About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The Surgical Systems Manager will play a critical role in maximizing the efficiency and utilization of operating room (OR) block time across Cooper Bone and Joint Institute, hospital based and affiliated ambulatory surgical center(s). This position will be responsible for ensuring optimal scheduling, minimizing lost revenue from underutilized OR time and analysis of costs per case, and implementing strategies to backfill unused time with cases from other providers within the institute. The Administrative Manager is an experienced and highly organized individual that will oversee the daily administrative operations within the Bone & Joint Institute. This role is central to ensuring smooth logistical coordination, staffing alignment, and effective communication across clinical and administrative teams. The Administrative Manager will: • Manage day-to-day administrative functions, including staffing coordination and operational support for the department. • Oversee daily operating room (OR) workflows, authorizations, and utilization metrics to minimize downtime and maximize efficiency. • Generate and analyze daily reports on OR utilization, volume, capacity, and workflow trends to support data-driven decision-making. • Provide daily oversight and leadership to administrative staff through the Lead Administrative Coordinator, ensuring high performance and accountability. • Facilitate seamless communication between administrative personnel, surgeons, and hospital departments to promote operational alignment and workflow optimization. • Supervise the prior authorization process, ensuring timely submission and resolution; escalate issues as needed to prevent delays in care delivery. This is a key leadership role for a detail-oriented professional who thrives in a fast-paced clinical environment and is committed to improving efficiency, coordination, and patient access within surgical operations. Manage day-to-day administrative functions, including staffing coordination and operational support for the department Oversee daily operating room (OR) workflows, authorizations for surgery/procedures, and utilization metrics to minimize downtime and maximize efficiency Generate and analyze daily reports on OR utilization, volume, capacity, and workflow trends to support data-driven decision making Provide daily oversight and leadership to administrative staff, ensuring high performance and accountability Facilitate seamless communication between administrative personnel, surgeons, and hospital departments to promote operational alignment and workflow optimization Supervise the prior authorization process, ensuring timely submission and resolution with escalation of challenges as needed to prevent delays in care Experience Required 0-2 Years required 3-5 Years preferred Education Requirements Associate degree or bachelor's Degree Required
07/14/2025
Full time
About us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description The Surgical Systems Manager will play a critical role in maximizing the efficiency and utilization of operating room (OR) block time across Cooper Bone and Joint Institute, hospital based and affiliated ambulatory surgical center(s). This position will be responsible for ensuring optimal scheduling, minimizing lost revenue from underutilized OR time and analysis of costs per case, and implementing strategies to backfill unused time with cases from other providers within the institute. The Administrative Manager is an experienced and highly organized individual that will oversee the daily administrative operations within the Bone & Joint Institute. This role is central to ensuring smooth logistical coordination, staffing alignment, and effective communication across clinical and administrative teams. The Administrative Manager will: • Manage day-to-day administrative functions, including staffing coordination and operational support for the department. • Oversee daily operating room (OR) workflows, authorizations, and utilization metrics to minimize downtime and maximize efficiency. • Generate and analyze daily reports on OR utilization, volume, capacity, and workflow trends to support data-driven decision-making. • Provide daily oversight and leadership to administrative staff through the Lead Administrative Coordinator, ensuring high performance and accountability. • Facilitate seamless communication between administrative personnel, surgeons, and hospital departments to promote operational alignment and workflow optimization. • Supervise the prior authorization process, ensuring timely submission and resolution; escalate issues as needed to prevent delays in care delivery. This is a key leadership role for a detail-oriented professional who thrives in a fast-paced clinical environment and is committed to improving efficiency, coordination, and patient access within surgical operations. Manage day-to-day administrative functions, including staffing coordination and operational support for the department Oversee daily operating room (OR) workflows, authorizations for surgery/procedures, and utilization metrics to minimize downtime and maximize efficiency Generate and analyze daily reports on OR utilization, volume, capacity, and workflow trends to support data-driven decision making Provide daily oversight and leadership to administrative staff, ensuring high performance and accountability Facilitate seamless communication between administrative personnel, surgeons, and hospital departments to promote operational alignment and workflow optimization Supervise the prior authorization process, ensuring timely submission and resolution with escalation of challenges as needed to prevent delays in care Experience Required 0-2 Years required 3-5 Years preferred Education Requirements Associate degree or bachelor's Degree Required
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
07/14/2025
Full time
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.
07/14/2025
Full time
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
07/14/2025
Full time
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
07/14/2025
Full time
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
07/14/2025
Full time
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
Summary Alameda Health System offers outstanding benefits that include: 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System Care Management manages the day-to-day operations of the inpatient Care Management across all AHS facilities, including post-acute care facility for ensuring efficient patient flow, beginning when a patient is admitted to the facility and ending with a safe and clinically appropriate discharge. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Accountable for Patient Care Coordination activities including system-wide Case Management, Care Coordination and Discharge Planning. Aligns Case Management with AHS strategic and operational objectives. Optimizes efficient care management/care coordination roles and processes, initiates process improvements. Develops, monitors and evaluates inpatient Care Management Metrics; manages the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to avoidable/variance days, readmissions, one-day stays, DRGs, LOS. Develops, maintains and implements Case Management policies, practices and procedures in accordance with CMS, CA DCHS, the Joint Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. Works closely with the VP of Care Management and Physician Advisors on any audits and secondary reviews; may include but not limited to direct and coordinate data gathering, chart audits and participants in internal and external meetings. Oversees educational needs and plan for inpatient Care Management division. Recruits, trains and coaches the management staff to assist them with performing optimally and provides appropriate discipline/structure; consults and assists Care Management managers with problem-solving with staffing, personnel issues, budget issues and resource management; reviews and evaluates management staff performance, initiates personnel transactions and meets hospital standards for performance evaluations. Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries, quality care and patient safety; oversees the inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors. Responsible for the coordination and support of the AHS Utilization Review Committee. Responsible for overseeing patient, physician and staff satisfaction based on quality outcomes and patient experience reporting; in conjunction with the Quality Leadership, identifies utilization issues affecting the quality of patient care. Provides AHS physicians, nursing and staff education including InterQual criteria methodology, resource management, medical necessity guidelines, payer sources, clinical outcome metrics, length of stay initiatives, readmission strategies, reimbursement rules and medical record documentation requirements. Serves as Content Expert/Liaison to community agencies, AHS and Non AHS primary care provider network and all AHS stakeholders across all AHS facilities (i.e. Nursing and Hospital Administrators) for provision of care and services across the continuum of care. In conjunction with department managers and/or supervisors coordinates, develops, and implements action plans to respond to areas felt to be in need of improvement related to patient flow and care coordination across the continuum. Assumes accountability for improving utilization metrics associated with department/unit and meeting organizational/departmental targets. Evaluates, plans, and executes changes in department procedures, equipment and supplies. Performs all other duties as assigned. MINIMUM QUALIFICATIONS: Required Education: Master's degree in Nursing or Master's degree in Social Work or related field. Required Experience: Seven to ten years of case management or quality experience in addition to progressive management experience in a large healthcare organization is required. Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners; active BLS - Basic Life Support Certification issued by the American Heart Association; CPI -Crisis Prevention Intervention Training; Other advanced life support certifications may be required per unit/department specialty according to patient care policies. Preferred Licenses/Certifications: Certification in Case Management, CCMC or ACM. Highland General Hospital SYS Care Coordination Full Time Varies Management FTE: 1
07/13/2025
Full time
