14 jobs found

Job description No Brag, Just Fact! Over the last decade, we set out to be the world's greatest dialysis company, and over the next decade, we're poised to build the greatest healthcare community the world has ever seen. When you join the this company, you're joining a winning team. Through our commitment to training, growth and quality, we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally.   The  Corporate   Director, Healthcare Operations  leads the Licensure & Certification team's efforts related to the growth and maintenance of DaVita’s more than 3,000 facilities. This individual will be responsible for maintaining a positive working relationship with Federal and State agencies as well as internal Facility Administrators (FA), Group FA’s, Managing Individuals (MI’s), and various other...

Job description Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities. Essential Responsibilities: Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement.  Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures. Develops and implements action plans to improve staff development. Supervises a single unit (8 to 24 hours) of approximately 20 - 60+ employees. Monitors the allocation and utilization of personnel based on continual changes in patient population/needs and provides the best level of patient care while identifying savings opportunities. Supervises the daily unit operations, including human resources management, department and employee safety...

Job Location:  Strongly preferred in Denver, Colorado; Open to Remote for the right candidate   Travel Required:  10-20% (if remote).     Senior Manager, Healthcare Risk Adjustment Compliance    This is a leadership position responsible for several key areas of our day-to-day compliance program within this company's Integrated Kidney Care business unit, including: Risk adjustment compliance for CMMI and Medicare Advantage programs This company's IKC clinical operations and clinical IT/EHR compliance (e.g., clinical IT system design, implementation, and maintenance; and health information management (HIM), including medical records, and related medical documentation); Model of Care/clinical initiatives compliance; and Medicare Fee-for-service (MFFS) revenue cycle and billing compliance.   Responsibilities: Lead the compliance risk adjustment and FFS revenue cycle compliance monitoring and auditing plans,...

Job description In collaboration with the nurse manager, supervises the implementation, delivery and evaluation/improvement of quality patient care/nursing operations and services that add value and are integrated with nursing standards of practice, service priorities and performance/outcomes measures, as well as with departmental, business and organizational goals/objectives. Essential Responsibilities:  In collaboration with the nurse manager, supervises the delivery of nursing services and patient care within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization standards and performance measures.  Ensures that unit(s) services meet members', physician and internal clients' needs in a changing competitive health care market. Ensures patient care and quality standards are met and comply with federal, state, and local regulatory requirements and established...

Job description Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member's treatment program. Essential Responsibilities: Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups. Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer...

Job description Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member's treatment program. Essential Responsibilities: Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups. Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer...

Job description Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member treatment program. Essential Responsibilities: Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups. Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer...

Job description Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities. Essential Responsibilities: Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement.  Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures. Develops and implements action plans to improve staff development. Supervises a single unit (8 to 24 hours) of approximately 20 - 60+ employees. Monitors the allocation and utilization of personnel based on continual changes in patient population/needs and provides the best level of patient care while identifying savings opportunities. Supervises the daily unit operations, including human resources management, department and employee safety...

Job description Overview The Operations team at this company is responsible for the oversight of free-standing and hospital based medical group practices and successful market growth and development in a designated region. Practices include Neonatology, OBED/OB Hospitalist, PICU, Peds Hospitalist Programs, Pediatric Surgery, Pediatric Cardiology, Maternal Fetal Medicine, and OB/Gyn Practice for Women’s and Children’s Services.   Practice and market oversight includes strategic evaluation of the business, practice operations, leading the team and team member development, risk management, managing growth of the market/region, and negotiating and influencing collaborative outcomes with all constituencies. Successful results are dependent on all Operations team members participating in these activities and working together towards Organizational goals.   The operations team spans a spectrum of leadership that includes Operations Specialist, Operations...

Job description Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual members treatment program. Essential Responsibilities: Develops, implements, coordinates, and evaluates clinical treatment programs for the diagnosis, treatment, and/or referral of Health Plan members with acute or chronic mental illness. Participates in staff conferences to select, plan, and evaluate treatment programs. Provides outpatient psychotherapy to individuals, couples, families and groups. Instructs and counsels patients and their families regarding compliance with prescribed therapeutic regimens and adherence to prescribed medication regimens, within the scope of practice. May administer...

Job description In a Consultant-Liaison role, evaluates and diagnosis' Health Plan members seen in primary care who have mental disorders or behavioural conditions that affect or are a consequence of their medical condition. Essential Responsibilities: Utilizes principles of Health Psychology to develop implement, coordinate and evaluate treatment plans for referred members that may include crisis intervention, brief psychotherapy, psychoeducation groups and brief case management. Prepares concise intake evaluations and treatment plans, and maintains ongoing confidential progress records in accord with state and NCQA regulations. Provides education and support to members and their families to encourage compliance with medical and behavioural regimes. Co-manages medical conditions through the use of nonpharmacologic and behavioural interventions in order to leverage physician time and develop appropriate patterns of utilization. Administers and...

Job Summary Responsible for the strategic development of new Healthcare features for the key product areas that serve to strengthen traffic, customer experience, revenue growth and profitability for the Company. Creates complex new product design blueprints and/or specifications and translates them into user requirements that generate a finished high quality commercialized Healthcare product that provide the company with a passionate advantage. Works closely with the engineering team, other Product Managers and business stakeholders to define, develop, and deliver on Healthcare product priorities and ensure a effective rollout and utilization. Job Responsibilities • Supports multiple, complex product development projects, simultaneously, in support of the goals and goals of the Product Management function. Responsible for working closely with the tactical level and with peers cross-functionally and where applicable, the producer function to migrate creative product design...

Job description   JOB SUMMARY Reports to the Executive Director of Surgical and Trauma Services, along with collaborative leadership with the Trauma Medical Director. Responsible for a comprehensive trauma program at this company. Direct, plans and evaluates day-to-day functions to ensure that high-quality trauma services are provided. Responsible to provide oversight and ongoing compliance with the state trauma designation regulations and develops best practice process that are in accordance with state and federal regulations, accreditation and compliance requirements and organizational policy. The system consists of a Level II Trauma verification at Memorial Hospital in South Bend, Indiana and a Level III verification in Elkhart, Indiana. Develops and initiates business plans that align with system strategic goals related to growth and community/ regional support in trauma services (Pediatric Trauma and Trauma OP Clinic). Coordinates the activities of...

Job description Responsibilities Compliance Programs: 1. Assist in the administration of the Bank's Consumer Compliance Programs and Compliance Management Program. This includes creating and/or reviewing the Bank’s policies, standards, and procedures based on regulatory changes, internal audits, and/or examinations by regulatory agencies in coordination with the Compliance Officer. 2. Conduct detailed analysis of identified compliance mandates, changes, concerns, issues, internal or external compliance loss events, and self-identified issues and events.   Advise, lead, or provide support to the business on the adherence with compliance requirements related to process improvements, development of internal controls and monitoring, remediation or corrective action of compliance breakdowns, and changes in laws and regulations. Work with the applicable business owners to assign ownership of action plans; review and approve management’s action...