3,466 Resource Center jobs in the United States
RN Resource Center
49504 Grand Rapids, Michigan
Corewell Health
Posted today
Job Viewed
Job Description
About the department
The Resource Center is made up of Nurses, Nurse Technicians and Unit Secretaries. Team members in this department support the unit of greatest need each day at both Butterworth and Blodgett Hospital. As a part of the Resource Center, team members care for various patient populations and have the experience of supporting a different unit each day. The patients, families, and team members all greatly value and appreciate the help and expertise that the Resource Center team provides daily.
About Butterworth Hospital
Right in the heart of Grand Rapids, you'll find a nationally recognized hospital for patient quality and safety and the regional leader in full-service hospitals. Since 1873, we have been growing and building a reputation of excellence in care, diagnostics, treatment, prevention and education. It is the flagship hospital for Corewell Health Grand Rapids Hospitals.
About Blodgett Hospital
Set within a quiet, beautifully maintained property of mature trees and healing gardens. We have a history of providing high quality, compassionate and personalized medical care. Since 1846, Blodgett Hospital has earned a reputation for excellence as a community and teaching hospital. We provide patient-focused inpatient care in 248 private patient rooms and outpatient services for medical, surgical and specialty care, achieving high rates of patient satisfaction.
Scope of work
Delivers nursing care responsibly and accountably as described professionally by the American Nurses Association (ANA) and legally by the State of Michigan. Demonstrates competency through the critical thinking model known as the nursing process. This includes assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Upholds the standards of professional performance as described by the ANA. This includes ethical practice, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes.
Qualifications
* Associate degree Nursing Required
* Bachelor's in Nursing Required within 5 years
* Successful completion of a competency-based orientation program Required
* Registered Nurse (RN) State of Michigan Upon Hire Required
* Basic Life Support (BLS) All unless otherwise noted 90 Days Required
* 2 years of inpatient RN experience Required.
How Corewell Health cares for you
* Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
* On-demand pay program powered by Payactiv
* Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
* Optional identity theft protection, home and auto insurance, pet insurance
* Traditional and Roth retirement options with service contribution and match savings
* Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Butterworth Hospital - 100 Michigan St - Grand Rapids
Department Name
Resource Center Float Pool RN - GR
Employment Type
Full time
Shift
Night (United States of America)
Weekly Scheduled Hours
36
Hours of Work
7:00pm-7:30am
Days Worked
Variable
Weekend Frequency
Every third weekend
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling .
The Resource Center is made up of Nurses, Nurse Technicians and Unit Secretaries. Team members in this department support the unit of greatest need each day at both Butterworth and Blodgett Hospital. As a part of the Resource Center, team members care for various patient populations and have the experience of supporting a different unit each day. The patients, families, and team members all greatly value and appreciate the help and expertise that the Resource Center team provides daily.
About Butterworth Hospital
Right in the heart of Grand Rapids, you'll find a nationally recognized hospital for patient quality and safety and the regional leader in full-service hospitals. Since 1873, we have been growing and building a reputation of excellence in care, diagnostics, treatment, prevention and education. It is the flagship hospital for Corewell Health Grand Rapids Hospitals.
About Blodgett Hospital
Set within a quiet, beautifully maintained property of mature trees and healing gardens. We have a history of providing high quality, compassionate and personalized medical care. Since 1846, Blodgett Hospital has earned a reputation for excellence as a community and teaching hospital. We provide patient-focused inpatient care in 248 private patient rooms and outpatient services for medical, surgical and specialty care, achieving high rates of patient satisfaction.
Scope of work
Delivers nursing care responsibly and accountably as described professionally by the American Nurses Association (ANA) and legally by the State of Michigan. Demonstrates competency through the critical thinking model known as the nursing process. This includes assessment, diagnosis, outcomes identification, planning, implementation, and evaluation. Upholds the standards of professional performance as described by the ANA. This includes ethical practice, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes.