Summary Alameda Health System offers outstanding benefits that include: 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System Care Management manages the day-to-day operations of the inpatient Care Management across all AHS facilities, including post-acute care facility for ensuring efficient patient flow, beginning when a patient is admitted to the facility and ending with a safe and clinically appropriate discharge. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. Accountable for Patient Care Coordination activities including system-wide Case Management, Care Coordination and Discharge Planning. Aligns Case Management with AHS strategic and operational objectives. Optimizes efficient care management/care coordination roles and processes, initiates process improvements. Develops, monitors and evaluates inpatient Care Management Metrics; manages the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to avoidable/variance days, readmissions, one-day stays, DRGs, LOS. Develops, maintains and implements Case Management policies, practices and procedures in accordance with CMS, CA DCHS, the Joint Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. Works closely with the VP of Care Management and Physician Advisors on any audits and secondary reviews; may include but not limited to direct and coordinate data gathering, chart audits and participants in internal and external meetings. Oversees educational needs and plan for inpatient Care Management division. Recruits, trains and coaches the management staff to assist them with performing optimally and provides appropriate discipline/structure; consults and assists Care Management managers with problem-solving with staffing, personnel issues, budget issues and resource management; reviews and evaluates management staff performance, initiates personnel transactions and meets hospital standards for performance evaluations. Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries, quality care and patient safety; oversees the inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors. Responsible for the coordination and support of the AHS Utilization Review Committee. Responsible for overseeing patient, physician and staff satisfaction based on quality outcomes and patient experience reporting; in conjunction with the Quality Leadership, identifies utilization issues affecting the quality of patient care. Provides AHS physicians, nursing and staff education including InterQual criteria methodology, resource management, medical necessity guidelines, payer sources, clinical outcome metrics, length of stay initiatives, readmission strategies, reimbursement rules and medical record documentation requirements. Serves as Content Expert/Liaison to community agencies, AHS and Non AHS primary care provider network and all AHS stakeholders across all AHS facilities (i.e. Nursing and Hospital Administrators) for provision of care and services across the continuum of care. In conjunction with department managers and/or supervisors coordinates, develops, and implements action plans to respond to areas felt to be in need of improvement related to patient flow and care coordination across the continuum. Assumes accountability for improving utilization metrics associated with department/unit and meeting organizational/departmental targets. Evaluates, plans, and executes changes in department procedures, equipment and supplies. Performs all other duties as assigned. MINIMUM QUALIFICATIONS: Required Education: Master's degree in Nursing or Master's degree in Social Work or related field. Required Experience: Seven to ten years of case management or quality experience in addition to progressive management experience in a large healthcare organization is required. Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners; active BLS - Basic Life Support Certification issued by the American Heart Association; CPI -Crisis Prevention Intervention Training; Other advanced life support certifications may be required per unit/department specialty according to patient care policies. Preferred Licenses/Certifications: Certification in Case Management, CCMC or ACM. Highland General Hospital SYS Care Coordination Full Time Varies Management FTE: 1
Summary SUMMARY: Provides direct patient care and education of social work related activities within the Palliative Care Program. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE : The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Works with the palliative leadership to coordinate social work services across the system and outpatient clinics. 2. Assesses risk and intervenes clinically to identify potential for complicated grief and explores anticipatory bereavement related to possible death and multiple aspects of loss and adaptation along the continuum of illness. 3. Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers and case managers, prompting continuity of care and primary palliative care, as well as safe and comprehensive care coordination and discharge planning as indicated. 4. Provides strengths-based, person and family centered, comprehensive psychosocial assessment 5. Serves as the liaison across the health care system regarding palliative care education and outreach. 6. Assists with program development for community outreach and caregiver support. 7. Assists palliative care clinicians in education across the system. 8. Provides training to social work staff on primary palliative care skills, goals of care conversations, and advanced care planning. 9. Performs other duties as assigned. Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. MINIMUM QUALIFICATIONS: Required Education: Master's degree in Social Work from an accredited college or university. Required Experience: Three years post-MSW experience. Preferred Experience: Three years experience within a Palliative Care or Hospice environment. Required Licenses/Certifications: Valid license as a Clinical Social Worker (LCSW) in the State of California. Preferred Licenses/Certifications: Professional certification in the area of Palliative Care. Highland General Hospital Palliative Care Full Time Day Care Management FTE: 1
07/13/2025
Full time
Summary SUMMARY: Provides direct patient care and education of social work related activities within the Palliative Care Program. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE : The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Works with the palliative leadership to coordinate social work services across the system and outpatient clinics. 2. Assesses risk and intervenes clinically to identify potential for complicated grief and explores anticipatory bereavement related to possible death and multiple aspects of loss and adaptation along the continuum of illness. 3. Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers and case managers, prompting continuity of care and primary palliative care, as well as safe and comprehensive care coordination and discharge planning as indicated. 4. Provides strengths-based, person and family centered, comprehensive psychosocial assessment 5. Serves as the liaison across the health care system regarding palliative care education and outreach. 6. Assists with program development for community outreach and caregiver support. 7. Assists palliative care clinicians in education across the system. 8. Provides training to social work staff on primary palliative care skills, goals of care conversations, and advanced care planning. 9. Performs other duties as assigned. Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. MINIMUM QUALIFICATIONS: Required Education: Master's degree in Social Work from an accredited college or university. Required Experience: Three years post-MSW experience. Preferred Experience: Three years experience within a Palliative Care or Hospice environment. Required Licenses/Certifications: Valid license as a Clinical Social Worker (LCSW) in the State of California. Preferred Licenses/Certifications: Professional certification in the area of Palliative Care. Highland General Hospital Palliative Care Full Time Day Care Management FTE: 1
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.
07/13/2025
Full time
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.
THIS POSITION IS LOCATED IN SIDNEY, NE Join our caring community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a skilled and compassionate full-time Registered Nurse to join our PACU team in Surgery. At SRMC, our patients are our number one priority. We aim to provide extraordinary care every single day by ensuring that our patients well-being comes first, but amazing patient care starts with YOU. Your knowledge and expertise will make all the difference! Loan Repayment: SRMC is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! We provide employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness. Why Us: Panhandle Hospitality: Bring your warmth and kindness to our patients with a smile. Close-Knit Team: Small community, big heart where every team member makes a difference. Meaningful Impact: Your dedication transforms lives and creates a supportive, caring environment. This position will be responsible for providing quality nursing care to patients being admitted for surgery and returning from surgery. This role focuses on assessment and preparation for the procedure and assisting patients through the transition from an anesthetized state to an awake condition. Ensuring patient safety during this vulnerable time is the responsibility of the perioperative registered nurse. Responsibilities: Ensure patients receive safe, quality care while in the pre-op and post-op phase of their encounter in compliance with established policies and procedures related to work schedule. Care for patients in pre-op teachings, pre-op holdings, and PACU. Restock blanket warmer, fluid warmer, patient bays, and complete daily supply order for PACU as needed. Assist in making and finalizing charts as needed. Assist with courtesy follow-up calls. The completion of the follow-up calls will be documented in the EMR. Assist with daily PACU charges to ensure completion. Demonstrate skills for the elements involved in first and secondary PACU recovery. Collect, evaluate, analyze, document, and prioritize pertinent patient data, identifying the full range of patient needs physical, psycho-social, spiritual, educational, and discharge. Conduct and document on patients through the EMR. Assist in making daily assignments as indicated for pre-op holding, recovery room, and pre-op teachings. Assist in adjusting schedule changes such as add-on cases, time changes, etc. Communicate concerns of patient care with Director of Surgery, Surgery Manager, and PACU Charge Nurse. Communicate effectively between patient, patient s family, physicians, and other staff members of the healthcare team. Coordinate and evaluate patient s care to ensure continuity. Demonstrate the completion of the PACU log book and discharge sheet. Identify and recognize abnormal symptoms/changes in patient s condition, established priorities, and take appropriate action. Informs and involves Director of Surgery regarding patient care issues in a timely and appropriate manner. Promote and ensure patient safety in performance of all responsibilities. Possess a working knowledge of medications and their correct administration, along with the signs and symptoms of side effects. Know and follow the 5 Rs of administration medications. Demonstrate proficient technical/clinical skills and operational knowledge of equipment in Surgical Care area. Utilizes proper body mechanics, transfer/lifting techniques, and appropriate equipment to minimize fall risk to the patient and injury to self. Other duties as assigned by management. Requirements: Graduate from an accredited Registered Nurse Nursing program. License as a Registered Nurse in the State of Nebraska. Graduate with an Associate Degree in Nursing (ADN) or Bachelor of Science (BSN) in Nursing. Prefer one year of Medical Surgical or ICU experience. New graduates considered. Basic Life Support (BLS) certification. Benefits: Generous paid time off. Education reimbursement opportunities. Growing 401(k) retirement program up to 5% company match. Comprehensive dental, vision, disability, and accident insurance. Insurance for critical illness, health, and life. Sidney Regional Medical Center is an EEO Employer/Vet/Disabled.
