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Health Services Administrator, RN Required

2 months ago

Bel Air, United States Wellpath Full time
About the Role

We are seeking a highly skilled and experienced Health Services Administrator, RN to oversee and assess the Health Care Delivery Program at Wellpath. As a key member of our team, you will be responsible for ensuring that medical, dental, and mental health program initiatives align with company and facility policies, while also meeting ACA, NCCHC, and State accreditation standards for comprehensive compliance.

Key Responsibilities
  • Supervise program implementation and efficiency, including financial evaluation and procedural improvements, while ensuring adherence to company policies and regulatory standards.
  • Foster strong relationships with internal and external stakeholders, coordinating recruitment, training, and performance evaluations, and maintaining open communication channels.
  • Manage all aspects of medical personnel licensure, insurance coverage, and compliance, overseeing contracted services and ensuring accurate reporting and record-keeping.
  • Monitor and optimize healthcare utilization, from pharmacy formulary adherence to inpatient hospitalizations, promoting quality care and cost-effectiveness.
  • Serve as a liaison for accreditation processes, participate in professional development activities, and drive quality improvement initiatives through active engagement in audits and adherence to industry standards.
Qualifications & Requirements
  • Education: Bachelor's Degree in Nursing
  • Experience: Three years administrative, management and supervisory experience
  • Licenses/Certifications: CPR certification
About Wellpath

We are an Equal Employment Opportunity / Affirmative Action Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We encourage you to apply if you are excited about a role but your experience doesn't seem to align perfectly with every element of the job description.