Qualifications
* Associate degree Nursing Required
* Bachelor's in Nursing Required within 5 years
* Successful completion of a competency-based orientation program Required
* Registered Nurse (RN) State of Michigan Upon Hire Required
* Basic Life Support (BLS) All unless otherwise noted 90 Days Required
* 2 years of inpatient RN experience Required.
How Corewell Health cares for you
* Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
* On-demand pay program powered by Payactiv
* Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
* Optional identity theft protection, home and auto insurance, pet insurance
* Traditional and Roth retirement options with service contribution and match savings
* Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Butterworth Hospital - 100 Michigan St - Grand Rapids
Department Name
Resource Center Float Pool RN - GR
Employment Type
Full time
Shift
Night (United States of America)
Weekly Scheduled Hours
36
Hours of Work
7:00pm-7:30am
Days Worked
Variable
Weekend Frequency
Every third weekend
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling .
View Now
0
Paramedic Ambulatory Resource Center
49528 Grand Rapids, Michigan
Corewell Health
Posted 3 days ago
Job Viewed
Job Description
About Outpatient Clinics
Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty practices, which allows those who work in these clinics the opportunity to learn and explore various interests or to specialize in one area.
Scope of work
Collaborates with the entire health care team, as appropriate, and uses assessment skills to obtain information regarding to the patients actual or potential status. Uses their knowledge and skills as delegated by the provider to work together to prevent when possible, and mitigate when necessary, already present physiological complications associated with specific health problems and/or medical treatment.
Qualifications
-
Graduate of approved paramedic program Required
-
Skills, knowledge, abilities typically gained through less than 2 years of experience as a paramedic Required
-
3 years of relevant experience as a Paramedic Preferred
-
Successful completion of competency-based orientation program Required
-
Paramedic License Michigan, Required upon hire
-
Basic Life Support (BLS) American Heart Association or American Red Cross 90 Days Required
How Corewell Health cares for you
-
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here ( .
-
On-demand pay program powered by Payactiv
-
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
-
Optional identity theft protection, home and auto insurance, pet insurance
-
Traditional and Roth retirement options with service contribution and match savings
-
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids
Department Name
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
8
Hours of Work
Days Worked
Weekend Frequency
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling .
View Now
1
Family Resource Center Coordinator
94616 Oakland, California
Safe Passages
Posted 4 days ago
Job Viewed
Job Description
Family Resource Center Coordinator
Full Time - In-Person Oakland, CA
Mission:
Safe Passages disrupts the cycle of poverty by engaging youth and families to build and drive a continuum of services that supports student success and community development.
Safe Passages is a non-profit organization committed to disrupting the cycle of poverty by supporting our local community. We serve over 5,000 children and families annually through our strategies that span across the life spectrum of birth through young adulthood, including Early Childhood, School Linked Services, Juvenile Justice, and Career Pathways. Safe Passages' work is based on the premises that access to educational opportunity, health services, and family support should not be dictated by race or socio-economic status, and that healthy and supported youth are better prepared to learn and succeed.
Job Summary:
Safe Passages aims to integrate education and social services at school sites in order to make school communities catalysts for social change within the larger neighborhood context. Beginning this year, Safe Passages will be a host site for the Alameda County Office of Education Opportunity Academy which enrolls students ages 16+. The Opportunity Academy offers independent studies programs in order for students to fulfill their high school degree requirements. The Family Resource Center (FRC) Coordinator will work as part of an integrated team at the Safe Passages Community and Wellness Center to support the development of services and partnerships necessary to meet low income families basic needs, and socio-economic mobility. The Coordinator will work directly with students and their families to help them secure public and private resources. The goal of the program is to increase participants engagement in their education and to help move individuals and communities towards a pathway of self-sufficiency. The Coordinator will report to the Community Engagement and Development Director.
Essential Functions:
The FRC Coordinator will work as part of a team with the Safe Passages Community and Economic Development Unit to deliver family resources and college and career programs to vulnerable communities with a focus on Opportunity Academy students and their families. Specific responsibilities relating to this job include:
The successful candidate for the position of Coordinator will have:
Work Schedule: Monday through Friday, 9:00 AM - 5:00 PM with the exception of some weekends and hours outside of the regular schedule as needed
Compensation:
This is a salaried full-time position with full benefits including medical, dental, vision; $65-75,000 salary based on academic preparation and experience.