07/13/2025
Full time
THIS POSITION IS LOCATED IN SIDNEY, NE Join our caring community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a skilled and compassionate full-time Registered Nurse to join our PACU team in Surgery. At SRMC, our patients are our number one priority. We aim to provide extraordinary care every single day by ensuring that our patients well-being comes first, but amazing patient care starts with YOU. Your knowledge and expertise will make all the difference! Loan Repayment: SRMC is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! We provide employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness. Why Us: Panhandle Hospitality: Bring your warmth and kindness to our patients with a smile. Close-Knit Team: Small community, big heart where every team member makes a difference. Meaningful Impact: Your dedication transforms lives and creates a supportive, caring environment. This position will be responsible for providing quality nursing care to patients being admitted for surgery and returning from surgery. This role focuses on assessment and preparation for the procedure and assisting patients through the transition from an anesthetized state to an awake condition. Ensuring patient safety during this vulnerable time is the responsibility of the perioperative registered nurse. Responsibilities: Ensure patients receive safe, quality care while in the pre-op and post-op phase of their encounter in compliance with established policies and procedures related to work schedule. Care for patients in pre-op teachings, pre-op holdings, and PACU. Restock blanket warmer, fluid warmer, patient bays, and complete daily supply order for PACU as needed. Assist in making and finalizing charts as needed. Assist with courtesy follow-up calls. The completion of the follow-up calls will be documented in the EMR. Assist with daily PACU charges to ensure completion. Demonstrate skills for the elements involved in first and secondary PACU recovery. Collect, evaluate, analyze, document, and prioritize pertinent patient data, identifying the full range of patient needs physical, psycho-social, spiritual, educational, and discharge. Conduct and document on patients through the EMR. Assist in making daily assignments as indicated for pre-op holding, recovery room, and pre-op teachings. Assist in adjusting schedule changes such as add-on cases, time changes, etc. Communicate concerns of patient care with Director of Surgery, Surgery Manager, and PACU Charge Nurse. Communicate effectively between patient, patient s family, physicians, and other staff members of the healthcare team. Coordinate and evaluate patient s care to ensure continuity. Demonstrate the completion of the PACU log book and discharge sheet. Identify and recognize abnormal symptoms/changes in patient s condition, established priorities, and take appropriate action. Informs and involves Director of Surgery regarding patient care issues in a timely and appropriate manner. Promote and ensure patient safety in performance of all responsibilities. Possess a working knowledge of medications and their correct administration, along with the signs and symptoms of side effects. Know and follow the 5 Rs of administration medications. Demonstrate proficient technical/clinical skills and operational knowledge of equipment in Surgical Care area. Utilizes proper body mechanics, transfer/lifting techniques, and appropriate equipment to minimize fall risk to the patient and injury to self. Other duties as assigned by management. Requirements: Graduate from an accredited Registered Nurse Nursing program. License as a Registered Nurse in the State of Nebraska. Graduate with an Associate Degree in Nursing (ADN) or Bachelor of Science (BSN) in Nursing. Prefer one year of Medical Surgical or ICU experience. New graduates considered. Basic Life Support (BLS) certification. Benefits: Generous paid time off. Education reimbursement opportunities. Growing 401(k) retirement program up to 5% company match. Comprehensive dental, vision, disability, and accident insurance. Insurance for critical illness, health, and life. Sidney Regional Medical Center is an EEO Employer/Vet/Disabled.
Davis Street Clinic Full Time Hours: Monday-Friday, 8:30AM - 4:30PM Employed Loan Repayment Compensation: $125,000 - $135,000 Benefits: - 100% paid employee premium for Kaiser, Dental, Vision and Life Insurance plans.- 403(b) Retirement plans with matching contributions- Paid Time Off for vacation and illness- 12 Paid Holidays PLUS an additional paid birthday holiday- Employee Discount Program- Mission-driven company culture Additional Info: The Behavioral Health Manager oversees both clinical and administrative functions, including implementation of a substance abuse program, supervision of behavioral health staff, and provision of mental health services such as assessments, individual and group therapy, crisis intervention, and case management. Collaborates with medical teams to improve patient outcomes, ensures accurate documentation, supports billing optimization, and helps lead program growth. Must be a California-licensed LCSW, LMFT, LPCC, or Psychologist with AOD certification and at least 2 years of direct client care experience. Supervisory experience and community health/FQHC background preferred. Requires strong leadership, communication, and multitasking skills, as well as comfort working in a multicultural setting and using EHR systems. Commitment to Davis Street's mission is essential.
07/13/2025
Full time
Davis Street Clinic Full Time Hours: Monday-Friday, 8:30AM - 4:30PM Employed Loan Repayment Compensation: $125,000 - $135,000 Benefits: - 100% paid employee premium for Kaiser, Dental, Vision and Life Insurance plans.- 403(b) Retirement plans with matching contributions- Paid Time Off for vacation and illness- 12 Paid Holidays PLUS an additional paid birthday holiday- Employee Discount Program- Mission-driven company culture Additional Info: The Behavioral Health Manager oversees both clinical and administrative functions, including implementation of a substance abuse program, supervision of behavioral health staff, and provision of mental health services such as assessments, individual and group therapy, crisis intervention, and case management. Collaborates with medical teams to improve patient outcomes, ensures accurate documentation, supports billing optimization, and helps lead program growth. Must be a California-licensed LCSW, LMFT, LPCC, or Psychologist with AOD certification and at least 2 years of direct client care experience. Supervisory experience and community health/FQHC background preferred. Requires strong leadership, communication, and multitasking skills, as well as comfort working in a multicultural setting and using EHR systems. Commitment to Davis Street's mission is essential.
