3 Henry Ford Health System jobs in New Baltimore
RN Program Manager, Healthcare Services
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In collaboration with others, plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
+ Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Serves as a subject matter expert and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Works with operational leaders within the business to provide recommendations for process improvement opportunities.
+ Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
**JOB QUALIFICATIONS**
**Required Education**
+ Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
+ OR Bachelor's or master's degree in Nursing, Gerontology, Public Health, Social Work or related field.
**Required Experience**
+ 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
+ Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
+ Experience working within applicable state, federal, and third party regulations.
**Required License, Certification, Association**
+ If licensed, license must be active, unrestricted and in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Master's Degree preferred.
**Preferred Experience**
+ 3+ years supervisory/management experience in a managed healthcare environment.
+ Medicaid/Medicare Population experience with increasing responsibility.
+ 3+ years of clinical nursing experience.
**Preferred License, Certification, Association**
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Program Manager, Healthcare Services
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
This position will require an active RN license. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In collaboration with others, plans and executes internal Healthcare Services projects and programs involving department or cross-functional teams of subject matter experts, delivering products from the design process to completion.
+ Manages programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to the business.
+ Serves as a subject matter expert and leads programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Works with operational leaders within the business to provide recommendations for process improvement opportunities.
+ Conducts quality audits to assess Molina Healthcare Services staff educational needs and service quality and implement quality initiatives within the department as appropriate.
+ Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
**JOB QUALIFICATIONS**
**Required Education**
+ Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license.
+ OR Bachelor's or master's degree in Nursing, Gerontology, Public Health, Social Work or related field.
**Required Experience**
+ 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
+ Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
+ Experience working within applicable state, federal, and third party regulations.
**Required License, Certification, Association**
+ If licensed, license must be active, unrestricted and in good standing.
+ Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**Preferred Education**
Master's Degree preferred.
**Preferred Experience**
+ 3+ years supervisory/management experience in a managed healthcare environment.
+ Medicaid/Medicare Population experience with increasing responsibility.
+ 3+ years of clinical nursing experience.
**Preferred License, Certification, Association**
Any of the following:
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Regional Director of Clinical Operations (RN) - Hospice
Posted today
Job Viewed
Job Description
Job DetailsLevelManagementJob LocationTroy MI - Troy, MIPosition TypeFull TimeJob CategoryManagementSt Croix Hospice is hiring a Regional Director of Clinical Operations for our hospice branches in Michigan. At St. Croix Hospice, we recognize the significance of each precious, end-of-life journey. We will do all we can to provide an empowering hospice experience to each patient.In the role of the Regional Director of Clinical Operations, this Registered Nurse will:Coordinateand overseeall direct and indirect patient services provided by clinical organization personnel.Participatein operational planning and budgeting.Provideguidance and counseling to coordinators and Managers of Clinical Services to assist them in continually improving all aspects of hospice care services, provided through organization personnel.AssistManager of Clinical Services in managing clinical teams and planning.Providehelp in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated.Assistthe Chief Clinical Officer in the preparation and administration of the organization's budget.Interpretoperational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses.Evaluateperformance of the Manager of Clinical Services.Assist theManager of Clinical Services to develop skills and techniques in evaluating the performance of clinicians.Hire, evaluate, and terminateorganization personnel.Workwith the Manager of Clinical Services to conduct annual evaluations on clinicians, or more frequently if indicated.Overseethe maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.Assureproper maintenance of clinical records in compliance with local, state and federal laws.Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services.Develop, implementand evaluatethe orientation program for new organization personnel. Responsible for orientation of new organization personnel, directly or delegated.Planand implementinservice and continuing education programs to meet education and training needs of organization personnel.Assistwith the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assurethe quality and safe delivery of hospice services provided through the organization.Assistin the development of organization goals. Develops, recommends, and administers organizational policies and procedures.Assurecompliance with all local, state and federal laws regarding licensure and certification of organization personnel andmaintains compliance to the CHAP Home Care standards.Stayinformed about changes in the field of nursing and hospice care; shares information with appropriate organization personnel.Promotehospice referrals in the health care community.Other duties as assigned by the Chief Clinical Officer.We offer amazing benefits including growth opportunities! We have career opportunities both locally and regionally and many of our leaders have grown from within the company and truly understand how vital each role is in creating quality care.The opportunity to work 1-1 with our patients, impacting their life and their families.Two medical plan choicesDental, vision and life insurance benefitsTuition reimbursementCustomized Mental Health Support Program Employee Assistance ProgramPaid time off and paid holidays401k Retirement Plan with up to 4% employer matching Flexible Spending Account (FSA)Company-paid Basic Life Insurance, AD&D, Short Term and Long-Term DisabilityQualificationsRegistered Nursewith current licensure to practice professional nursing in the state.Bachelor's or Masters degree in Nursing from an accredited program by the National League for Nursing strongly preferred.2+ years of experience in hospice leadershipDemonstrated ability to supervise and direct professional and administrative personnel.Ability to market and deal tactfully with customers and the community.Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.Has excellent observation, verbal and written communication skills.Knowledge of business management, governmental regulations and CHAP standards.
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