Safe Passages is an Equal Opportunity Employer.
Auxiliary aids and services are available upon request to individuals with disabilities.
Full Time - In-Person Oakland, CA
Mission:
Safe Passages disrupts the cycle of poverty by engaging youth and families to build and drive a continuum of services that supports student success and community development.
Safe Passages is a non-profit organization committed to disrupting the cycle of poverty by supporting our local community. We serve over 5,000 children and families annually through our strategies that span across the life spectrum of birth through young adulthood, including Early Childhood, School Linked Services, Juvenile Justice, and Career Pathways. Safe Passages' work is based on the premises that access to educational opportunity, health services, and family support should not be dictated by race or socio-economic status, and that healthy and supported youth are better prepared to learn and succeed.
Job Summary:
Safe Passages aims to integrate education and social services at school sites in order to make school communities catalysts for social change within the larger neighborhood context. Beginning this year, Safe Passages will be a host site for the Alameda County Office of Education Opportunity Academy which enrolls students ages 16+. The Opportunity Academy offers independent studies programs in order for students to fulfill their high school degree requirements. The Family Resource Center (FRC) Coordinator will work as part of an integrated team at the Safe Passages Community and Wellness Center to support the development of services and partnerships necessary to meet low income families basic needs, and socio-economic mobility. The Coordinator will work directly with students and their families to help them secure public and private resources. The goal of the program is to increase participants engagement in their education and to help move individuals and communities towards a pathway of self-sufficiency. The Coordinator will report to the Community Engagement and Development Director.
Essential Functions:
The FRC Coordinator will work as part of a team with the Safe Passages Community and Economic Development Unit to deliver family resources and college and career programs to vulnerable communities with a focus on Opportunity Academy students and their families. Specific responsibilities relating to this job include:
- Working closely with ACOE Opportunity Academy lead staff to identify and coordinate service needs and priorities
- Conducting ongoing outreach and engagement of youth and families to inform them of the Opportunity Academy and FRC's resources and opportunities
- Ongoing relationship building with community partners and funders
- Ongoing data tracking of services
- Supporting extended day family engagement events
- Supporting caseloads related to college and career transition efforts and public benefit enrollment
- Supervision of a full-time VISTA responsible for outreach and food distributions
- Providing childcare during program offerings.
The successful candidate for the position of Coordinator will have:
- A minimum of a Bachelor's Degree in Behavioral Health, in Early Childhood Development, Youth Development, Social Sciences or equivalent.
- Experience with case management services.
- Superior management skills.
- Experience working with high need opportunity youth and their families
- Experience with college pathway programs including A-G requirements and community college pathways and programs to four-year universities.
- Experience with job and career internship program and job recruitment processes.
- Deep understanding of diverse racial, cultural norms and practices of the populations served.
- Experience with working with low-income communities of color and a deep understanding of social and racial equity issues.
- Ability to manage multiple tasks and meet deadlines; can work independently and in a team.
- Superior organizational, interpersonal and communication skills; demonstrated experience of written and oral presentation skills.
- Financial management skills.
- Coaching and teaching skills and temperament to support client/member learning.
- Must be Spanish bilingual
- 13 paid holidays & 1 floating holiday
- 100% Employer-paid insurance coverage and 75% Employer-paid domestic partner and dependent coverage for medical, dental, and vision benefits
- Chiropractic & Acupuncture Coverage
- Paid time off and sick leave accruals
- Employer-administered Flexible Spending Accounts for Health Care and Dependent Care expenses
- Employer-administered voluntary pre- or post-tax 403 (b) employee retirement contribution account
- Employee Assistance Program
- Eligible for the Public Service Loan Forgiveness Program
Work Schedule: Monday through Friday, 9:00 AM - 5:00 PM with the exception of some weekends and hours outside of the regular schedule as needed
Compensation:
This is a salaried full-time position with full benefits including medical, dental, vision; $65-75,000 salary based on academic preparation and experience.
