medicare (Medicaid, as required), regulations and company policies and procedures Solid organizational, communication, interpersonal skills and reliable transportation This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Demonstrated decision-making skills and solid judgment Bilingual speaking (English/Spanish) The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group . click apply for full job details

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment. Essential Responsibilities: Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use. Recommends alternative levels of care and ensures compliance with federal, state and local requirements. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet patients identified needs. Communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies. Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently. Participates in the Bed Huddles and carries out recommendations congruent with the patients needs. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families. Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities. Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred. Refers patients to community resources to meet post hospital needs. Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed. Participates in committees, teams or other work projects/duties as assigned. Basic Qualifications: Experience Two (2) years combined RN experience in an acute care setting or case management required. Education Completion of an accredited RN training program that allows graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.). Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills. Demonstrated ability in planning, organizing, conflict resolution and negotiating skills. Computer literacy skills required. Preferred Qualifications: Bachelors degree in nursing or healthcare related field. Notes: Every other weekend PrimaryLocation : California,Los Angeles,West Los Angeles Medical Center HoursPerWeek : 40 Shift : Day Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun WorkingHoursStart : 08:00 AM WorkingHoursEnd : 04:30 PM Job Schedule : Full-time Job Type : Standard Employee Status : Regular Employee Group/Union Affiliation : B21 AFSCME SCNSC Job Level : Individual Contributor Job Category : Nursing Licensed & Nurse Practitioners Department : West LA Medical Center - Utilization Management - 0801 Travel : No Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status. For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures. Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments. Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

WellMed, part of the Optum family of businesses, is seeking a Director of Clinical Services to join our team in Mcallen, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be whileCaring. Connecting. Growing together. The Director of Clinical Services is responsible for the management and supervision of all branch operations including home health for all GSTX markets. They will implement and maintain performance improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff and performs all functions in professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care. The Director of Clinical Services will assure consistent, appropriate, and cost effective care by actively managing patient / client needs, payer's expectations, company policy compliance, and agency financial objectives. They will maintain accountability for achieving financial targets / profitability for the operation by empowering and challenging people, recruiting and training the best people, delivering quality in everything they do, providing the right incentives, providing the resources people need, and creating an environment that enables people to be successful. Position Highlights & Primary Responsibilities: Directs the daily operations of the GSTX branches (Alice, Corpus Christi, McAllen, and El Paso) to ensure the provision of safe, quality, cost-effective care to patients that contributes to the financial success of the branch Regularly evaluates the services and care provided by the branches to ensure compliance with regulatory requirements, company policies and procedures and sound business practices Directs the recruitment, hiring, and development of sufficient clinical and non-clinical staff to ensure the delivery of safe and consistent quality care to all patient/clients 24/ 7 Assures that clinical caregivers have demonstrated the ability to perform accurate and complete assessments, communicate with physicians, plan for service delivery, plan for discharge, and make excellent professional decisions Directs or delegates the assignment of staff, monitoring of daily and weekly schedules, and the matching of caregiver qualifications to patient/client needs, Manage quality through patient/client care appraisals and employee supervision Directs and participates in care coordination activities that effectively coordinate communication regarding patient/client problems, needs, psychosocial and spiritual concerns, and implementation of an individualized, interrelated plan of care Manages documentation to ensure that the patient/client's clinical record meets legal and regulatory requirements, facilitates care, enhances the continuity of care, helps coordinate treatment and evaluation of the patient/client, and establishes medical necessity so payers will reimburse for the services that are provided Develops and maintains a working knowledge of all services and resources available within the company and the community. Directs staff to meet patient/client needs through the identification and use of all available resources Responsible for interfacing with intake to assure that patient/client's are not admitted for clinical service (case accepted) until they have received an assessment visit and a determination has been made that they are appropriate for home care Responsible for annual evaluations of staff according to company policy and procedures and federal/state regulations Directs ongoing skill evaluations to assure that the staff's abilities are consistent with the needs of individual patient/clients and the marketplace Supervises clinical and operational processes by managing staff and ensuring flow of information and documentation from inquiry through discharge of all patient/clients Provides support and documentation needed to facilitate reimbursement