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades. Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. Position Summary: The individual in this position works under the direction of the RN and/or Social Worker to complete referrals for post-acute services for patients, and assists with tasks that do not require a clinical license or degree. The individual's responsibilities include the following activities: a) arrange post-discharge services; b) create and follow up on electronic referrals using the Tenet Case Management system; c) review patient choice letters with patients/families for required signatures; d) provide follow up Important Message to Medicare patients prior to discharge; e) communicate with patients, families and other members of the care team; f) complete tasks assigned by Case Manager and Social Work staff; g) make copies, send faxes and complete phone calls; h) complete process reviews or audits as requested; and i) other duties as assigned. Responsibilities Makes referrals for post-acute services under the direction of the RN Case Manager or Social Work (SW) staff, utilizing the electronic Tenet Case Management system. Provides patients and families with choices of post-acute providers per Tenet policy. Responds to post-acute providers timely, and completes referrals per Tenet policy. Documents and communicates all elements of the post-acute referral to the RN Case Manager or SW, and the healthcare team, patient/family and post-acute providers. Completes tasks as assigned by RN or LVN Case Manager and/or SW staff. Makes copies, send faxes, and complete phone calls to arrange post-acute services and to ensure that appropriate hospital information is communicated to post-acute providers. Documents all referrals and tasks in the Tenet Case Management system per Tenet policy. Provides patients and healthcare team information regarding resources and benefits available to the patient along with the economic impact of care options. Compliance- Adheres to federal, state, and local regulations and accreditation requirements impacting case management scope of services. Adheres to department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies. Qualifications: Education: Required: High school diploma or equivalent Experience: Required: 2 years of experience in clerical or healthcare field. Preferred: Acute hospital experience. Certification: Preferred: Paramedic, EMT, or Certified Nursing Assistant Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
07/13/2025
Full time
MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America's 100 Best Hospitals List by Healthgrades. Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. Position Summary: The individual in this position works under the direction of the RN and/or Social Worker to complete referrals for post-acute services for patients, and assists with tasks that do not require a clinical license or degree. The individual's responsibilities include the following activities: a) arrange post-discharge services; b) create and follow up on electronic referrals using the Tenet Case Management system; c) review patient choice letters with patients/families for required signatures; d) provide follow up Important Message to Medicare patients prior to discharge; e) communicate with patients, families and other members of the care team; f) complete tasks assigned by Case Manager and Social Work staff; g) make copies, send faxes and complete phone calls; h) complete process reviews or audits as requested; and i) other duties as assigned. Responsibilities Makes referrals for post-acute services under the direction of the RN Case Manager or Social Work (SW) staff, utilizing the electronic Tenet Case Management system. Provides patients and families with choices of post-acute providers per Tenet policy. Responds to post-acute providers timely, and completes referrals per Tenet policy. Documents and communicates all elements of the post-acute referral to the RN Case Manager or SW, and the healthcare team, patient/family and post-acute providers. Completes tasks as assigned by RN or LVN Case Manager and/or SW staff. Makes copies, send faxes, and complete phone calls to arrange post-acute services and to ensure that appropriate hospital information is communicated to post-acute providers. Documents all referrals and tasks in the Tenet Case Management system per Tenet policy. Provides patients and healthcare team information regarding resources and benefits available to the patient along with the economic impact of care options. Compliance- Adheres to federal, state, and local regulations and accreditation requirements impacting case management scope of services. Adheres to department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies. Qualifications: Education: Required: High school diploma or equivalent Experience: Required: 2 years of experience in clerical or healthcare field. Preferred: Acute hospital experience. Certification: Preferred: Paramedic, EMT, or Certified Nursing Assistant Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Parent Educator/Case Manager (CDCA) Requirements Associate arts or bachelor's degree in human service or behavioral science with one (1) year of experience in the field of chemical dependence or mental health treatment preferred. Valid State of Ohio Chemical Dependency Counselor Assistant (CDCA) certification preferred with one (1) year experience in the field of chemical dependency or adolescent treatment required. Parent Educator/Case Manager (CDCA) Benefits Salary commensurate with experience. Medical, vision, and dental insurance effective on your first day! Paid time off (PTO) starts accruing on your first day! 11 paid holidays. 403(b) Retirement Savings Plan. Free Workforce Development and CEU's. Tuition reimbursement. A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers. Equal Employment Opportunity (EEO). Parent Educator/Case Manager (CDCA) Job Description Unique opportunity to join Maryhaven, Central Ohio's largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team! We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. Under the direction of Clinical Supervisor, the Parent Educator will be responsible for alcohol, tobacco, and other drugs (ATOD) prevention for consumers in Union County. Compensation details: 20.2-20.2 Hourly Wage PI6e0d23ab5e61-1296
07/13/2025
Full time
Parent Educator/Case Manager (CDCA) Requirements Associate arts or bachelor's degree in human service or behavioral science with one (1) year of experience in the field of chemical dependence or mental health treatment preferred. Valid State of Ohio Chemical Dependency Counselor Assistant (CDCA) certification preferred with one (1) year experience in the field of chemical dependency or adolescent treatment required. Parent Educator/Case Manager (CDCA) Benefits Salary commensurate with experience. Medical, vision, and dental insurance effective on your first day! Paid time off (PTO) starts accruing on your first day! 11 paid holidays. 403(b) Retirement Savings Plan. Free Workforce Development and CEU's. Tuition reimbursement. A well-funded and managed non-profit organization driven not by the bottom line, but by helping its customers. Equal Employment Opportunity (EEO). Parent Educator/Case Manager (CDCA) Job Description Unique opportunity to join Maryhaven, Central Ohio's largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team! We remain driven by our value of excellence in quality care for all and fostering a culture that embraces dignity of all. Under the direction of Clinical Supervisor, the Parent Educator will be responsible for alcohol, tobacco, and other drugs (ATOD) prevention for consumers in Union County. Compensation details: 20.2-20.2 Hourly Wage PI6e0d23ab5e61-1296
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
07/12/2025
Full time
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
B. Braun Medical, Inc. Company: B. BRAUN MEDICAL (US) INC Job Posting Location: Allentown, Pennsylvania, United States, Atlanta, Georgia, United States, Baltimore, Maryland, United States, Baton Rouge, Louisiana, United States, Beltsville, Maryland, United States, Birmingham, Alabama, United States, Carrollton, Texas, United States, Chicago, Illinois, United States, Columbia, South Carolina, United States, Denver, Colorado, United States, Houston, Texas, United States, Las Vegas, Nevada, United States, Montgomery, Alabama, United States, Orlando, Florida, United States, Salem, Oregon, United States, Salt Lake City, Utah, United States, Springfield, Illinois, United States, St. Paul, Minnesota, United States Functional Area: Sales Working Model: Remote Days of Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 3831 B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap and CAPS . Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64 countries. Guided by its Sharing Expertise philosophy, B. Braun continuously exchanges knowledge with customers, partners and clinicians to address the critical issues of improving care and lowering costs. To learn more about B. Braun Medical, visit Position Summary: Responsibilities: Essential Duties Drive profitable sales growth through identifying new account targets, focused on mid-size provider groups, management companies and select non-acute locations of IDNs. Develop and maintain high level relationships with key customers, field sales organization of distribution partners and GPO representatives. Target and obtain new business opportunities by utilizing a deep understanding of non-acute healthcare markets, distribution, GPOs and pricing models. Develop and execute new business growth strategies by working in coordination with region managers, corporate accounts, acute care counterparts and senior sales leadership. Prepare and deliver quarterly updates to sales and marketing leadership. Create and deliver business reviews and sales presentations to key targets. Meets or exceeds organizational key performance indicators; sales, targets, quotas by managing account performance and redirect efforts with sales leadership as needed to meet goals. The job function listed is not exhaustive and shall also include any responsibilities as assigned by the Supervisor from time to time. General: It shall be the duty of every employee while at work to take reasonable care for safety and health of himself/herself and other persons. Expertise: Knowledge & Skills Requires advanced knowledge of professional field and industry. Influences the development of and drives the application of principles, theories, concepts. Determines best course of action. Works under general supervision. Relies on experience and judgement to plan and accomplish assigned goals. May periodically assist in orienting, training, and/or reviewing the work of other peers. Judgement is required in resolving complex problems based on experience. Interacts with internal and/or external clients and customers to negotiate and interpret information on projects and unit operations. May consult with senior management. Expertise: Qualifications -Education/Experience/Training/Etc Required: Bachelor's degree required 06-08 years related experience required. Frequent business travel required, Valid driver's license and passport While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 20 pounds. Responsibilities: Other Duties: The preceding functions have been provided as examples of the types of work performed by employees assigned to this position. