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Azura - Vascular Access Charge Registered Nurse/Don

Fresenius Medical Care Birmingham AL, 35202

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and pati...

Posted 5 days ago

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with FVC/FMCNA policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: * A seasoned, experienced professional with a full understanding of area of specialization; resolves a wide range of issues in creative ways. (This job is the fully qualified, career-oriented, journey-level position.) * Responsible for supporting and driving FVC quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of FVC/FMS CQI tools. * Accountable for outstanding quality of patient care, as defined by the FVC quality goals, by working with the Vice President of Quality and other FVC management to ensure that FVC/ASC policies and procedures are followed. * Responsible for aggressively addressing and acting on adverse events and action thresholds. * Complies with all data collections and auditing activities and maintains integrity of medical records and other FVC administrative and operational records. * Supervises and directs facility staff in providing safe and effective vascular access procedures to patients in compliance with standards outlined in the facility policy and procedures manuals, as well as regulations set forth by the company, federal and state agencies. * Identifies and communicates staff related issues to the Facility Manager. * Assigns and delegates tasks to all direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator and Porter. * Ensures adequate staffing through daily management of staff's schedule, including breaks. * Assess daily patient needs and develop/distribute patient care assignments appropriately. * Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures and assist as necessary. * Recommends and initiates disciplinary action in conjunction with the Facility Manager. * Assists Facility Manager with staff performance evaluations. * Participates in selection, orientation and training of staff as assigned. * Performs and sets-up in-services regarding equipment, supplies and clinical for all staff. * Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. * Ensures patients and patient's families are educated regarding pre and post procedure care of vascular access. * Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. * As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. * Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. * Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. * Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. * Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with FVC, company, federal, state and local regulations. * Attends and participates in Governing Body and CQI meetings with physicians, assisting with meeting agenda and gathering of data/material for meetings and reporting on assigned topics. * Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. * Ensures the inspection of all facility equipment on a regular basis. Report any malfunctions or maintenance issues immediately. * Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility. * Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times. * Ensures all blood spills are immediately addressed according to the FVC/FMCNA Bloodborne Pathogen Control Policies. * Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FVC/FMS formularies. * Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. * Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. * Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. * Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. * Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. * Ensures medical records are accurate, complete and in compliance with FVC policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. * Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff. * Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. * Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. * Coordinates the collection and forwarding of all vendor invoices to the FVC accounting department. * Acts as the Facility Manager in the absence of the manager or at the direction of FVC management. * Ensure nurses' progress notes are accurate and complete. * Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills. * Complies with HIPPA policies and standards regarding patient information and medical records. * Maintain CLIA license with Facility Administrator. * Other duties as assigned, within the scope of practice and state regulations. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. * The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: * Facility direct patient care staff (Staff RNs, LPNs, Radiology Technologist, Front Desk Coordinator, Porter) EDUCATION: * Graduate of an accredited School of Nursing (R.N.) * Current appropriate state licensure and ACLS certification. * ASC certification preferred EXPERIENCE AND REQUIRED SKILLS: * Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. * Minimum of three years of Interventional Radiology, scrub experience preferred. * Supervisory or management experience within a medical or vascular access environment preferred. * Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. * Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. * Good communication skills – verbal and written. * Certified in CPR or successfully complete course in CPR certification. EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

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Real Estate Capital Markets Associate

Regions Financial Corporation Birmingham AL, 35202

Thank you for your interest in a career at Regions. At Regions, we believe associates deserve more than just a job. We believe in ...