Safe Passages is an Equal Opportunity Employer.
Auxiliary aids and services are available upon request to individuals with disabilities.
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2
Steamfitter - Wisconsin Resource Center
54985 Ogdensburg, Wisconsin
State of Wisconsin
Posted 4 days ago
Job Viewed
Job Description
Introduction
The Department of Health Services (DHS), Wisconsin Resource Center (WRC) is recruiting to fill a Steamfitter position.
This position will work Monday through Friday, 7:00 am to 3:30 pm, with occasional weekends and holidays on a rotating schedule. This position requires flexibility in scheduling to meet the institution operational needs.
Come and work for the best! WRC was recognized as the National Commission on Correctional Health Care's 2022 Facility of the Year for its commitment to high quality resident care.
WRC is a secure treatment facility that specializes in treating individuals with severe mental health conditions from the Wisconsin Department of Corrections. This facility is located on Lake Winnebago with beautiful walking paths by the lake for employees to use during break periods. WRC is part of the Division of Care and Treatment Services (DCTS). DCTS is committed to helping all state residents live their best lives through an interconnected web of behavioral health services. Watch this video to learn more about the work of DCTS .
As an employee of the state of Wisconsin, you'll have access to an excellent benefits package, including:
Position Summary
As the Steamfitter, you will perform troubleshooting, construction, rebuilding, and repair work to the HVAC, refrigeration, chiller, and steam systems of WRC, Wisconsin Women's Resource Center and Winnebago Mental Health Institution at the journeyman skill level. Additional duties include:
Salary Information
The starting pay is between 46.72 and 48.24 per hour, depending upon leave time selected, plus excellent benefits. A 12-month probationary period is required.
The pay schedule/range is 04-00. This position is represented by the Wisconsin State Building Trades bargaining unit.
Job Details
This position requires the ability to drive a State vehicle. In order to become authorized to drive a State vehicle, you must meet the requirements for the State of Wisconsin Fleet Vehicle policy, which are:
All appointees will be required to receive a TB test, which will be administered by WRC or medical personnel approved by the facility within 30 days of the start date.
DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire.
Qualifications
Minimally qualified applicants will have the following:
How To Apply
Applying is easy! Click "Apply for Job" to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.
Helpful Information:
Deadline to Apply
Applications will be accepted until the position has been filled.
The Department of Health Services (DHS), Wisconsin Resource Center (WRC) is recruiting to fill a Steamfitter position.
This position will work Monday through Friday, 7:00 am to 3:30 pm, with occasional weekends and holidays on a rotating schedule. This position requires flexibility in scheduling to meet the institution operational needs.
Come and work for the best! WRC was recognized as the National Commission on Correctional Health Care's 2022 Facility of the Year for its commitment to high quality resident care.
WRC is a secure treatment facility that specializes in treating individuals with severe mental health conditions from the Wisconsin Department of Corrections. This facility is located on Lake Winnebago with beautiful walking paths by the lake for employees to use during break periods. WRC is part of the Division of Care and Treatment Services (DCTS). DCTS is committed to helping all state residents live their best lives through an interconnected web of behavioral health services. Watch this video to learn more about the work of DCTS .
As an employee of the state of Wisconsin, you'll have access to an excellent benefits package, including:
- Paid leave time including vacation, sick, and holidays. Pay for craftworker positions is based on how many vacation hours you chose to elect for the calendar year. You'll have the option change your leave hours and compensation rate each year.
- Top rated health plan options starting at $45/month for single plans and $11/month for family plans, after 2 months of state service.
- Premium pension plan with at least a 7.2% employer match in 2026. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement.
- Well Wisconsin Wellness Program
- A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.
