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Position Summary: Provides quality home health services to the community. Develops and markets new programs. Is accountable for strategic and tactical planning and the operation and integration of the assigned region-wide services. Principal Duties and Accountabilities:
- Collaborates with other Directors and Supervisors to support the hospital's role as a community health service provider and to further the goal of becoming the preeminent healthcare delivery system.
- Maintains a positive fiscal stature by ensuring maximum reimbursement from Medicare and third-party payers.
- Ensures departmental compliance with all applicable local, state, federal and The Joint Commission requirements. Ensures that performance and quality standards are in place and continuously monitors this performance for respective area of responsibility.
- Ensures the provision of quality services through the selection and development of a staff that supports current needs as well as future growth. Establishes and ensures compliance with productivity standards to expedite the effective operation and improvement of the units supervised.
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This role will serve as the leader and subject matter expert for the CommonSpirit Health Centers of Excellence Leave Management program. This position will be responsible for designing and developing a new leave management program for CommonSpirit Health’s 150,000+ employees. This leader will be responsible for setting strategic direction, leadership, and implementation, while ensuring all leaves of absence programs under the COE support the overall business and delivery strategy with a focus on employee engagement. In addition, collaboration with key stakeholders to ensure compliance with all regulatory and contract requirements for healthcare organizations.
This is an exciting time to join CommonSpirit Health as our Director of HR Leave Management! Imagine being the SME for this program that will have high visibility with senior leadership as well as within the healthcare and leave/absence management industry.
Essential Key Job Responsibilities
- Serve as the primary subject matter expert for CommonSpirit Health leave programs under the COE, ensuring all programs support the overall business and benefits design and delivery strategy.
- Oversees all policy design and development that integrates with the leave programs, legislative and legal requirements, and union contract requirements while supporting strategic business decisions.
- Integration and implementation of an in-sourced delivery model which includes evaluation of current programs, development of required workflows, claim correspondences, and training content.
- Development of performance metrics, service level agreements and quality assurance of programs.
- Develop, monitor and report program performance measurement strategies against data analytics to understand key cost drivers, trends, optimization opportunity, and improvement of employee experience.
- Vendor management and oversight for design and process changes. Serves as point of contact for escalations.
- Actively manage vendor relationships by continually reviewing and assessing contracts and service level agreements to ensure efficiency and effectiveness.
- Prepare and present recommendations to HR leadership relating to new leave programs or standardization or changes to current leave programs.
- Develop formal Return to Work guidelines and tools in partnership with HR Operations and vendor(s).
- Develop a formal ADAAA process establishing accommodation opportunity across varying job functions, while ensuring compliance of the program with both processes, policies, state and federal law. Improve stay-at-work and early return-to-work opportunity.
- Develop strategic partnerships and collaboration with COEs, HR leadership, business partners and vendor(s) to achieve directed COE state.
"human resources", HR, SPHR, "leave management"
~LI-DH
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Position Summary: Directs operations related to the clinical laboratory. Provides overall direction to laboratory managers/supervisors. Creates alignment with hospital staff, department directors, and physicians to foster open communication. Oversees all workflows to maintain the highest standard of quality and service. Prepares and manages the budget for costs related to the clinical laboratory. Principal Duties and Accountabilities:
- Works closely with hospital staff, department directors and physicians to ensure that the highest standards of quality and service are maintained.
- Writes and updates procedures and manuals as needed; reviews employees annually to ensure they have current information needed to perform tests and procedures.
- Manages, updates and takes responsibility for the quality of laboratory work processes.
- Prepares the laboratory budget for costs such as personnel, equipment, supplies and consumables, and ensures adherence to it.
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Position Summary: Directs the provision of nursing care in a business unit while maintaining standards of patient care. Principal Duties and Accountabilities:
- Responsible for the overall quality of care provided by the nursing personnel. Advises medical staff, department heads, and administrators in matters related to nursing service and strategies.
- Interprets policies and objectives of nursing service to staff and community groups.
- Monitors the operations of the nursing staff and ensures compliance with regulations on organizational and governmental standards and practices. Schedules staff and conducts employee performance reviews.
- Provides nursing care to patients on an as needed basis.