Posted 1 week ago

Thank you for your interest in a career at Regions. At Regions, we believe associates deserve more than just a job. We believe in offering performance-driven individuals a place where they can build a career --- a place to expect more opportunities. If you are focused on results, dedicated to quality, strength and integrity, and possess the drive to succeed, then we are your employer of choice. Regions is dedicated to taking appropriate steps to safeguard and protect private and personally identifiable information you submit. The information that you submit will be collected and reviewed by associates, consultants, and vendors of Regions in order to evaluate your qualifications and experience for job opportunities and will not be used for marketing purposes, sold, or shared outside of Regions unless required by law. Such information will be stored for a set period of time. You may review, modify, or update your information by visiting and logging into the careers section of the system. Job Description: Regions Capital Markets provides products and services to meet the needs of Corporate, Commercial, and Real Estate clients throughout the bank. Capital Markets provides hedging products that enable clients to manage risks associate with interest rate, commodity, and foreign exchange exposures. The capital raising services provided by Capital Markets complements the bank's own lending activities. Capital Markets also provides advisory services associated with mergers and acquisitions as well as non-traditional forms of capital. Within Capital Markets, the Real Estate Capital Markets (RECM) group has an array of products that include FNMA (DUS), HUD, CMBS, LIHTC and Real Estate Syndications to help Regions relationship managers compete in today's rapidly evolving financial environment. Capital Markets provides guidance and support to Regions' line side, assisting them with winning and maintaining the role of trusted advisor to their clients. The list of product offerings is constantly expanding in reaction to market demands. The Real Estate Associate serves as the primary support for the Capital Markets Managing Directors, Directors, and Vice Presidents by updating marketing materials, providing analytics, and maintaining databases to support the marketing effort. Responsible for supporting senior team members in all aspects of the deal process. Analysts also assist in the cultivation of client relationships by conducting research, staying abreast of client and industry trends, and participating in industry and client related strategic and tactical planning. Primary Responsibilities: * Assist in the development and creation of client marketing materials * Business, industry and capital markets research * Generate and analyze reports * Financial modeling * Field client inquires and request * Work closely with senior team members and other groups with the bank to prepare transaction documents * Compile and understand market data in support of marketing efforts * Evaluates transactions and ensures proper understanding of the structure, provisions, and schedules * Conducting and assisting in due diligence This position is exempt from timekeeping requirements under the Fair Labor Standards act and is not eligible for overtime pay. Qualifications: * Bachelor's degree with proven record of high achievement, MBA preferred * Minimum 2 years relevant industry experience * Prior corporate/ investment banking, capital markets, consulting or legal experience is a significant plus * Strong analytical, organization, and communication (written, oral and interpersonal) skills * Advanced user of Excel, PowerPoint, and Word * Effective consultation and assessment skills * Project management skills * Attention to details and ability to multi-task under pressure Location:Birmingham, Alabama EEO/AA/Minorities/Females/Disabled/Veterans

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RN, Clinical Documentation Educator (Remote Opportunity)

Encompass Health Birmingham AL, 35202

The RN- Clinical Documentation Educator is a remote opportunity that works closely withthe Vice President of Medical Services and ...

Posted 2 weeks ago

The RN- Clinical Documentation Educator is a remote opportunity that works closely withthe Vice President of Medical Services and National Director of MedicalServices to develop training programs and train physicians and otherappropriate personnel with respect to appropriate physician documentation. Thisposition also collaborates with other departments to promote processes thatsupport timely, accurate and complete physician documentation. Job Code: 101239 * Registered nurse with active license preferred. Education, Training and Years of Experience: * Minimum 4 year nursing experience in a healthcare environment. Rehab Experience Preferred. * Experience working in Electronic Health Record environment is mandatory. * Holds basic knowledge of Microsoft Office applications including word, excel and PowerPoint. * Ability to access workflow effectively (Preferred understanding of rehabilitation workflow). Machines, Equipment Used: * General office equipment such as telephone, copy machine, fax machine, calculator, computer. Physical Requirements: * Good visual acuity and ability to communicate. * Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds including medical supplies and equipment and the transferring and repositioning of patients. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements. * Ability to withstand prolonged standing and walking. * Ability to reach, stoop, bend, kneel and crouch. Skills and Abilities: * Ability to influence and lead change in a complex, matrixed organization. * Ability to speak, read, write, and communicate effectively. * Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner. * Ability to work independently without constant supervision. * Self starter. * Ability to travel up to 75% of the time. Environmental Conditions: * Indoor, temperature controlled, smoke-free environment. * Exposure or potential exposure to blood and body fluids may be required. * Handicapped accessible. * May work under stressful circumstances at times. Proficiency or Productivity Standards: * Has regular, reliable and predictable attendance and punctuality. * Adheres to dress code including wearing ID badge. * May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines. * May be required to work on religious and/or legal holidays on scheduled days/shifts. * May be required to perform other duties as assigned by supervisor. * Will be required to work as necessary during emergency situations Address: 9001 Liberty Parkway, Birmingham 35242 Job ID: 1823980

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Client Service Representative I

Ciox Birmingham AL, 35202

This is an entry level position responsible for processing all release of information (ROI) specifically medical record reques...