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed in this description are representative of the knowledge, skill, and/or ability required. Management reserves the right to add, modify, change or rescind the work assignments of different positions due to reasonable accommodation or other reasons. Physical Demands: While performing the duties of this job, the employee is expected to: Light work - Exerting up to 20 lbs of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Lifting, Carrying, Pushing, Pulling and Reaching: Occasionally:Reaching upward and downward, Push/pull, Stand Frequently:Sit Constantly:N/A Activities: Occasionally:Push/pull, Reaching upward and downward, Seeing - depth perception, color vision, field of vision/peripheral, Standing, Walking Frequently:Finger feeling, Hearing - ordinary, fine distinction, loud (hearing protection required), Seeing - depth perception, color vision, field of vision/peripheral, Sitting , Talking - ordinary, loud/quick Constantly:N/A Environmental Conditions: Occasionally:N/A Frequently:N/A Constantly:N/A Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Noise Intensity:Moderate Occasionally: N/A Frequently:N/A Constantly:Office environment, Other $155,000 - $175,000 (Plus Incentive Compensation) The targeted range for this role takes into account a range of factors that are considered when making compensation and hiring decisions; included but not limited to: skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. Compensation decisions are dependent on the facts and circumstances of each case. The range provided is a reasonable estimate. It is an essential function of this position for an employee to be present and in-person at the physical site(s) of our customers and potential customers. Many of our customers and potential customers are in clinical settings, including, but not limited to, hospitals, clinics, and other health care clinics (hereinafter, "Healthcare Customers"). Many of our Healthcare Customers require outside vendors like us to present proof that they have certain requisite vaccinations and immunizations, including, but not limited to, vaccinations against COVID-19 and seasonal influenza, before being granted entry into the Healthcare Customers' clinical settings. To gain access to our Healthcare Customers clinical settings, field sales, field service, and other customer facing professionals are required to register with the vendor credentialing organization associated with the Healthcare Customers, complete the Healthcare Customers' required process, and undergo a series of clearances. Vendor credentialing clearances include, but are not limited to, a national criminal background check, drug screening, and immunizations as determined by the vendors, which may include, but are not limited to, Influenza, Hepatitis B Virus, and COVID-19. You must fully comply with the requirements of the Healthcare Customers in your region, including any necessary proof of any vaccination. As such, all individuals in this position assigned to a Healthcare Customer with a COVID-19, Influenza, Hepatitis B Virus, or other vaccination requirement must be fully vaccinated and/or immunized in accordance with the Healthcare Customers' requirements. B. Braun Medical North America Companies complies with the Americans with Disabilities Act (ADA) and applicable laws, and on receipt of an accommodation request will engage in the interactive process to assess possible reasonable accommodation options, if any, consistent with the ADA and applicable law. B. Braun offers an excellent benefits package, which includes healthcare, a 401(k) plan, and tuition reimbursement. To learn more about B. Braun and our safety healthcare products or view a listing of our employment opportunities, please visit us on the internet at . Through its "Sharing Expertise " initiative, B. Braun promotes best practices for continuous improvement of healthcare products and services. We are an equal opportunity employer. We evaluate applications without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran . click apply for full job details
07/12/2025
Full time
B. Braun Medical, Inc. Company: B. BRAUN MEDICAL (US) INC Job Posting Location: Allentown, Pennsylvania, United States, Atlanta, Georgia, United States, Baltimore, Maryland, United States, Baton Rouge, Louisiana, United States, Beltsville, Maryland, United States, Birmingham, Alabama, United States, Carrollton, Texas, United States, Chicago, Illinois, United States, Columbia, South Carolina, United States, Denver, Colorado, United States, Houston, Texas, United States, Las Vegas, Nevada, United States, Montgomery, Alabama, United States, Orlando, Florida, United States, Salem, Oregon, United States, Salt Lake City, Utah, United States, Springfield, Illinois, United States, St. Paul, Minnesota, United States Functional Area: Sales Working Model: Remote Days of Work: Friday, Thursday, Wednesday, Tuesday, Monday Shift: 5X8 Relocation Available: No Requisition ID: 3831 B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap and CAPS . Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64 countries. Guided by its Sharing Expertise philosophy, B. Braun continuously exchanges knowledge with customers, partners and clinicians to address the critical issues of improving care and lowering costs. To learn more about B. Braun Medical, visit Position Summary: Responsibilities: Essential Duties Drive profitable sales growth through identifying new account targets, focused on mid-size provider groups, management companies and select non-acute locations of IDNs. Develop and maintain high level relationships with key customers, field sales organization of distribution partners and GPO representatives. Target and obtain new business opportunities by utilizing a deep understanding of non-acute healthcare markets, distribution, GPOs and pricing models. Develop and execute new business growth strategies by working in coordination with region managers, corporate accounts, acute care counterparts and senior sales leadership. Prepare and deliver quarterly updates to sales and marketing leadership. Create and deliver business reviews and sales presentations to key targets. Meets or exceeds organizational key performance indicators; sales, targets, quotas by managing account performance and redirect efforts with sales leadership as needed to meet goals. The job function listed is not exhaustive and shall also include any responsibilities as assigned by the Supervisor from time to time. General: It shall be the duty of every employee while at work to take reasonable care for safety and health of himself/herself and other persons. Expertise: Knowledge & Skills Requires advanced knowledge of professional field and industry. Influences the development of and drives the application of principles, theories, concepts. Determines best course of action. Works under general supervision. Relies on experience and judgement to plan and accomplish assigned goals. May periodically assist in orienting, training, and/or reviewing the work of other peers. Judgement is required in resolving complex problems based on experience. Interacts with internal and/or external clients and customers to negotiate and interpret information on projects and unit operations. May consult with senior management. Expertise: Qualifications -Education/Experience/Training/Etc Required: Bachelor's degree required 06-08 years related experience required. Frequent business travel required, Valid driver's license and passport While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 20 pounds. Responsibilities: Other Duties: The preceding functions have been provided as examples of the types of work performed by employees assigned to this position. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed in this description are representative of the knowledge, skill, and/or ability required. Management reserves the right to add, modify, change or rescind the work assignments of different positions due to reasonable accommodation or other reasons. Physical Demands: While performing the duties of this job, the employee is expected to: Light work - Exerting up to 20 lbs of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Lifting, Carrying, Pushing, Pulling and Reaching: Occasionally:Reaching upward and downward, Push/pull, Stand Frequently:Sit Constantly:N/A Activities: Occasionally:Push/pull, Reaching upward and downward, Seeing - depth perception, color vision, field of vision/peripheral, Standing, Walking Frequently:Finger feeling, Hearing - ordinary, fine distinction, loud (hearing protection required), Seeing - depth perception, color vision, field of vision/peripheral, Sitting , Talking - ordinary, loud/quick Constantly:N/A Environmental Conditions: Occasionally:N/A Frequently:N/A Constantly:N/A Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Noise Intensity:Moderate Occasionally: N/A Frequently:N/A Constantly:Office environment, Other $155,000 - $175,000 (Plus Incentive Compensation) The targeted range for this role takes into account a range of factors that are considered when making compensation and hiring decisions; included but not limited to: skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. Compensation decisions are dependent on the facts and circumstances of each case. The range provided is a reasonable estimate. It is an essential function of this position for an employee to be present and in-person at the physical site(s) of our customers and potential customers. Many of our customers and potential customers are in clinical settings, including, but not limited to, hospitals, clinics, and other health care clinics (hereinafter, "Healthcare Customers"). Many of our