Clinical Operations Director

4 days ago


Edison, New Jersey, United States Grace Healthcare Services Full time

Grace Healthcare Services is seeking a seasoned Clinical Operations Director to lead the clinical operations of our South Jersey facility.

Main Responsibilities
  • Develop and manage regional manager meetings, ensuring effective collaboration and goal alignment.
  • Oversee face-to-face visits, guaranteeing timely and relevant implementation of care plans.
  • Conduct thorough performance evaluations for direct reports, including staff performing face-to-face visits, and collaborate with HR on employee counseling as needed.
  • Support administrative tasks, such as prior authorizations for Medicare Part D, tracking and reporting third-party Medicare Part D provider claims, and facilitating ADR, RAC, ZPIC audits, and Medicare Part D appeals.
  • Ride in the field with staff nurses, providing feedback to regional managers, and offering guidance to community representatives and intake staff for clinically complex patients.

Requirements:

  • NJ Registered Nurse License required.
  • Bachelor's or Associate degree in nursing preferred.
  • 3 years' experience in hospice or home care with progressive management responsibilities.
  • Strong leadership skills, technical competence, PC skills, critical thinking, and exceptional professionalism.

Estimated Salary: $95,000 - $120,000 per year



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