Posted 2 weeks ago

Job Description This is an entry level position responsible for processing all release of information (ROI) specifically medical record requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Responsibilities * Receives incoming requests for information and responds to requests by opening mail, assisting walk-ins and telephone inquiries, and retrieving facsimile inquiries in a timely manner. * Date stamps all requests and highlights pertinent data to facilitate processing. * Validates requests and authorizations for release of medical information according to established procedures and HIPAA guidelines. * Completes release of information requests including retrieving patient's medical charts and returning charts, copying/scanning medical records accurately and correctly, according to requests, established procedures, and established standards of quality and productivity; and electronically transmits medical record to processing operations. * Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. * Maintains equipment in excellent operating condition (inside and out) and troubleshoot equipment issues with assistance from the Help Desk department. * Provides excellent customer service by being attentive, respectful and professional at all times; insures understanding of customer request and follows-through as promised; being proactive in identifying and addressing member concerns, or problems. * Demonstrates helpful and effective telephone etiquette and customer service skills by providing appropriate information to callers. * Maintains a neat, clean, and professional personal appearance and observes the dress code established by the Company or the member facility. * Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area, and insures adequate supplies to meet customer requests. * Maintains working knowledge of the current state laws regarding fee structure, and HIPAA regulations as well as facility policies and procedures in regards to release of information. * Ability to maintain regular attendance and punctuality as scheduled. Notifies Manager, Operations and/or Supervisor if unable to adhere to daily schedule. * Adheres to all Company time and attendance policies or applicable law covering meal breaks and rest periods. Records all accurate work hours in the Company's designated time keeping system daily and adheres to the Company's overtime policy and procedures for requesting time off or change in schedule. * Works within scope of position and direction; willingly accepts assignments and is available to take on additional member facilities and assist with ROI backlogs. * Performs responsibilities in accordance with the Company's and member facilities policies and procedures and state and federal labor regulations and works to minimize confidentiality breaches. * Maintains confidentiality, information security and ethical behavior when handling all Company and medical records information during transport, storage and disposal. Will not remove medical records information from member site unless written authorization is provided by the facility's HIM Director, Company Manager and/or Supervisor and Vice President of Operations. * Attends and participates in required educational training sessions and staff meetings as scheduled and assigned. * Ability to adapt to change and respond to difficult and challenging situations in a professional manner. * Accepts new assignments willingly to meet business needs. * Communicates with Manager on an on-going basis, providing information and data as requested including member's changing needs and requests. * Promptly reports to Manager any customer service concerns and/or any potential HIPAA violations whether actual or perceived. * Informs Manager of site or work difficulties, special project requests from facility, and fluctuating volume in daily workload. * Ability to accurately and efficiently utilize a computer for data input, retrieval of data and all other tasks associated with release of information services and time reporting. * Ability to work with minimum supervision, organize workload and prioritize work tasks to meet production goals. * Ability to recognize emergency situations within context of job duties and communicate potential issues to Supervisor and/or Manager, Operations. * Maintains knowledge of safety procedures to ensuring a safe work environment and reports safety concerns to Supervisor and/or Manager, Operations * Maintains a current and valid driver's license and insures personal automobile insurance is in force and will be maintained, in at least the amounts required by state law, on any automobile or transportation that is use in connection with Company duties. * Checks the Company's and other assigned email and communication systems such as REP Online and member assigned email on a daily basis. Utilizes assigned tools within established guidelines. Performs other tasks as assigned including but not limited to working at facilities within 50 miles of principal site as business needs arise. * Adheres to the Company's Code of Conduct and business standards. Qualifications * A High School Diploma or GED is required. * Must be able to communicate effectively in the English language. * Administrative experience in an office setting; previous release of information, medical records, or other related experience in a healthcare environment is preferred. * Proven customer service experience and/or training. * Ability to effectively use computer software and technology as required by the member facility including Microsoft Word and Excel * Ability to understand and become knowledgeable of Release of Information standards, policies & procedures and HIPAA regulations and to complete work in compliance of these and other standards. * Ability to read and comprehend simple, healthcare terminology * Effective verbal and written communication skills. * Effective organizational skills a must * Ability to use fax, copier, microfilm machine, and multiline phone system and other required work tools

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Hospital Services Administrator (Fa) Brookwood South

Davita Birmingham AL, 35202

Take ownership, drive results, and experience the rewards. "This is your business. You own everything. But you cannot do everyt...

