Director, Field Medical Content
3 weeks ago
Summary
~100% employer health plan for employees and their eligible dependents
~ Unique benefit offerings that are partially or 100% employer paid
~ Rich and varied retirement plans and the ability to participate in multiple plans.
~ Generous paid time off plans
Role Overview:
Alameda Health System is hiring Under the direction of the Vice President of Care Management, the Director of Inpatient System Care Management manages the day to day operations of the inpatient Care Management across all AHS facilities, including post acute care facility for ensuring efficient patient flow, beginning when a patient is admitted to the facility and ending with a safe and clinically appropriate discharge.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
Accountable for Patient Care Coordination activities including system-wide Case Management, Care Coordination and Discharge Planning.
Aligns Case Management with AHS strategic and operational objectives.
Optimizes efficient Care Management/care coordination roles and processes; initiates process improvements.
Develops, monitors and evaluates inpatient Care Management Metrics; manages the collection, analysis and presentation data relevant to the utilization of healthcare resources including but not limited to avoidable/variance days, readmissions, one-day stays, DRGs, LOS.
Develops, maintains and implements Case Management policies, practices and procedures in accordance with CMS, CA DCHS, the Joint Commission, Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions.
Works closely with the VP of Care Management and Physician Advisors on any audits and secondary reviews; may include but not limited to Direct and coordinate data gathering, chart audits and participants in internal and external meetings.
Oversees educational needs and plan for inpatient Care Management division.
Recruits, trains and coaches the management staff to assist them with performing optimally and provides appropriate discipline/structure; consults and assists Care Management managers with problem solving with staffing, personnel issues, budget issues and resource management; reviews and evaluates management staff performance, initiate personnel transactions and meet hospital standard for performance evaluations.
Supports the VP of CM with completion of financial analyses including cost of care to reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization, clinical documentation/queries quality care and patient safety; oversees the Inpatient recovery process; works closely with Revenue Cycle and AHS Physician Advisors; regularly communicates with payors and/or their contracted vendors.
Responsible for the coordination and support of the AHS Utilization Review Committee.
Responsible of overseeing patient, physician and staff satisfaction based on quality outcomes and patient experience reporting; in conjunction with the Quality Leadership, identifies utilization issues affecting the quality of patient care.
Provides AHS physicians, nursing and staff education including InterQual criteria methodology, resource management, medical necessity guidelines payer sources, clinical outcome metrics, length of stay initiatives, readmission strategies, reimbursement rules and medical record documentation requirements.
Serves as Content Expert/Liaison to community agencies, AHS and Non AHS primary care provider network and all AHS stakeholders across all AHS facilities (i.e. Nursing and Hospital Administrators) for provision of care and services across the continuum of care.
In conjunction with department managers and/or supervisors, coordinates, develops, and implements action plans to respond to areas felt to be in need of improvement related to patient flow and care coordination across the continuum.
Assumes accountability for improving utilization metrics associated with department/unit and meeting organizational/departmental targets.
Evaluates, plans, and executes changes in department procedures, equipment and supplies.
Performs all other duties as assigned.
MINIMUM QUALIFICATIONS:
Required Education: Master's degree in Nursing or Master's degree in Social Work or related field.
Required Experience: Seven to ten years of case management or quality experience in addition to progressive management experience in a large healthcare organization is required.
Preferred Experience: N/A
Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as a Clinical Social Worker issued by the State of California Board of Behavior Science Examiners; active BLS - Basic Life Support Certification issued by the American Heart Association; CPI -Crisis Prevention Intervention Training; Other advanced life support certifications may be required per unit/department specialty according to patient care policies.
Preferred Licenses/Certifications: Certification in Case Management, CCMC or ACM.
Highland General Hospital
SYS Care Coordination
Full Time
Varies
Management
FTE: 1
-
Executive Medical Director for Oncology
3 months ago
Oakland, United States Sutter East Bay Medical Group Full timeOpportunity InformationExecutive Medical Director for Oncology, Sutter Health East Bay MarketSutter East Bay Medical Group is seeking an experienced, innovative, and collaborative medical oncologist to lead the Sutter East Bay Comprehensive Cancer program. The Sutter Health East Bay Market is one of six market areas for Sutter Health, an integrated...
-
Executive Medical Director for Oncology
3 months ago
Oakland, California, United States Sutter East Bay Medical Group Full timeOpportunity InformationExecutive Medical Director for Oncology, Sutter Health East Bay MarketSutter East Bay Medical Group is seeking an experienced, innovative, and collaborative medical oncologist to lead the Sutter East Bay Comprehensive Cancer program. The Sutter Health East Bay Market is one of six market areas for Sutter Health, an integrated...
-
Content Strategist
2 weeks ago
Oakland, California, United States Amerit Consulting Full timePosition Overview:Our client, a leading provider of Health, Dental, Vision, Medicaid, and Medicare Healthcare service plans in California, is in search of a skilled Copy Writer.*** Candidate must be authorized to work in the USA without requiring sponsorship *************************************************************************** Work Arrangement:...
-
B2B Content Operations Specialist
2 weeks ago
Oakland, California, United States Avispa Technology Full timeJob DescriptionOperations Coordinator - B2B ContentA prominent technology firm is in search of an Operations Coordinator - B2B Content. The selected individual will play a vital role in managing daily editorial functions to ensure that our content creation, publication, and distribution methods are collaborative, efficient, consistent, and dependable. You...