- Public Service Loan Forgiveness Program employer
Position Summary
As the Steamfitter, you will perform troubleshooting, construction, rebuilding, and repair work to the HVAC, refrigeration, chiller, and steam systems of WRC, Wisconsin Women's Resource Center and Winnebago Mental Health Institution at the journeyman skill level. Additional duties include:
- Assisting engineering in designing projects,
- Procuring materials,
- Maintaining inventory,
- Fabricating repair parts,
- Rebuilding valves and traps, and
- Assisting with training facility maintenance staff and helpers in procedures to maintain a safe, secure, and productive work environment.
Salary Information
The starting pay is between 46.72 and 48.24 per hour, depending upon leave time selected, plus excellent benefits. A 12-month probationary period is required.
The pay schedule/range is 04-00. This position is represented by the Wisconsin State Building Trades bargaining unit.
Job Details
This position requires the ability to drive a State vehicle. In order to become authorized to drive a State vehicle, you must meet the requirements for the State of Wisconsin Fleet Vehicle policy, which are:
- Must have a valid driver's license;
- Must have minimum of two years licensed driving experience;
- Must be 18 years of age.
- Three or more moving violations and/or at-fault accidents in the past two years;
- Operating While Intoxicated (OWI)/Driving Under the Influence (DUI) citation within the past 12 months;
- Suspension or revocation of driver's license.
All appointees will be required to receive a TB test, which will be administered by WRC or medical personnel approved by the facility within 30 days of the start date.
DHS does not sponsor work visas for this position, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the required I-9 form upon hire.
Qualifications
Minimally qualified applicants will have the following:
- Possession of a current Journey level Steamfitter Certification.
- Possession of and ability to maintain a valid driver's license and meet the requirements of the State of Wisconsin Fleet Vehicle Policy** to drive a state vehicle.
- Experience installing or maintaining steam distribution, hydronic heating systems and related components.
- Experience installing or maintaining commercial air conditioning or refrigeration systems.
- Possession of Universal Refrigeration Certification.
- Experience maintaining or retrofitting pneumatic controllers, valves, and actuators on HVAC systems.
- Experience working with direct digital control systems to control HVAC building systems.
- Experience reading building and system drawings to estimate plan projects.
How To Apply
Applying is easy! Click "Apply for Job" to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.
Helpful Information:
- Once your application is submitted, no changes are allowed. Click "Save" to allow changes to your application as needed before submitting by the deadline.
- You may want to save a copy of the job posting for referencing after the deadline.
- Submitted materials will be evaluated by a panel of job experts according to the qualifications above.
- Please monitor your email for communications related to this position.
- Current or former permanent, classified, state employees must complete the online application process to be considered.
- If viewing through an external site, please apply directly at Wisc.Jobs .
- For technical assistance and general information, please see Frequently Asked Questions . For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact .
Deadline to Apply
Applications will be accepted until the position has been filled.
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3
Case Manager - Resource Center
01856
Community Teamwork
Posted 6 days ago
Job Viewed
Job Description
Case Manager - Resource Center
Are you interested in a position that will make a difference in your life and the lives of others? Community Teamwork is a private non-profit organization with over 600 employees dedicated to reducing barriers and creating opportunities for low-income individuals and families.
At Community Teamwork our employees enjoy best-in-class benefits to support their physical, financial and emotional wellness.
We offer:
- Pay starts at $24.34
- Casual work environment
- 4 weeks of Paid Time Off
- Medical
- Dental
- Vision
- Paid Life Insurance
- Tuition reimbursement
- 12 paid holidays
- Paid sick leave
- Career advancement and professional development
- 5% contribution to your 401K whether you participate on your own or not.
- Great co-workers and a great mission with an outstanding Community Action Agency
- 37.5 hour work week
We are seeking a Case Manager - Resource Center who will be responsible for providing case management to clients and their families. Provide advocacy, support, and referral information and assist clients and families to overcome barriers to become self-sufficient.
Responsibilities include:
- Complete intake and needs assessments with each family, which may involve a broad range of areas including housing, finance & budgeting, employment, education, food & nutrition, school & daycare, legal issues, health, parenting, and daily living skills.
- Work closely with families to identify and build upon strengths and develop strategies to address barriers and concerns identified through the assessment process.
- Help clients build self-sufficiency plans.