Assists with the development of an annual market assessment, budget, and business plan and monitors expenditures and adherence to company policies through the implementation of controls Assists the Vice President with assessing business opportunities and provides information on costs that can be used in determining the feasibility of pursuing local managed care opportunities. When directed, gathers information about marketplace pay and bill rates Schedules staff meetings to communicate with employees, caregivers when appropriate, regarding the needs and concerns of patient/clients and their families, referral sources, clinical updates, policy and procedure changes, and payer sources and the potential for business that these customers represent Discusses operational issues to identify issues that may compromise optimal service to customers Employs marketing and promotional efforts within the community to support the achievement of sales and earning objectives Effectively services all signed contracts Implements and maintains Quality Assurance Performance Improvement for the branch by participating in Quality Assessment and Improvement and CHAPs activities and assures participation of all appropriate staff Provides information that enables the collection and root-cause analysis of data to identify opportunities for improvement, develops/oversees the development and implementation of action plans that result in continuous quality improvement Oversees branch operations and makes adjustments where needed to increase the overall efficiency of the department Investigates complaints and incidents, and oversees and appropriate outcome/ resolution Submits reports on or before deadline dates Provides back up support and handles other functional role responsibilities, as required, to assure that operational needs are met Execute additional tasks and responsibilities as needed to contribute to the overall success and operational efficiency of the organization In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor degree in health or business administration required. (four additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's Degree) Registered Nurse with 6+ years of experience in clinical leadership / management role 2+ years of experience in a community health or home health setting Recent experience in acute care or home care (within last 2 years) Working knowledge of governmental home health agency regulations, Medicare (Medicaid, as required), regulations and company policies and procedures Solid organizational, communication, interpersonal skills and reliable transportation This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Demonstrated decision-making skills and solid judgment Bilingual speaking (English/Spanish) The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group . click apply for full job details

WellMed, part of the Optum family of businesses, is seeking a Director of Clinical Services to join our team in Mcallen, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be whileCaring. Connecting. Growing together. The Director of Clinical Services is responsible for the management and supervision of all branch operations including home health for all GSTX markets. They will implement and maintain performance improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff and performs all functions in professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care. The Director of Clinical Services will assure consistent, appropriate, and cost effective care by actively managing patient / client needs, payer's expectations, company policy compliance, and agency financial objectives. They will maintain accountability for achieving financial targets / profitability for the operation by empowering and challenging people, recruiting and training the best people, delivering quality in everything they do, providing the right incentives, providing the resources people need, and creating an environment that enables people to be successful. Position Highlights & Primary Responsibilities: Directs the daily operations of the GSTX branches (Alice, Corpus Christi, McAllen, and El Paso) to ensure the provision of safe, quality, cost-effective care to patients that contributes to the financial success of the branch Regularly evaluates the services and care provided by the branches to ensure compliance with regulatory requirements, company policies and procedures and sound business practices Directs the recruitment, hiring, and development of sufficient clinical and non-clinical staff to ensure the delivery of safe and consistent quality care to all patient/clients 24/ 7 Assures that clinical caregivers have demonstrated the ability to perform accurate and complete assessments, communicate with physicians, plan for service delivery, plan for discharge, and make excellent professional decisions Directs or delegates the assignment of staff, monitoring of daily and weekly schedules, and the matching of caregiver qualifications to patient/client needs, Manage quality through patient/client care appraisals and employee supervision Directs and participates in care coordination activities that effectively coordinate communication regarding patient/client problems, needs, psychosocial and spiritual concerns, and implementation of an individualized, interrelated plan of care Manages documentation to ensure that the patient/client's clinical record meets legal and regulatory requirements, facilitates care, enhances the continuity of care, helps coordinate treatment and evaluation of the patient/client, and establishes medical necessity so payers will reimburse for the services that are provided Develops and maintains a working knowledge of all services and resources available within the company and the community. Directs staff to meet patient/client needs through the identification and use of all available resources Responsible for interfacing with intake to assure that patient/client's are not admitted for clinical service (case accepted) until they have received an assessment visit and a determination has been made that they are appropriate for home care Responsible for annual evaluations of staff according to company policy and procedures and federal/state regulations Directs ongoing skill evaluations to assure that the staff's abilities are consistent with the needs of individual patient/clients and the