#HelloEmergencyLeader
tb2019
#RN@DH
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Position Summary: <p>Responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identify opportunities for improved patient care, incorporate evidence-based practices, and improve patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.</p> Principal Duties and Accountabilities:
- Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.
- Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
- Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.
- Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
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Position Summary
The Division Chief Nursing Officer (CNO) is responsible for the practice of nursing and nursing care throughout the Division's continuum of care sites and programs. Provides leadership and strategic direction for all care traditionally considered nursing care in accordance with the mission, vision and values of the organization. Develops and implements key strategic and operational initiatives that facilitate optimal care delivery, population health management in person-centered, financially sound, safe and high quality care. The CNO serves as a positive role model for ethical management behavior and promotes awareness and understanding of positive ethical and moral principles. Partners with national nursing leaders to set organization's national nursing strategies, goals an standards as a member of the organization's Nurse Executive Council. Advises the Division Executive on nursing matters, and takes the lead in ensuring that organization's national standards and decisions are implemented throughout the Division.
Primary Duties and Accountabilities:
- Partners with other strategic leaders to design Systems of Care for clinical value. Develops strategies involving the design and deployment of clinical resources, the design of alignment options for nurses and other provider groups, and the establishment/management of partnerships as part of a broader clinical integration strategy.
- Improve value through optimizing clinical operations. Reviews cost, quality, safety, utilization, and value data regularly with market nursing leaders and health system executives, and is responsible for both the dissemination of this information and for the development of interventions needed to improve value (quality, safety and cost across the continuum) as well as risk mitigation in clinical areas.
- Develop and enhance nursing and clinical team leadership. Develops, aligns, and mobilizes nursing and other clinical leaders around successful achievement of clinical, operational, and strategic priorities for the organization.
- Serves as an organizational and community role model for ethical management behavior. Promotes an awareness and understanding of ethical and moral principles that are consistent with the mission, vision and values of the organization.
~LI-DH
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Job Summary:
The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the payer relationships. The Manager assists PSR leaders in the development, implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing departmental policies and procedures that focused on maintaining positive working relationships with Payers; coordinating directly with internal & external stakeholders to ensure contract compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the division.
Essential Key Job Responsibilities:
- At the direction of senior leadership, negotiate contracts with Payers on behalf of Division Providers, including hospitals, physicians, ambulatory surgery centers and other affiliated providers as assigned. Support contracting strategies, negotiations, and renewals by reviewing and updating language and rate sheets to ensure accuracy, completeness, and compliance with CommonSpirit Health standards and guidelines.
- Maintain supportive relationships with key departments that support the division in order to quickly resolve contract-related issues. Participate in the development and revision of necessary policies and procedures, including but not limited to billing, cash-posting, medical records documentation, utilization management activities. Negotiate letters of agreement and single case agreements at the direction of the senior leadership.
- Ensure complex payer information and reports are analyzed and summarized to provide timely operational and contracting recommendations for key internal leaders. Research contract and regulations to assist with claim payment issues and/or credentialing issues with payers.
- Ensure that standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are resolved in a timely fashion. Maintain a master calendar and schedule of Managed Care Organization meetings. Participate in joint operating committee meetings with payers. Maintain and make readily available library of market resources and tools to support contracting performance activities.
- Draft and summarize content for official correspondence as issues arise with policy updates or compliance with agreements.
- Assist PSR leaders with updating project plan documents and communications plans.
- Actively monitor contract terms, termination dates, and rate update deadlines to assure proper and timely notification achieved in compliance with project plan and strategy.
- Ensure all amendments, letters of agreement (LOA), memorandum of understanding (MOU) and other contract documents are signed by the appropriate parties, and provide the fully executed contract documents to the Contract Administration team.
- Assist in developing tools/updates for communicating and operationalizing contract terms, amendments, and policy terms. Maintain Payer knowledge base to include financial statements/reports, news articles and other information.