Posted 3 weeks ago

Take ownership, drive results, and experience the rewards. "This is your business. You own everything. But you cannot do everything. You have to rely on your team to create capacity." - Lori T. Get ready to roll up your sleeves and have fun in the process. The Acute Dialysis Healthcare Administrator (aka Acute Facility Administrator or Acute FA) role can be exceptionally rewarding and can also carry a unique set of challenges at DaVita. There's a whole lot to manage and move forward as an FA. You and your team have goals tied to quality and clinical outcomes, and you receive profit sharing bonuses based on meeting those goals. You're in charge. The four main areas you're accountable for include: Contract Management - Exceed expectations of our hospital partners. Acute FAs adeptly manage the business aspects of our hospital partnerships. You are responsible for adhering to our contractual responsibilities and maintaining strong relationships with hospital administration and staff. You anticipate the hospital's needs and ensure their satisfaction with our service. Financial Management - Drive bottom line results. Successful FAs ensure the complete operation and performance of their clinic including all financial aspects. FAs manage budgets, forecast expenses, communicate with vendors, order supplies, and ensure compliance with public health and safety standards. Patient Care - Impact patient lives and deliver optimal clinical outcomes. Success in an acute dialysis hospital setting is measured by how well patients respond to their dialysis treatments. The FA is responsible for monitoring patient clinical outcomes utilizing DaVita's quality metric in coordination with doctors, nurses and the interdisciplinary team. Teamwork - Develop, mentor, and inspire a cohesive team. Our best FAs thrive when they build a team of clinicians to achieve optimal results. FAs interview and hire, monitor compliance, conduct teammate evaluations, lead teammate satisfaction initiatives and incorporate Core Values within all aspects of the clinic. "I am ensuring patient care at all times, producing strong financial and clinical outcomes, and building strong, positive relationships with teammates, doctors and other vendors." - Grady D. Follow the DaVita FA Blog and you'll find a window into the world of our FAs. The Shining Star in this role should have: * Associate's degree required; Bachelor's degree in related area strongly preferred * Minimum of 2 years' experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD * Current license to practice as a Registered Nurse if required by state of employment * Minimum of 4 years' experience in dialysis preferred * Current CPR certification required (or certification must be obtained within 60 days of hire or change in position) * Other qualifications and combinations of skills may be considered at discretion of ROD and/or Divisional Vice President * Proven ability to adeptly manage multiple priorities; a "gets stuff done" person * Capacity to develop effective relationships at all levels of the organization and to influence positive outcomes * Demonstrated ability to adapt, innovate and lead in an environment that moves at a rapid pace, where change is common * Passion for making a difference in people's lives * Willingness to cover multiple locations which requires some local travel The DaVita Village Difference * Industry-leading patient care with clinical outcomes ranked above the national average. * Dynamic leadership grounded in Core Values, Mission and clearly defined goals for you. * Diverse, team-driven culture that thrives on fun and supports you. * Commitment to developing and the chance to explore multiple career paths. * Stability and strong financial results - 10 years of steady revenue growth. * Performance-based compensation and rewards for your hard work. * A commitment to the greater good: We are a community first, a company second.

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Vice President Of Senior Living

Noland Health Birmingham AL, 35202

Summary of Duties Responsible for the business development, administration, and overall operations of all senior living communi...

Posted 4 weeks ago

Summary of Duties Responsible for the business development, administration, and overall operations of all senior living communities with emphasis on solid financial programs, quality service, strong operating systems, and effective marketing/sales programs, in accordance with established plans, procedures, and applicable federal, state, and local standards, guidelines, and regulations. Essential Job Functions * Develops and implements strategic and long-range goals for senior living based upon community and organization needs. * Oversees operations for senior living in a quality and cost conscious manner, ensuring that decisions are sound, fair, and consistent with the established goals and according to various national, state, and local statutes. * Develops and submits to the President for approval a business plan for senior living operations. Recommends changes when necessary. * Develops and implements a plan to monitor senior living performance. Defines methods to identify and investigate problems and take corrective action. Measures performance against budget and productivity standards and established goals and objectives. * Participates in the development of capital and operating budgets. * Meets with President to discuss the financial status, capital expenditures, goals and objectives, long-range plans and laws, codes and regulations governing senior living operations. * Recruits and provides direction and leadership to management to assure growth and development of the individual as a facility manager. Establishes and monitors a management development plan, and communicates expectations. * Resolves conflicts within the senior living division and investigates complex problems or issues posing significant financial or legal impact on organization. * Attends to administrative duties, including the signing of documents and preparation of reports. * Prepares and presents market and feasibility studies as requested. * Recommends future plans and enhancements to programs to President. * Approves operational policies and procedures that govern the operation of senior living. * Makes written and oral reports/recommendations concerning the operations of senior living communities. * Participates in facility surveys (inspections) made by authorized government agencies and applicable accrediting agencies and ensure compliance as required. * Directs and manages special projects as assigned. Education * Master's degree in business administration, health care administration, or equivalent required. * Nursing Home Administrator's License preferred. Experience * Minimum of ten years executive level experience in a senior living environment.