marketplace Supervises clinical and operational processes by managing staff and ensuring flow of information and documentation from inquiry through discharge of all patient/clients Provides support and documentation needed to facilitate reimbursement Assists with the development of an annual market assessment, budget, and business plan and monitors expenditures and adherence to company policies through the implementation of controls Assists the Vice President with assessing business opportunities and provides information on costs that can be used in determining the feasibility of pursuing local managed care opportunities. When directed, gathers information about marketplace pay and bill rates Schedules staff meetings to communicate with employees, caregivers when appropriate, regarding the needs and concerns of patient/clients and their families, referral sources, clinical updates, policy and procedure changes, and payer sources and the potential for business that these customers represent Discusses operational issues to identify issues that may compromise optimal service to customers Employs marketing and promotional efforts within the community to support the achievement of sales and earning objectives Effectively services all signed contracts Implements and maintains Quality Assurance Performance Improvement for the branch by participating in Quality Assessment and Improvement and CHAPs activities and assures participation of all appropriate staff Provides information that enables the collection and root-cause analysis of data to identify opportunities for improvement, develops/oversees the development and implementation of action plans that result in continuous quality improvement Oversees branch operations and makes adjustments where needed to increase the overall efficiency of the department Investigates complaints and incidents, and oversees and appropriate outcome/ resolution Submits reports on or before deadline dates Provides back up support and handles other functional role responsibilities, as required, to assure that operational needs are met Execute additional tasks and responsibilities as needed to contribute to the overall success and operational efficiency of the organization In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor degree in health or business administration required. (four additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's Degree) Registered Nurse with 6+ years of experience in clinical leadership / management role 2+ years of experience in a community health or home health setting Recent experience in acute care or home care (within last 2 years) Working knowledge of governmental home health agency regulations, Medicare (Medicaid, as required), regulations and company policies and procedures Solid organizational, communication, interpersonal skills and reliable transportation This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Demonstrated decision-making skills and solid judgment Bilingual speaking (English/Spanish) The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group . click apply for full job details

WellMed, part of the Optum family of businesses, is seeking a Director of Clinical Services to join our team in Mcallen, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be whileCaring. Connecting. Growing together. The Director of Clinical Services is responsible for the management and supervision of all branch operations including home health for all GSTX markets. They will implement and maintain performance improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff and performs all functions in professional and ethical manner and collaborates with other members of the health care team to ensure quality patient care. The Director of Clinical Services will assure consistent, appropriate, and cost effective care by actively managing patient / client needs, payer's expectations, company policy compliance, and agency financial objectives. They will maintain accountability for achieving financial targets / profitability for the operation by empowering and challenging people, recruiting and training the best people, delivering quality in everything they do, providing the right incentives, providing the resources people need, and creating an environment that enables people to be successful. Position Highlights & Primary Responsibilities: Directs the daily operations of the GSTX branches (Alice, Corpus Christi, McAllen, and El Paso) to ensure the provision of safe, quality, cost-effective care to patients that contributes to the financial success of the branch Regularly evaluates the services and care provided by the branches to ensure compliance with regulatory requirements, company policies and procedures and sound business practices Directs the recruitment, hiring, and development of sufficient clinical and non-clinical staff to ensure the delivery of safe and consistent quality care to all patient/clients 24/ 7 Assures that clinical caregivers have demonstrated the ability to perform accurate and complete assessments, communicate with physicians, plan for service delivery, plan for discharge, and make excellent professional decisions Directs or delegates the assignment of staff, monitoring of daily and weekly schedules, and the matching of caregiver qualifications to patient/client needs, Manage quality through patient/client care appraisals and employee supervision Directs and participates in care coordination activities that effectively coordinate communication regarding patient/client problems, needs, psychosocial and spiritual concerns, and implementation of an individualized, interrelated plan of care Manages documentation to ensure that the patient/client's clinical record meets legal and regulatory requirements, facilitates care, enhances the continuity of care, helps coordinate treatment and evaluation of the patient/client, and establishes medical necessity so payers will reimburse for the services that are provided Develops and maintains a working knowledge of all services and resources available within the company and the community. Directs staff to meet patient/client needs through the identification and use of all available resources Responsible for interfacing with intake to assure that patient/client's are not admitted for clinical service (case accepted) until they have received an assessment visit and a determination has been made