- Adhere to all established contracting guidelines. Contracting accountability for negotiation support include hospital, physician, and ancillary services
Non-essential Job Responsibilities
- Other duties as assigned by management
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Position Summary: Provides support to Managed Care Directors and VPs by managing smaller payer renewals (including Behavioral Health, grant programs, county plans), assisting with document proof-reading and document review/preparation. Assists with statewide negotiating team work or inter-departmental process work as needed. Principal Duties and Accountabilities:
- Supports Managed Care Directors and VPs by reviewing documents, doing research, assisting with CDM amendments.
- Participates in statewide negotiating teams as needed.
- Negotiates small/local payer renewals including behavioral health, managed MediCal, county grant programs, etc.
- Assists with contract maintenance, coding maintenance and organizes documents/electronic files.
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Job Summary:
The Director, Payer Strategy and Relationships (PSR), plans, directs, and implements managed care policies, goals and objectives related to contract language and reimbursement, negotiation strategy, and payer relationship management. This position negotiates a wide-variety of fee-for-service and value-based contracts for a CommonSpirit Health Division, focusing on local (non-National) health insurers and their numerous business lines (e.g. commercial, government, and service-line specific). The Director collects and communicates Division-level insight and strategic knowledge to/from the PSR National Payer teams, the PSR Growth & Innovation team, and a host of other key departments across the enterprise (finance, strategy, population health, etc). This position is essential to CommonSpirit Health’s financial performance, and has significant impact on the long-term strategic trajectory of the organization. High expectations exist to secure optimal fee for service and value-based reimbursement, protect the interests of the owned and/or affiliated hospitals/ancillaries/professional provider entities in contract negotiations, and strengthen CommonSpirit Health’s relationships with all local payers
Essential Key Job Responsibilities:
- Collaborative and engaged member of the PSR Team. Reports to the Division VP, PSR Team.
- Participates in the development of Division strategy, relationships, and contracts with local payers to further drive a clear and effective negotiation strategy, reimbursement structure, contract renewal planning process, and contract implementation. Budgeted and forecasted performance and growth requirements as set forth by national and Division senior leaders are integral to these processes.
- Gathers information and guidance from Division PSR VP and ministry leaders relative to the strategic, operational, financial needs and expectations of the Division related to the National Payers; proactively communicates with the PSR National Payer teams.
- Establishes, builds, and maintains positive, strategic interactions and relationships with local payers, employers, providers, and leaders across the ministry. Maintains relationships with National Payer contacts with offices in the Division.
- Works in coordination with Division level operational leaders to ensure and maintain participation in appropriate centers of excellence (COE) designations.
- Engages consistently in effective communication with internal stakeholders across the ministry to ensure key contract terms and requirements are successfully implemented to ensure optimal contract performance and revenue expectations.
- Develops and executes communication plans to internal and external stakeholders related to payer relationships, negotiations, organizational contractual obligations, and developments in the managed care marketplace.
- Analyzes and monitors financial aspects of existing managed care contracts. Gathers feedback from ministry leaders on financial and operational issues with local payers related to contract renewals, renegotiations, payer compliance, or termination scenarios, and leverages this feedback to make recommendations regarding participation or non-participation with new or existing agreements and networks.
- Makes independent decisions and/or exercises judgment based upon appropriate information and objectives. Comprehends and maintains highly detailed information. Accepts and carries out responsibility for direction, control, and planning.
- Stays current with emerging payer trends, new reimbursement methodologies, state specific regulatory issues, plan benefits, payer activity, products and delivery channels including health insurance exchanges, market competition, etc.
- Participates in establishing the composition, pricing, and management of fee and value-based payment and risk arrangements with local payers in support of CommonSpirit Health’s Healthier Communities strategy.
- Develops, implements, and maintains value-based payment and risk arrangements in conjunction with national standards & guidelines.
- Supports the strategic objectives of CommonSpirit Health’s IDNs, population health, and care management initiatives through directly engaging local payers and employer customers, including CSH employee health benefits.
- Participates in and contributes to CommonSpirit Health’s PSR knowledge base through sharing best practices, developing contract performance goals, key metrics, network development, reimbursement and language guidelines, revenue realization, and other applicable work streams.
- Participates in the dispute resolution and denials processes with local payers if the materiality exceeds $1M. Participates in joint operating committees and denial committees for Division.
