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RN Health Services Director

Company: WPA Staffing Solutions, LLC
Location: Springfield
Posted on: September 13, 2019

Job Description:

RN Health Services Director Description Industry: Healthcare / Health Services Job Category: Medical / Health - Other Medical / Health This is an exceptional opportunity to do innovative work that means more to you and those we serve. We is entering a new growth phase, as a proven care delivery model for high-risk patients.We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.We build and lead health plans and clinical teams to care for the most complex patients, serving over 100,000 patients in seven states across Medicare, Medicaid, and soon, commercial populations.We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience.We are looking for individuals who are passionate about disrupting the status quo in healthcare; who are highly motivated, focused, and can bring strong business skills to take to the next level of impact and growth. The Health Services Director, (Connecticut) reports to a General Manager and is responsible for ensuring the effectiveness of day-to-day clinical operations for high-risk, home-based primary care model. The successful candidate will be responsible for building clinical operations from start-up through to sustainability and ongoing optimization. The role includes defining and operationalizing processes, tools, and systems that will support high-quality, effective, and efficient operations of home-based primary care model. In addition, the Director is responsible for geographic alignment of teams to best serve patients and develop relationships with healthcare stakeholders across health plan case management, community-based providers, and other collaborative community organizations. Central to this work will be the ability to own and advance a portfolio of clinical operations initiatives from inception through delivery. Initiatives fall within an operational plan and include objectives across patient access and engagement; comprehensive care; and care continuity. The Health Services Director will work closely with peers in Primary Care and Collaborations division to gather and leverage best practice, while acting as a central coordination point within the mobile care team to help ensure clinical performance goals. The role requires a strong foundation in interdisciplinary team-based care, with experience in mobile care delivery and / or home care operations a plus. While the role does not require extensive payor (health insurance) operations experience, a foundation in care delivery operations for managed complex, senior populations such as Duals and / or Medicare Advantage is a plus. Service areas will include New Haven and Hartford counties, and additional markets may be added as continues to grow. Core Competencies: Hands-on clinical operations experience (including team performance management and development; patient and community engagement; and mobile care delivery operations, among other functions), preferably managing in the primary care / outpatient setting, or in the home-based setting Strong belief in and passion for comprehensive clinical model and care philosophy Ability to work in an agile start-up environment, including the ability to drive results within ambiguous settings Track record of building commitment to shared goals among teams with diverse skill sets Ability to drive and maintain a far-ranging operational plan, including near- and long-term prioritization, KPIs, and visibility into tracking and results A foundation in analytic tools to support measurement and assessment of key clinical improvement and process metrics Demonstration of a continuous innovation mindset Experience in managed care for complex populations (Medicare Advantage populations preferred) Work location: New Haven and Hartford Counties, CT (50% Field-Based and 50% Office Estimated) Position requires some travel to leverage best practice from existing markets and support General Manager in progress report-outs. Essential Duties and Responsibilities Manage the day to day operations, development and implementation of care planning through clinical support staff. Provide oversight and use of reports to identify focus areas for action, training and improvement activity. Manage processes for incoming patient calls, inventory of medical supplies, regulatory compliance regarding CLIA, Waste Disposal and compliance with HIPPA Own and maintain a portfolio ofclinical operations initiatives and monthly dashboard Administer home-based primary care logistics model (including scheduling of visit types and operational oversight for mobile care teams) Lead and guide a team of clinical partners and case manager staff (8 in year 1) to maximum performance Drive clinical outcomes goals working closely with physician leadership in a manner that lives up to legacy and standards, as well as to deliver Medicare Advantage goals commensurate with CMS HEDIS and Quality expectations Analyze operational data to uncover performance issues and leading the execution of improvement opportunities Demonstrate leadership behaviors in accordance withvalues and culture Minimum Qualifications Strong leadership and collaborative style people management skills Strong operations experience Current RN License or Bachelor's of Science in Nursing (BSN) is preferred. 5+ years of clinical practice in a hospital, clinic, home care, or nursing home setting 5+ years of increasing supervisory or management experience in a health care setting Familiarity with quality indicators and cost of care analysis Hands-on, high-energy and willingness to do what it takes to get the job done. Ability to communicate effectively at all levels inside and outside the organization Proficient in MS Office including Word, Excel, PowerPoint and Outlook Calendar Excellent project management skills Active drivers license a must Other Experience is a Plus but Not Required: Medicaid and Dual Eligible experience is a plus, but Not required Case management experience is a plus, but Not required Health plan experience is a plus, but Not required Disease and utilization management experience is a plus, but Not required Security Clearance Required: No Visa Candidate Considered: No Compensation Full-time Benefits - Full Relocation Assistance Available - Possible for ideal candidate Commission Compensation - No Bonus Eligible - Yes Overtime Eligible - No Interview Travel Reimbursed - Yes Candidate Details 5+ to 7 years experience Seniority Level - Director Management Experience Required - Yes Minimum Education - Bachelor's Degree Willingness to Travel - Occasionally Ideal Candidate Ideal candidate will have a strong clinical background and people leadership experience. Will have a passion for using data/metrics to solve problem and synthesize into to new programs/initiatives and streamlining processes. RN with MBA highly preferred. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.We build and lead health plans and clinical teams to care for the most complex patients, serving over 100,000 patients in seven states across Medicare, Medicaid, and soon, commercial populations.We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. We are looking for individuals who are passionate about disrupting the status quo in healthcare; who are highly motivated, focused, and can bring strong business skills to take us to the next level of impact and growth.

Keywords: WPA Staffing Solutions, LLC, Springfield , RN Health Services Director, Executive , Springfield, Massachusetts

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