that they are appropriate for home care Responsible for annual evaluations of staff according to company policy and procedures and federal/state regulations Directs ongoing skill evaluations to assure that the staff's abilities are consistent with the needs of individual patient/clients and the marketplace Supervises clinical and operational processes by managing staff and ensuring flow of information and documentation from inquiry through discharge of all patient/clients Provides support and documentation needed to facilitate reimbursement Assists with the development of an annual market assessment, budget, and business plan and monitors expenditures and adherence to company policies through the implementation of controls Assists the Vice President with assessing business opportunities and provides information on costs that can be used in determining the feasibility of pursuing local managed care opportunities. When directed, gathers information about marketplace pay and bill rates Schedules staff meetings to communicate with employees, caregivers when appropriate, regarding the needs and concerns of patient/clients and their families, referral sources, clinical updates, policy and procedure changes, and payer sources and the potential for business that these customers represent Discusses operational issues to identify issues that may compromise optimal service to customers Employs marketing and promotional efforts within the community to support the achievement of sales and earning objectives Effectively services all signed contracts Implements and maintains Quality Assurance Performance Improvement for the branch by participating in Quality Assessment and Improvement and CHAPs activities and assures participation of all appropriate staff Provides information that enables the collection and root-cause analysis of data to identify opportunities for improvement, develops/oversees the development and implementation of action plans that result in continuous quality improvement Oversees branch operations and makes adjustments where needed to increase the overall efficiency of the department Investigates complaints and incidents, and oversees and appropriate outcome/ resolution Submits reports on or before deadline dates Provides back up support and handles other functional role responsibilities, as required, to assure that operational needs are met Execute additional tasks and responsibilities as needed to contribute to the overall success and operational efficiency of the organization In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor degree in health or business administration required. (four additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's Degree) Registered Nurse with 6+ years of experience in clinical leadership / management role 2+ years of experience in a community health or home health setting Recent experience in acute care or home care (within last 2 years) Working knowledge of governmental home health agency regulations, Medicare (Medicaid, as required), regulations and company policies and procedures Solid organizational, communication, interpersonal skills and reliable transportation This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Demonstrated decision-making skills and solid judgment Bilingual speaking (English/Spanish) The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group . click apply for full job details

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum Insight strives to be the nation's largest enabler of value-based performance, helping risk-bearing entities (payers, at-risk providers, ACOs, aggregators, and health systems) achieve outcomes across population health, VBC performance, affordability, quality optimization, and risk adjustment performance with best-in-class technology, industry expertise, and results-driven managed services. The Senior Director of Technology Product Management will provide strategic and technical product management and leadership to build software applications focused on VBC financial performance, contract performance, incentive frameworks, funds-flow, and provider performance. This role involves collaborating closely with solution owners, capability leads, engineering teams, and other stakeholders to define business cases, drive technology product strategy, and translate that strategy into detailed technical requirements for software prototyping and final development by the engineering team. The ideal candidate will be a well-rounded technology product manager who can leverage a strong background in software development, value-based care optimization, strategic product management, and healthcare analytics. They will excel in leading technology focused product management teams and managing cross-functional initiatives. Strong communication and presentation skills, along with the ability to work under tight deadlines while handling multiple tasks, are essential. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead development efforts to launch and scale AI-powered technology product solutions to meet evolving customer needs Drive multi-year software vision, strategy, and technology roadmaps tied to client outcomes for multiple interconnected technology products Lead a team of technology focused product managers to design to build market-leading, AI-first technology solutions Manage effective initiative, parent feature, feature, and user story creation to power effective program increment planning, agile development, and technology product releases Evaluate competitive software vendors, products, and capabilities to drive differentiated value propositions Conduct market outreach to validate assumptions around assumed high-value outcomes Evaluate market trends to proactively identify new opportunities expand product capabilities that drive increased market share Work closely with growth office and sales enablement to develop GTM models for new capabilities Drive alignment with relevant and matrix stakeholders on prioritized outcomes Facilitate synergies across the product suite targeted at shared buyers and user personas Lead detailed planning and success measurement to support capital planning efforts Provide oversight for end-to-end business cases and lead stakeholder alignment, including: Market sizing & growth projections Total cost estimation Governance reviews / leadership approvals High-level business requirements