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VP Of QA And Compliance

Direct Solutions National, LLC Birmingham AL, 35203

Summary :  Under the direction of the Chief Executive Officer (or as may be otherwise des...

Posted 2 weeks ago

Summary:  Under the direction of the Chief Executive Officer (or as may be otherwise designated), this position is responsible for corporate quality assurance and accreditation activities and corporate utilization review/case management services and procedures.       Specific Duties:   Quality Assurance & Compliance   Oversee corporate quality assurance activities and communicate with Quality Assurance Committee of the Board of Directors through the CEO.  Maintain the corporate quality assurance plan.  Promote quality improvements and ensure adherence to quality standards and attention to detail through all levels of organization.  Advise CEO of opportunities to improve delivery of services and resolve identified problems.   As specifically directed by the CEO, and in cooperation with all divisions, develop and implement corporate-wide quality indicators to monitor each division’s effectiveness.  Develop cross-training protocols for applicable positions to ensure member/client access to services is not compromised.   Ensure compliance with national accreditation process, corporate policies and procedures, and applicable state/federal statutes and regulations.  Oversee corporate accreditation process, as directed.  Ensure all state license/certification requirements are met.  Oversee maintenance of current state name registrations and trademark registrations.    Oversee (perform) divisional quality audits to ensure compliance with BHS clinical policies and procedures, ERISA/HIPAA/MHPAEA/PPACA/URAC, and applicable state requirements.  Report to CEO and division managers.  Stay current and informed on all applicable federal and state regulations and compliance requirements.  Serve as a resource for all divisions and external clients and providers as appropriate.   Assist in orientation and training of clinical professional staff, and provide ongoing guidance and administrative direction to division staff regarding clinical policies and procedures, and documentation standards.  Provide input into annual performance reviews.   Oversee review and follow-up of patient satisfaction survey concerns and issues.  Serve as primary liaison for the QA department for the identification and resolution for patient complaints and issues.  Ensure adequate QA monitoring of providers in compliance with policies and applicable regulations.  Ensure documentation of member/provider complaints to resolution.  Utilize QA department data to improve case management effectiveness and corporate customer service/patient satisfaction.  Assist in the maintenance/improvement of 96% patient satisfaction rate and 90% provider satisfaction rate.   In coordination with other divisions, perform utilization/cost monitoring and tracking functions on appropriate client contracts, including impact of MHPAEA and PPACA on client costs.  Conduct requested chart audits on specific issues.  Serve as a resource to Corporate Relations and Data Processing in the development and updating of client SBC’s, SPD’s and other documents to ensure accurate and timely input of benefits into the IT systems used to coordinate and use the client benefit information.  Ensure all client benefit plans are parity and ACA compliant.   Maintain and ensure compliance with BHS clinical and corporate policies, procedures and utilization review guidelines.  Oversee all corporate utilization review/case management services and procedures, including patient complaint and appeals process.  Recommend and implement changes or additions as appropriate.  Perform administrative case reviews and audits, to include regular quarterly chart audits, supervisory referral audits and others as directed or appropriate.  Ensure the divisions’ compliance with URAC, ERISA, HIPAA, MHPAEA, PPACA, and all other applicable regulations/standards.   In cooperation with IT Division, assist in the development and implementation of computerized clinical and provider systems, case management, tracking, and UR systems.            General   Assist all divisions as requested in support services related to specific or potential contracts.  Review all general business, IT, client and provider affiliation agreement language and make recommendations regarding same.  Assist in preparation of RFP or other proposals as requested.   Maintain corporate, departmental and quality assurance policies and procedures.  Recommend new policies/procedures as deemed appropriate.  Recommend revisions to forms as appropriate.   Assist in preparation of annual corporate goals and objectives.  Oversee preparation of annual divisional corporate goals and objectives and divisional action plans in a timely manner; monitor objectives and due dates bi-monthly.     In cooperation with Executive Vice President & Managed Care Officer as may be specifically requested, assist other division heads in the general responsibility for the Corporation’s day-to-day operations in the CEO’s absence.     Serve as liaison with treatment providers, clients, patients, and others, as directed.  Resolve problems on a timely basis.  Serve as the corporate liaison regarding lawsuits or complaints filed against the company, under the direction of the CEO.   Participate in on-going marketing and provider relations efforts, as directed.  Participate in special projects, on-going research and public relations efforts as appropriate.  Maintain information on competition, provider rates by region or city, national statistics and relevant changes in the field.  Make recommendations on product line enhancements.  Prepare reports and conduct surveys as requested or deemed appropriate.   Maintain corporate and departmental budgets.  Assist in preparation of annual budgets.  In coordination with the VP, Administrative Services and the CEO, maintain general and professional liability insurance coverage policies.   Communicate and advise the CEO on developments in the field.  Keep CEO abreast of activities and provide regular updates and reports.  Monitor the developments, practices and forms/protocols of competitors.   Perform other related duties as directed or deemed appropriate.  Maintain professional competency through continuing education, conferences, and internal training.  Prepare written articles/materials and presentations on appropriate topics as appropriate for increased visibility in the community.   Qualifications:         -   Masters degree preferable.       -   Five years quality assurance experience required, preferably in PPO/HMO or similar setting       -   Experience in managed care/PPO environment.       -   Some experience/involvement in mental health field preferred.       -   Familiarity with case management/util. review functions.       -   Familiarity with computerized applications (PCs, Word, Access, internet).       -   Experience in services to business, industry preferable       -   Experience with fiscal issues, rate negotiations, contractual terms, QA/compliance issues.       -   Excellent communication skills (written and oral), organization skills, and problem-solving abilities.       -   Experience in group presentations/speaking preferable.       -   Experience in staff supervision/training