- Assist clients to transition to self-advocacy roles.
- Provide comprehensive information and training about CTI Programs and services.
Qualifications:
- Prior related experience required
- High School Diploma or Equivalent required
- Knowledge and experience working with low income, culturally diverse, and at-risk families and individuals.
- Demonstrated knowledge of community resources available to low-income individuals and families.
- Excellent customer service, organizational, oral and written communication skills.
- Ability to manage multiple priorities and work in a fast-paced environment.
- Proficient computer skills required in basic computer software and data collection systems.
- Excellent crisis management skills.
- Ability to maintain accurate records and confidentiality of information.
- Excellent attention to detail.
- Valid Driver's License
- Bilingual (English/Spanish, English/ Haitian-Creole, English/Khmer, English/Portuguese) preferred.
Equal Opportunity Employer Vets/Disabled.
This is an exciting opportunity to become an integral member of an innovative team in an organization committed to excellence.
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4
Director, Denial Resource Center
99811 Juneau, Alaska
Baylor Scott & White Health
Posted 1 day ago
Job Viewed
Job Description
**Job Summary**
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
View Now
5
Director, Denial Resource Center
62762 Springfield, Illinois
Baylor Scott & White Health
Posted 2 days ago
Job Viewed
Job Description
**Job Summary**
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
View Now
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6
Director, Denial Resource Center
96823 Honolulu, Hawaii
Baylor Scott & White Health
Posted 2 days ago
Job Viewed
Job Description
**Job Summary**
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
View Now
7
Director, Denial Resource Center
80238 Denver, Colorado
Baylor Scott & White Health
Posted 2 days ago
Job Viewed
Job Description
**Job Summary**
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
View Now
8
Director, Denial Resource Center
19904 Rising Sun, Maryland
Baylor Scott & White Health
Posted 2 days ago
Job Viewed
Job Description
**Job Summary**
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The Director, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor Scott and White Health (BSWH). The Director, Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors focused on appealing hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and implementing policies, procedures and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations. Identifies, analyzes and reports on significant denial trends and patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with efficiency resulting in improved utilization of appropriate patient care services. Collaborates with medical, clinical, HIM and other BSWH departments to ensure BSWH patient care services are necessary, timely and cost-effective.9:04 AM 10/3/2025tfg
**Essential Functions of the Role**
+ Leads and manages a multidisciplinary team including RNs, certified coders, appeal specialists, and administrative staff supporting the clinical denial management function for BSWH.
+ Recommends and implements strategic and operational plans and priorities for clinical denial management aligned to BSWH overall business objectives.
+ Directs daily operations of clinical denial management, including the development and implementation of utilization policies, procedures, and work processes.
+ Develops key operational and financial reports and establishes key metrics essential for monitoring daily operations.
+ Monitors department performance indicators and identifies opportunities for improving processes.
+ Identifies denial trends and leads initiatives to reduce preventable clinical denials.
+ Develops and presents performance dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare/Medicaid audit activities and key contract enforcement activities.
+ Collaborates with Centralized Business Services (CBS) and other revenue cycle departments to streamline referral and appeals workflows.
+ Supports education and training initiatives to improve documentation and clinical justification practices.
+ Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions
**Key Success Factors**
+ Bachelor's degree in healthcare administration or related field. Master's degree preferred.
+ 5+ years of experience in healthcare revenue cycle
+ 3+ years of experience in a leadership role
+ 3+ years Epic experience preferred
+ Proven ability to lead cross-functional teams in a complex healthcare environment
+ Strong understanding of payer denial codes, appeal strategies and regulatory frameworks.
+ Familiarity with RAC audit processes preferred
+ Experience collaborating across multiple departments and clinical disciplines within a large, complex healthcare organization preferred.
+ Excellent presentation skills and ability to create executive-level presentations and deliverables
+ Ability to manage multiple priorities and drive performance improvement initiatives.
+ Strong problem-solving and critical thinking skills.
**Qualifications**
+ EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
+ EXPERIENCE - 3 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
View Now
9