Business goals Operational workflow and outcomes Roadmap reviews Ethical and appropriate use of artificial intelligence Functional requirements Facilitate development of market sizing (including TAM, SAM, & SOM) to inform prioritization and estimate revenue growth Drive multi-year revenue and growth plan to achieve growth strategy Manage product financials, making product modifications/enhancements as needed to drive profitability and growth Grow and expand expertise within the technology product management team and other contributing teams You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 8+ years of professional experience in the healthcare, healthcare tech, or technology sectors 5+ years of technology product management and development role with experience in 2 of the following areas: New technology product development New technology product launches Technology roadmap creation Commercial technology and SaaS product development 5+ years in a role supporting VBC performance or Population Health optimization in any of the following areas: Payer contracting, provider contracting, MSSP performance, ACO performance, TCOC insights, population health program design, population health management, social determinants of health, population stratification, care management performance, financial and clinical risk identification, or VBC/quality incentive design 3+ years of experience building, leading, and managing highly matrixed, cross-functional initiatives, including a deep understanding of how to structure initiatives and all related operational functions Ability to travel up to 10% as needed Preferred Qualifications: 6+ years of experience managing full product profitability, including revenue, expense, depreciation, etc. 4+ years of experience building technologies that have compelling AI/ML based capabilities 4+ years of experience managing a team of product managers Continuous learning mindset to push the art of the possible with rapidly evolving artificial intelligence capabilities, including machine learning models, large language models, agentic AI, etc. Proven ability to lead product discovery work as well as to synthesize market findings into new product/enhancement ideas Demonstrated ability to work under tight deadlines and handle multiple/detail-oriented tasks Proven ability to drive alignment in matrixed organization Demonstrated ability to influence at all levels of the organization All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

KM & Gateway Residential Special Education Teacher Help Others, Make a Difference, Save a Life. Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated? You have a lot of choices in where you work make the decision to work where you are valued! Join the McNabb Center Team as the Katie Miller & Gateway Special Education Teacher today! The Katie Miller & Gateway Special Education Teacher Summary of position: The position will be responsible for the individual educational needs of the clients at Katie Miller & Gateway Academy including the special needs of students identified with Special Education certification and students with 504 plans. The Teacher will develop lesson plans, delegate tasks to the assistants, report progress to the Program Coordinator. This position will participate in treatment planning for the residents and utilize the behavioral system employed. This position will meet or exceed the expectations of DCS/Dept. of Education requirements to maintain school certification. The position will act as the Educational Liaison which requires the completion of education reports as well as communication with the liaison persons in the schools of the community as directed by the Interdepartmental Agreement between the Department of Children's Services and the Department of Education. TYPICAL WORKING CONDITIONS/ENVIRONMENT The Special Education Teacher position will be in a residential facility. JOB DUTIES/RESPONSIBILITIES This job description is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required. This organization reserves the right to revise or change job duties as the need arises. Moreover, management reserves the right to change job descriptions, job duties, or working schedules based on their duty to accommodate individuals with disabilities. This job description does not constitute a written or implied contract of employment. 1. Provide Educational needs of clients. a. Develop curriculum Provide 6.5 hrs of approved DOE curriculum each school day, including daily assignments for each student to gain grades and credits towards graduation. Grading and recording grades/providing students, therapist, parents, caseworkers progress reports and grade reports as stipulated by the Dept. of Education: 1 every 4-5 wks, every 9 wks, semester/18 wks. Completing transcripts documenting credits towards graduation within 2 weeks of course completion. Provide study guides towards GED. Transport clients to GED practice test and GED tests if necessary. Provide Special Education services for identified clients and complete an initial IEP within the first 30 days and review/evaluate the IEP every 45 days thereafter. (Special Education Certification) b. Classroom management Provide structure in the classroom that is conducive to learning. Monitor clients need for individual modifications and provide those modifications as evidenced by completion of initial testing within 7 days of admission, adherence to IEPs and 504 plans and written evaluation of progress every 4-5 weeks. 2. Meet DCS/DOE regulations for maintaining school certification and funding. a. Meet all DCS/DOE expectations. Assist in completing all school approval forms on a timely basis, meeting the deadlines of mid-October for the compliance, school calendar and teacher report form and June 1 for the summer agenda. Attend meetings and communicate with DCS/DOE personnel for consultation and monitoring. Supervise and coordinate Wellness and Living skills as part of each school day. Maintain all school records according to documentation standards and retain for 7 years (3 on site) as evidenced by annual audits. 