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Area Vice President Of Business Development Home Health

Amedisys Home Health Services Homewood AL, 35209

What You Will Do: As the Area Vice President of Business Development you will serve as a key executive for the home care organi...

Posted 4 weeks ago

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Director - Operations

Crst - Tcts Refrigerated Trussville AL, 35173

Headquartered in Birmingham, Alabama, CRST Malone is one of the nations largest flatbed carriers. Role Summary: Reporting to th...

Posted 1 week ago

Headquartered in Birmingham, Alabama, CRST Malone is one of the nations largest flatbed carriers. Role Summary: Reporting to the President of CRST Malone, the Director of Operations will provide dynamic leadership support to position the company at the forefront of the industry. Working with his/her direct reports and the President, this individual will implement a strategic plan to advance CRST Malone's position and objectives and to promote revenue, operating profit, safety and growth as an organization. With this variable cost model, the Director will oversee all operations to ensure efficiencies in processes, quality in hiring, outstanding service and cost effective management of resources. Role Responsibilities: Direct leadership and management of a staff of roughly 12 multi site office personnel and support of 1,000+ Independent Contractor and Owner Operator drivers. Work with and provide support of a network of over 100 Independent Business Agents located strategically across the U.S. Support implementation of a strategic plan to advance CRST Malone's mission and objectives and grow the business while maintaining a reasonable profitability; Oversee operations to ensure efficiencies, quality, service and cost effective management of resources; Monitoring key performance indicators; ensuring attainment of objectives and taking corrective action as necessary; Given the variable cost model, determining budget and cost controls are in place to maintain financial objectives as economic conditions fluctuate; Developing a culture of growth and development of people at all levels, and ensuring that a pool of talent will be ready to succeed him/her in the short or long term. Approximate travel required may be up to 50% to agent locations, customers and company sites Requirements: 5+ Years previous transportation related experience Proven track record of leadership experience 4 year college degree is preferred CRST is an EOE

Azura - Vascular Access Charge Registered Nurse/Don

Real Estate Capital Markets Associate

RN, Clinical Documentation Educator (Remote Opportunity)

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Client Service Representative I

Hospital Services Administrator (Fa) Brookwood South

Vice President Of Senior Living

VP Of QA And Compliance

Area Vice President Of Business Development Home Health

Director - Operations

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Azura - Vascular Access Charge Registered Nurse/Don

Real Estate Capital Markets Associate

RN, Clinical Documentation Educator (Remote Opportunity)

Boost your job search productivity with our free Chrome Extension!

Client Service Representative I

Hospital Services Administrator (Fa) Brookwood South

Vice President Of Senior Living

VP Of QA And Compliance

Area Vice President Of Business Development Home Health

Director - Operations

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