Healthcare Customers require outside vendors like us to present proof that they have certain requisite vaccinations and immunizations, including, but not limited to, vaccinations against COVID-19 and seasonal influenza, before being granted entry into the Healthcare Customers' clinical settings. To gain access to our Healthcare Customers clinical settings, field sales, field service, and other customer facing professionals are required to register with the vendor credentialing organization associated with the Healthcare Customers, complete the Healthcare Customers' required process, and undergo a series of clearances. Vendor credentialing clearances include, but are not limited to, a national criminal background check, drug screening, and immunizations as determined by the vendors, which may include, but are not limited to, Influenza, Hepatitis B Virus, and COVID-19. You must fully comply with the requirements of the Healthcare Customers in your region, including any necessary proof of any vaccination. As such, all individuals in this position assigned to a Healthcare Customer with a COVID-19, Influenza, Hepatitis B Virus, or other vaccination requirement must be fully vaccinated and/or immunized in accordance with the Healthcare Customers' requirements. B. Braun Medical North America Companies complies with the Americans with Disabilities Act (ADA) and applicable laws, and on receipt of an accommodation request will engage in the interactive process to assess possible reasonable accommodation options, if any, consistent with the ADA and applicable law. B. Braun offers an excellent benefits package, which includes healthcare, a 401(k) plan, and tuition reimbursement. To learn more about B. Braun and our safety healthcare products or view a listing of our employment opportunities, please visit us on the internet at . Through its "Sharing Expertise " initiative, B. Braun promotes best practices for continuous improvement of healthcare products and services. We are an equal opportunity employer. We evaluate applications without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran . click apply for full job details
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Nurse Manager IV positions. Shift: M-F, CST Key Responsibilities: Provides assistance to the Program Manager of the Virtual Behavioral Health Program. The incumbent of this position assists with program oversight with daily operations that will develop, analyze, evaluate, advise and/or assist in devising solutions to improve the administrative health care delivery service process for the receipt of TBH services. The incumbent will assist in ensuring standardization and effectiveness of methods and procedures, organization, management controls, information and documentation systems. The incumbent will oversee and support the development and continued performance of the TBH mission as directed by the Government. Participates in or directs a wide variety of management functions, to include reports required to administer the TBH program. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Develop and implement local strategies using outpatient, onsite and telephonic CM. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Directly oversees the Nurse Case Management team along with providing clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active-Duty Service Members health needs to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Attends staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols. Performs other duties as assigned. Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. Board Certification: None Experience: One year of experience in nursing as identified in this PWS after graduation. Certifications in addition to Basic Life Support: None DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
07/12/2025
Full time
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Nurse Manager IV positions. Shift: M-F, CST Key Responsibilities: Provides assistance to the Program Manager of the Virtual Behavioral Health Program. The incumbent of this position assists with program oversight with daily operations that will develop, analyze, evaluate, advise and/or assist in devising solutions to improve the administrative health care delivery service process for the receipt of TBH services. The incumbent will assist in ensuring standardization and effectiveness of methods and procedures, organization, management controls, information and documentation systems. The incumbent will oversee and support the development and continued performance of the TBH mission as directed by the Government. Participates in or directs a wide variety of management functions, to include reports required to administer the TBH program. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Develop and implement local strategies using outpatient, onsite and telephonic CM. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Directly oversees the Nurse Case Management team along with providing clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active-Duty Service Members health needs to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Attends staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocols. Performs other duties as assigned. Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. Board Certification: None Experience: One year of experience in nursing as identified in this PWS after graduation. Certifications in addition to Basic Life Support: None DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit Registered Nurse Case Manager, Enterprise Tele-Behavioral Health Clinical Services Summary: In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Registered Nurse Case Manager positions. Shift: M-F, CST Key Responsibilities: Provide clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active Duty Service Members health needs in order to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Coordinate follow-up consult and care services for Service Members supported by the VMC. Participate in the identification of processes, systems, and practice metrics; and in determining measures of care outcomes for the population served. Screen all potential case management clients within established timeframe after identification for appropriateness/benefit of case management services to client and/or Institution. Introduce innovative nursing techniques, practices, and approaches in collaboration with health care providers to identify, assess, educate, plan, and coordinate care through programs designed to provide efficient, comprehensive and cost effective service for case managed patients. Coordinate with patient-focused multidisciplinary teams of clinicians to develop treatment time lines. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies, MTFs and organizations. Accurately collect and document patient care data in electronic healthcare record. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness. Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings. Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs. Contract nurses providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. Identify problems with health care access and utilization in both the military and civilian sectors and recommends alternatives to overcome these difficulties. Problem areas addressed may include admissions, outpatient visits, bill charges, acquisition of equipment and services, patient complaints and inquiries as well as population health, and quality improvement issues. Updates patients' charts/information within 72 business hours post appointment. Documentation for a high visibility or higher acuity patient shall be updated within COB to allow shared visibility to shared providers. HCW shall follow the SOP's duty limitations, weapons access assessments. Safety and notification is a multi-disciplinary approach using providers, provider extenders, and case management teams. This solution will focus on low to moderate safety risk patients allowing the Military Treatment Facility (MTF) to focus on the higher needs, specialty needs of Soldiers in person. Provider schedule will follow DHA requirement based on skill type (18-001 has the specifics). Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Certifications in addition to Basic Life Support Possess one of the following certifications: National Academy of Certified Care Managers: Care Manager Certified (CMC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Commission for Case Manager Certification Certified Case Manager (CCM) Experience: One year of experience in nursing after graduation. Board Certification: None Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
07/12/2025
Full time
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit Registered Nurse Case Manager, Enterprise Tele-Behavioral Health Clinical Services Summary: In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Registered Nurse Case Manager positions. Shift: M-F, CST Key Responsibilities: Provide clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active Duty Service Members health needs in order to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Coordinate follow-up consult and care services for Service Members supported by the VMC. Participate in the identification of processes, systems, and practice metrics; and in determining measures of care outcomes for the population served. Screen all potential case management clients within established timeframe after identification for appropriateness/benefit of case management services to client and/or Institution. Introduce innovative nursing techniques, practices, and approaches in collaboration with health care providers to identify, assess, educate, plan, and coordinate care through programs designed to provide efficient, comprehensive and cost effective service for case managed patients. Coordinate with patient-focused multidisciplinary teams of clinicians to develop treatment time lines. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies, MTFs and organizations. Accurately collect and document patient care data in electronic healthcare record. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness. Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings. Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs. Contract nurses providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. Identify problems with health care access and utilization in both the military and civilian sectors and recommends alternatives to overcome these difficulties. Problem areas addressed may include admissions, outpatient visits, bill charges, acquisition of equipment and services, patient complaints and inquiries as well as population health, and quality improvement issues. Updates patients' charts/information within 72 business hours post appointment. Documentation for a high visibility or higher acuity patient shall be updated within COB to allow shared visibility to shared providers. HCW shall follow the SOP's duty limitations, weapons access assessments. Safety and notification is a multi-disciplinary approach using providers, provider extenders, and case management teams. This solution will focus on low to moderate safety risk patients allowing the Military Treatment Facility (MTF) to focus on the higher needs, specialty needs of Soldiers in person. Provider schedule will follow DHA requirement based on skill type (18-001 has the specifics). Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Certifications in addition to Basic Life Support Possess one of the following certifications: National Academy of Certified Care Managers: Care Manager Certified (CMC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Commission for Case Manager Certification Certified Case Manager (CCM) Experience: One year of experience in nursing after graduation. Board Certification: None Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit Summary: In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Registered Nurse positions. The position is remote and candidates may work from their home in the US or US territory and will serve military members OCONUS. Shift: M-Th, 3:00PM-1:30AM CST or 3:00AM-1:30PM Key Responsibilities: Provide clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active Duty Service Members health needs in order to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Coordinate follow-up consult and care services for Service Members supported by the VMC. Participate in the identification of processes, systems, and practice metrics; and in determining measures of care outcomes for the population served. Screen all potential case management clients within established timeframe after identification for appropriateness/benefit of case management services to client and/or Institution. Introduce innovative nursing techniques, practices, and approaches in collaboration with health care providers to identify, assess, educate, plan, and coordinate care through programs designed to provide efficient, comprehensive and cost effective service for case managed patients. Coordinate with patient-focused multidisciplinary teams of clinicians to develop treatment time lines. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies, MTFs and organizations. Accurately collect and document patient care data in electronic healthcare record. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness. Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings. Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs. Contract nurses providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. Identify problems with health care access and utilization in both the military and civilian sectors and recommends alternatives to overcome these difficulties. Problem areas addressed may include admissions, outpatient visits, bill charges, acquisition of equipment and services, patient complaints and inquiries as well as population health, and quality improvement issues. Updates patients' charts/information within 72 business hours post appointment. Documentation for a high visibility or higher acuity patient shall be updated within COB to allow shared visibility to shared providers. HCW shall follow the SOP's duty limitations, weapons access assessments. Safety and notification is a multi-disciplinary approach using providers, provider extenders, and case management teams. This solution will focus on low to moderate safety risk patients allowing the Military Treatment Facility (MTF) to focus on the higher needs, specialty needs of Soldiers in person. Provider schedule will follow DHA requirement based on skill type (18-001 has the specifics). Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Certifications in addition to Basic Life Support Possess one of the following certifications: National Academy of Certified Care Managers: Care Manager Certified (CMC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Commission for Case Manager Certification Certified Case Manager (CCM) Experience: One year of experience in nursing after graduation. Board Certification: None Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
07/12/2025
Full time
Mahalo for your interest in this role! Please see the full position description below and click Start Your Application when ready. For more information about DAWSON, please visit Summary: In support of DAWSON's Enterprise Tele-Behavioral Health Clinical Services contract with the Defense Health Agency (DHA), we are seeking qualified candidates to fill our Registered Nurse positions. The position is remote and candidates may work from their home in the US or US territory and will serve military members OCONUS. Shift: M-Th, 3:00PM-1:30AM CST or 3:00AM-1:30PM Key Responsibilities: Provide clinical nursing, administrative and organizational skills in managing the continuity of care for the beneficiary populations supported through the Virtual Medical Center (VMC). Conduct comprehensive assessments of Active Duty Service Members health needs in order to develop a plan of care. Plan with the patient, the family, the physician/provider, other healthcare providers, the payer, and the community to maximize healthcare response and quality cost effective outcomes. Facilitate communication and coordination between members of the healthcare team. Educate both the patient and members of the healthcare delivery team about case management, healthcare and treatment options, community resources, insurance benefits, psychosocial concerns, etc., so that informed decisions can be made. Engage in problem solving, exploring options to care when available and alternative plans when necessary to achieve desired outcomes. Encourage appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness. Empower patients and serve as an advocate for both patients and the healthcare team to facilitate positive outcomes. Coordinate follow-up consult and care services for Service Members supported by the VMC. Participate in the identification of processes, systems, and practice metrics; and in determining measures of care outcomes for the population served. Screen all potential case management clients within established timeframe after identification for appropriateness/benefit of case management services to client and/or Institution. Introduce innovative nursing techniques, practices, and approaches in collaboration with health care providers to identify, assess, educate, plan, and coordinate care through programs designed to provide efficient, comprehensive and cost effective service for case managed patients. Coordinate with patient-focused multidisciplinary teams of clinicians to develop treatment time lines. Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care. Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes. Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM. Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources. Integrate CM and utilization management (UM) and integrating nursing case management with social work case management. Maintain liaison with appropriate community agencies, MTFs and organizations. Accurately collect and document patient care data in electronic healthcare record. Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness. Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings. Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs. Contract nurses providing services under this contract shall perform the same clinical duties as those required of any military or government civil service nurse of similar experience assigned to the same unit. Identify problems with health care access and utilization in both the military and civilian sectors and recommends alternatives to overcome these difficulties. Problem areas addressed may include admissions, outpatient visits, bill charges, acquisition of equipment and services, patient complaints and inquiries as well as population health, and quality improvement issues. Updates patients' charts/information within 72 business hours post appointment. Documentation for a high visibility or higher acuity patient shall be updated within COB to allow shared visibility to shared providers. HCW shall follow the SOP's duty limitations, weapons access assessments. Safety and notification is a multi-disciplinary approach using providers, provider extenders, and case management teams. This solution will focus on low to moderate safety risk patients allowing the Military Treatment Facility (MTF) to focus on the higher needs, specialty needs of Soldiers in person. Provider schedule will follow DHA requirement based on skill type (18-001 has the specifics). Qualifications: Degree/Education: Baccalaureate Degree of Nursing from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE) or as otherwise outlined in this PWS. Certifications in addition to Basic Life Support Possess one of the following certifications: National Academy of Certified Care Managers: Care Manager Certified (CMC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC) National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC) American Board for Occupational Health Nurses Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse-Specialist (COHN-S) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Commission for Case Manager Certification Certified Case Manager (CCM) Experience: One year of experience in nursing after graduation. Board Certification: None Licensure/Registration: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in this PWS. DAWSON is an Equal Opportunity/VEVRAA federal contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. DAWSON offers a best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and AD&D insurance; an Employee Assistance Program; and a flexible work environment. Additionally, employees can choose from several voluntary benefits including critical illness coverage; accident insurance; identity theft coverage; pet insurance, and more. DAWSON gives preference to internal candidates. If no internal candidate meets our qualifications, external candidates will be given consideration.
Thomas Jefferson University and Jefferson Health
Elkins Park, Pennsylvania
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.
07/12/2025
Full time
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.