3. Meet Title I/TACC regulations to maintain annual funding. a. Oversee/manage/assist the utilization of Title I funding. Complete the CPSR Student Data Sheet for every client at intake and then update at discharge. Assist with communicating if any inventory has been damaged with the Services Coordinator and/or Program Coordinator in order to ensure that inventory is kept current. b. Complete and maintain all required documentation according to Title I standards. Assist in completing Title I reports according to prescribed deadlines. Participate in appropriate use of all Title I funds and make recommendations for future use of such funds. 4. Organize and orchestrate school activities to mesh with treatment services. a. Provide reports of academic and behavioral progress. Provide academic and behavioral reports to treatment team/caseworkers/parents/guardians as evidenced by the completion of the weekly feedback form. Provide feedback to supervisor on a weekly basis as evidenced by clear communication of educational needs/issues and problem solving. b. Design class to support treatment services. Create rules in the classroom are consistent with program rules as evidenced by utilization of Re-Ed and documentation on each client's daily note. Assist with supervision while transitioning from one aspect of the program to another. 5. Supervise teacher/ teaching staff. a. Provide appropriate guidance to staff. Provide training during all-staff meetings, upon request Assist program counselors in the classroom enforce program rules. 6. Become a liaison between school systems to assist with community integration. In writing, notify school that the client has withdrawn from their school, within 3 days of admission. Request school records within 3 days (72 hours) of receipt of the ROI. Send grades, transcripts, educational passport and records with client and/or case manager upon discharge from the program, so the client can be re-enrolled in school more efficiently. If aware of the school the client is transitioning to and if necessary, fax appropriate documentation to the school, which includes any school records. 7. Professionalism a. Professional communication. Provide professional written communication to all parties involved in client's treatment as evidenced by the parent's letter, parent's rights, education survey and DOE's advocacy and regulations. Provide calm, clear and professional verbal communication with clients, staff, visitors, caseworkers, parents and all others. Document communication during meetings and phone conversations via phone contact note or IEP form. 8. Staff/Professional Development. a. Attend all required trainings. Maintain licensure by attending five days of in-service training per year. Attend/Complete all agency trainings and meetings required. Research and attend one other training annually that will increase knowledge and improve ability to do job. COMPENSATION: Starting salary for this position is approximately $51,615-$59,582/yr based on relevant experience and education. Schedule: The Special Education position will be an in-person daily attendance position. Travel: Must be able to transport clients in a personal vehicle or Center vehicle. Equipment/Technology: Basic computer skills are required for email, timekeeping, and documentation in the electronic medical record. Must possess knowledge in Microsoft word and Excel. QUALIFICATIONS - Katie Miller & Gateway Special Education Teacher Education/License: Possess a teaching certificate in the state of Tennessee. Must have a current special education certificate. Experience in a clinical setting. Bachelor's or Master's Experience / Knowledge: Working with children/youth/families. Prefer residential experience or exposure via internship. Understanding the educational expectations of DCS/DOE and Title I/TACF. Physical: Required to be certified in and adequately implement verbal and physical de-escalation techniques that include a wide range of bodily movements including but not limited to grasping, holding another person, going down on knees, running, and walking. Must be capable of driving clients to and from appointments, outing and other transportation needs. Must be able to lead students, staff effectively and utilize resources properly. Must be able to make sound judgment and utilize appropriate boundaries. Must be able to contribute to the therapeutic environment and provide feedback regarding the client's progress. Location: Knoxville & Louisville, Tennessee Apply today to work where we care about you as an employee and where your hard work makes a difference! Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics . click apply for full job details

Job Details Jefferson Moss-Magee Rehabilitation Hospital, a nationally recognized leader in physical medicine and rehabilitation, is seeking a board-certified/board-eligible PM&R physician to join our dynamic team. This position offers a mix of general inpatient rehabilitation care and outpatient clinical services, with opportunities to collaborate across disciplines and participate in education and clinical innovation. Job Description Provide comprehensive inpatient rehabilitation care in a CARF-accredited facility. Manage outpatient follow-up and general physiatry clinics. Collaborate closely with a multidisciplinary team of therapists, nurses, case managers, and specialists. Participate in teaching activities with residents and medical students if desired. Engage in quality improvement and patient safety initiatives. Optional participation in research and scholarly projects. Qualifications MD/DO Completion of an ACGME-accredited residency in Physical Medicine & Rehabilitation Board Certified or Board Eligible in PM&R Eligible for Medical licensure in Pennsylvania Commitment to patient-centered, evidence-based care What We Offer Competitive compensation and full benefits package Academic appointment at Sidney Kimmel Medical College (if applicable) Supportive and collegial environment within a top-ranked academic health system Access to leading rehabilitation technologies and facilities Institutional support for continuing education, teaching, and research About Jefferson Moss-Magee Rehabilitation Hospital Part of Jefferson Health, Moss-Magee is consistently ranked among the top rehabilitation hospitals in the country. We are committed to helping patients regain function and independence after injury, illness, or surgery, with a reputation for excellence in stroke, brain injury, spinal cord injury, and general rehabilitation care. Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 60 Township Line Road, Elkins Park, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.