-
Operations Coordinator
3 weeks ago
Oakland, United States Avispa Technology Full time $25Job DescriptionJob DescriptionOperations Coordinator - B2B Content R-2024-05-74A leading music streaming company is seeking an Operations Coordinator - B2B Content. The successful candidate will be a key member of the team, overseeing the day-to-day editorial operations to help ensure that our content production, publication, and distribution processes are...
-
Operations Coordinator
3 weeks ago
Oakland, United States Avispa Technology Full time $25Job DescriptionJob DescriptionOperations Coordinator - B2B Content R-2024-05-74A leading music streaming company is seeking an Operations Coordinator - B2B Content. The successful candidate will be a key member of the team, overseeing the day-to-day editorial operations to help ensure that our content production, publication, and distribution processes are...
-
Operations Coordinator
3 weeks ago
Oakland, United States Avispa Technology Full time $25Job DescriptionJob DescriptionOperations Coordinator - B2B Content R-2024-05-74 #PPA leading music streaming company is seeking an Operations Coordinator - B2B Content. The successful candidate will be a key member of the team, overseeing the day-to-day editorial operations to help ensure that our content production, publication, and distribution processes...
-
Medical Director
11 hours ago
Oakland, California, United States AIDS Healthcare Foundation Full timeAbout AIDS Healthcare FoundationAIDS Healthcare Foundation is a leading global healthcare organization dedicated to providing access to affordable healthcare for local communities and globally. Our mission is to cultivate a genuine impact and make a difference in the lives of millions.Our ValuesWe value our staff as our most important resource and offer a...
-
Oakland, California, United States GQR Full timeJob Summary:We are seeking a highly skilled and experienced professional to join our team as an Associate Director of Medical Affairs, Engagement Operations at GQR. In this pivotal role, you will be responsible for driving the execution of our Medical Engagement Strategy, ensuring alignment across cross-functional teams, and fostering collaborations with...
-
Director Managed Care Medical
4 days ago
Thousand Oaks, CA, United States Los Robles Regional Medical Center Full timeAt Los Robles Regional Medical Center, you come first. Benefits Los Robles Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health...
-
Oakland, United States GQR Full timeAre you ready to make a meaningful impact in the biotech industry? We're seeking a passionate and experienced professional to join our team as an Associate Director of Medical Affairs, Medical Engagement Operations.In this pivotal role, you'll be responsible for driving the execution of our Medical Engagement Strategy, ensuring alignment across...
-
Director Medical Staff Office Support Services
3 weeks ago
Oakland, CA, United States Alameda Health System Full timeSummary Alameda Health System offers outstanding benefits that include: ~100% employer health plan for employees and their eligible dependents ~ Unique benefit offerings that are partially or 100% employer paid ~ Rich and varied retirement plans and the ability to participate in multiple plans. ~ Generous paid time off plans Role Overview: ...
-
Hospice Medical Director
3 months ago
San Jose, CA, United States AccentCare Full timeOverviewWe are AccentCare Medical Group – A family of Physicians and Nurse Practitioners passionate about serious illness and end-of-life care. We are present in the full breadth of the continuum, from the patient’s home and virtual space, skilled nursing facilities, assisted living, and acute care hospitals. We provide care where the care is...
-
Medical Director Physician
2 weeks ago
Belmont, CA, United States PrimeCare Medical, Inc. Full timeDocCafe has an immediate opening for the following position: Medical Director Physician in Belmont, New York. Make $130/yearly - $160/yearly. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. Register now to apply for this job and for access to 125,000+ other openings. DocCafe Offers: Free...
-
Field Program Manager, Northern California
2 months ago
Oakland, United States Galileo Learning Full timeCompany DescriptionGalileo is a nationally recognized summer day camp that's all about empowering young innovators to change the world! With over 70 diverse communities served and hundreds of thousands of kids inspired since 2002, we are a leader in the Innovation Education Movement.Here, innovation, purpose and personal development converge, creating an...
-
Field Program Manager, Northern California
2 months ago
Oakland, United States Galileo Learning Full timeCompany DescriptionGalileo is a nationally recognized summer day camp that's all about empowering young innovators to change the world! With over 70 diverse communities served and hundreds of thousands of kids inspired since 2002, we are a leader in the Innovation Education Movement.Here, innovation, purpose and personal development converge, creating an...
-
Director, Inpatient System Care Management
3 weeks ago
Oakland, CA, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! Under the direction of the Vice President of...
-
Content Marketing Manager
2 weeks ago
Mountain View, CA, United States TEKsystems Careers Full timeLocation: *Remote, candidates are able to go on-site if they’d like/are near an office (California locations - Mountain View, San Diego, SF Bay)Contract Length: *12 months, extension likely upon budget approval & mutual fitRate: *52/hour The Content Marketing Manager will help develop and implement a content marketing strategy that supports branding,...
-
Medical Director
3 months ago
Oakland, United States AIDS Healthcare Foundation Full timeLooking for a career and work environment where you can cultivate a genuine impact? AIDS Healthcare Foundation may be just for you. Committed to people before profit, our organization provides access to affordable healthcare for our local communities, and globally.AIDS Healthcare Foundation affords opportunities for individuals to pursue various career...
-
Director, Graduate Medical Education
1 month ago
Fresno, CA, United States Saint Agnes Medical Center Full timeEmployment Type:Full timeShift:Description:SUMMARYReporting to the Chief Medical Officer Executive Management, responsible to provide for the operational and financial management of the Graduate Medical Education Department and its accredited/non-accredited residency/fellowship training program. Requires a comprehensive and detailed understanding of national...