SUMMARY: The Director of Peer Services is responsible for enhancing and improving client and alumni engagement with Santa Fe Recovery Center across all Residential, Recovery House, and Bridge Houses programs. Under the direction of the Chief Clinical Officer, the Director will oversee a wide range of support initiatives for current clients and client alumni, including developing, coordinating, and promoting programs and projects to engage recovering individuals through shared recovery support. The Director of Peer Services will also work closely with the Director of Crisis Services in support of the Mobile Crisis Team. In addition, the Director will assist with client resource information and referrals, personal advocacy, facilitating support groups, conducting wellness activities, and providing emotional support. The Director will work collaboratively with SFRC staff, partnering organizations, and local and state service providers and networks. This role requires the ability to engage with clients in daily activities and provide recovery support for individuals receiving treatment in the Residential Programs. REPORTING: Reports to the Chief Clinical Officer POSITIONS SUPERVISED: Recovery Advocates (Peer Support Workers) DUTIES AND RESPONSIBILITIES: Coordinate recovery meetings for individuals in the residential facilities (both on and off-campus). Provide initial and ongoing training to peer support workers and promote a trauma informed culture within the larger organization. Develop and implement a peer support network across the larger SFRC organization. Facilitate recovery-focused groups across all programs. Plan, manage and facilitate experiential groups in coordination with other departments. Collaborate with the clinical team to develop curriculum around life skills and experiential therapies. Supervise and coach Recovery Advocates. Partner with Director of Crisis Services on Peer Respite and Mobile Crisis Teams Partner with Residential Associate Supervisors to train staff on a peer approach to client experience and engagement. Build and maintain the Alumni Association. Establish and maintain alumni support tools. Provide guidance on the meaning of abstinence and promote long-term recovery. Lead by example, actively participating in recovery. Educate client and alumni participants on behavioral health, promoting healthy resources, and daily skills training to ensure high-quality, person-centered care. Promote healthy living to current and former clients of SFRC. Uphold participant confidentiality in accordance with company policies and procedures and local, state, and federal laws and regulations. Maintain case files and other required documentation according to agency policies. Liaise with community services to assist clients with identified goals and needs. Liaise with family, friends, partners, and external resources to create a supportive environment and ensure continuity of care. Manage grants associated with alumni programming or clients transitioning out of treatment. Implement outreach initiatives through community engagement and evidence-based or innovative, evidence-informed models. Collaborate with SFRC case managers and the follow-up program manager to link clients with the SFRC Community Alumni. Assist the admissions team to ensure all participating clients utilize applicable benefits to pay for services. Perform other duties as assigned. PM21 Skills/Knowledge/Abilities: Ability to react calmly and effectively in emergency or crisis situations. Ability to solve unexpected problems as they arise while considering liability, precedence, programmatic implications, and other possible future impacts on the program, services, or organization. Ability to maintain effective working relationships with all levels within the organization and with external stakeholders. Ability to communicate clearly and accurately, both verbally and in writing. Ability to exercise tact, patience, and discretion when dealing with residents, families, staff, and the public. Ability to relate with understanding and kindness to residents and their families. Ability to keep observations, conversations, and information confidential. Computer experience, knowledge of, or demonstrated ability to learn Access, Word, and electronic medical records (InSync). Must be computer literate in order to effectively maintain compliance with licensing and certification standards and requirements for use of computerized client records and data systems. 10. Must be self-motivated, and able to work well both independently and cooperatively and proven success working as an engaged member of a team. 11. Must be able to travel in support of SFRC's development and/or outreach activities. 12. Work is performed in an office environment, desk job, with attendance required for outside activities including fundraising events, special events, community activities, and activities at other job-related venues 13. Ability to work unsupervised, reflecting initiative and flexibility in starting projects and bringing projects to successful completion in a timely manner 14. Ability to work occasional evening and weekend ho Education and Experience: 1. New Mexico Certified Peer Support Worker (Associate's Degree in Counseling is preferred) 2. Be able to manage personal wellness. 3. High School Diploma or GED. 4. Ability to communicate clearly and accurately, both verbally and in writing. 5. Must be computer literate to effectively maintain compliance with licensing and certification standards. 6. Must have and maintain a current, valid NM Driver's License. Must provide and maintain a clean driving record, as well as auto insurance. 7. Maintain CPR and First Aid certification cards on file. 8. Bi-lingual/Bi-cultural preferred (English/Spanish). PI-0041
07/11/2025
Full time
SUMMARY: The Director of Peer Services is responsible for enhancing and improving client and alumni engagement with Santa Fe Recovery Center across all Residential, Recovery House, and Bridge Houses programs. Under the direction of the Chief Clinical Officer, the Director will oversee a wide range of support initiatives for current clients and client alumni, including developing, coordinating, and promoting programs and projects to engage recovering individuals through shared recovery support. The Director of Peer Services will also work closely with the Director of Crisis Services in support of the Mobile Crisis Team. In addition, the Director will assist with client resource information and referrals, personal advocacy, facilitating support groups, conducting wellness activities, and providing emotional support. The Director will work collaboratively with SFRC staff, partnering organizations, and local and state service providers and networks. This role requires the ability to engage with clients in daily activities and provide recovery support for individuals receiving treatment in the Residential Programs. REPORTING: Reports to the Chief Clinical Officer POSITIONS SUPERVISED: Recovery Advocates (Peer Support Workers) DUTIES AND RESPONSIBILITIES: Coordinate recovery meetings for individuals in the residential facilities (both on and off-campus). Provide initial and ongoing training to peer support workers and promote a trauma informed culture within the larger organization. Develop and implement a peer support network across the larger SFRC organization. Facilitate recovery-focused groups across all programs. Plan, manage and facilitate experiential groups in coordination with other departments. Collaborate with the clinical team to develop curriculum around life skills and experiential therapies. Supervise and coach Recovery Advocates. Partner with Director of Crisis Services on Peer Respite and Mobile Crisis Teams Partner with Residential Associate Supervisors to train staff on a peer approach to client experience and engagement. Build and maintain the Alumni Association. Establish and maintain alumni support tools. Provide guidance on the meaning of abstinence and promote long-term recovery. Lead by example, actively participating in recovery. Educate client and alumni participants on behavioral health, promoting healthy resources, and daily skills training to ensure high-quality, person-centered care. Promote healthy living to current and former clients of SFRC. Uphold participant confidentiality in accordance with company policies and procedures and local, state, and federal laws and regulations. Maintain case files and other required documentation according to agency policies. Liaise with community services to assist clients with identified goals and needs. Liaise with family, friends, partners, and external resources to create a supportive environment and ensure continuity of care. Manage grants associated with alumni programming or clients transitioning out of treatment. Implement outreach initiatives through community engagement and evidence-based or innovative, evidence-informed models. Collaborate with SFRC case managers and the follow-up program manager to link clients with the SFRC Community Alumni. Assist the admissions team to ensure all participating clients utilize applicable benefits to pay for services. Perform other duties as assigned. PM21 Skills/Knowledge/Abilities: Ability to react calmly and effectively in emergency or crisis situations. Ability to solve unexpected problems as they arise while considering liability, precedence, programmatic implications, and other possible future impacts on the program, services, or organization. Ability to maintain effective working relationships with all levels within the organization and with external stakeholders. Ability to communicate clearly and accurately, both verbally and in writing. Ability to exercise tact, patience, and discretion when dealing with residents, families, staff, and the public. Ability to relate with understanding and kindness to residents and their families. Ability to keep observations, conversations, and information confidential. Computer experience, knowledge of, or demonstrated ability to learn Access, Word, and electronic medical records (InSync). Must be computer literate in order to effectively maintain compliance with licensing and certification standards and requirements for use of computerized client records and data systems. 10. Must be self-motivated, and able to work well both independently and cooperatively and proven success working as an engaged member of a team. 11. Must be able to travel in support of SFRC's development and/or outreach activities. 12. Work is performed in an office environment, desk job, with attendance required for outside activities including fundraising events, special events, community activities, and activities at other job-related venues 13. Ability to work unsupervised, reflecting initiative and flexibility in starting projects and bringing projects to successful completion in a timely manner 14. Ability to work occasional evening and weekend ho Education and Experience: 1. New Mexico Certified Peer Support Worker (Associate's Degree in Counseling is preferred) 2. Be able to manage personal wellness. 3. High School Diploma or GED. 4. Ability to communicate clearly and accurately, both verbally and in writing. 5. Must be computer literate to effectively maintain compliance with licensing and certification standards. 6. Must have and maintain a current, valid NM Driver's License. Must provide and maintain a clean driving record, as well as auto insurance. 7. Maintain CPR and First Aid certification cards on file. 8. Bi-lingual/Bi-cultural preferred (English/Spanish). PI-0041