- Works intimately with internal analytics teams, leveraging existing reporting capabilities, and proactively developing new creative analytical tools in partnership with analytics team.
- Leads and organizes sub-projects necessary to support local payer negotiations and growth; keeps detailed work plans, and actively tracks the status of open items, following up consistently to ensure deadlines are achieved.
Non-essential Job Responsibilities
- Other duties as assigned by management
- Enter additional item as applicable
Out of scope for position
- CDM updates or changes.
- Contract administration/storage/credentialing activities.
- Individual account-level investigation of denials, underpayments or appeals.
- Planning, negotiating or implementing Agreements with National Payers (Note: Projects at a Division-level with or related to National Payers may involve Division Directors on an ad hoc basis.)
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Job Summary
As a member of the division / market strategic and operational team, the DRMO is responsible for the identification, design, implementation, sustainment and evaluation of CommonSpirit Health’s risk management program designed to reduce the frequency and probability of loss and establish robust risk management operations at the division, market and facility level. This work includes the identification, analysis and management of potential and actual risk exposures (worker, patient, visitor, reputational, and environmental), claim management facilitation, insurance operations interface, information systems utilization and risk finance analysis. Together with national, division, market and facility senior leaders, the DRMO ensures the appropriate level and type of risk management resources are available, competent and capable of carrying out risk management responsibilities.
Key Responsibilities
- Consult and provide support to division leaders on potential or actual risk management issues including informing them of potentially serious safety, risk or claim issues which may have significant financial and / or reputational repercussions including acquisitions, divestitures, service line expansions and other strategic initiatives.
- Collaborate with Corporate Responsibility and Legal Services to provide consultation, direction, support, and coaching to facility operations leaders on the investigation, analysis and action plan development following a high-profile risk event such as an allegation of abuse, drug diversion, an unexpected patient, visitor or worker death, large scale privacy breach, complex ethical dilemma, or criminal activity. This investigation may or may not include a root cause analysis.
- Collaborate with Patient Safety and Claim Operations on the implementation and evaluation of an Enterprise-wide process for early disclosure, communication and resolution, including financial, when unintended deviations in care result in patient harm.
- Collaborate with Patient Safety on creating a proactive high reliability culture at the division level through the analysis of loss trends, aggregate incident data, complaint and grievance patterns, safety indicators and other risk factors. Utilize this analysis to prevent future losses, reduce harm and increase risk awareness within the division.
- Identify service lines or departments with either actual or potential high risk of employee, visitor, environmental, or patient harm/losses and conduct a risk assessment or identify internal or external resources capable of performing the assessment. Work with risk owners and other key stakeholders to an action plan to address gaps.
- Partner with division, market and facility leaders in the hiring, orientation, management, evaluation and professional development of individuals responsible for the risk management function. Professional development includes coaching, mentoring, and elevating the role, visibility and credibility of the risk manager within the facility.
- Attend, as a permanent member, division committees including Nurse Executive Council, Quality and Values, Risk and Safety, Ethics, Complaint and Grievance, Medical Staff and other Division committees as appropriate.
Provide support to key stakeholders to ensure risk-related policies comply with accrediting agencies, state statutes, federal mandates and other regulatory organizations.
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Position Summary:
This position is responsible for driving accountability and monitoring the revenue cycle operations related to the
Management Fees of the joint venture partnership between Dignity Health and Optum360 as well as the Non Optum360 Revenue Cycle Management activities of Dignity Health. This position will require collaboration and consistent communication with the Vice President of Revenue Cycle, as well as other members of Dignity Health's Finance leadership at both the national, division and facility level.
This individual will work in conjunction with CommonSpirit Health National to manage market relationships with external vendors, monitor metric performance, identify revenue optimization opportunities, and advocate Dignity Health's revenue cycle position on key decisions. This role will work extensively with Revenue Cycle Operations members, CommonSpirit Health National colleagues, other Division Directors of Revenue Cycle, and other external vendors with whom the market contracts for revenue cycle related services.
Special Knowledge, Skills, Abilities
•• Ability to establish personal and professional credibility with Dignity Health's VP of Revenue Cycle, executive team, and finance, as well as with the revenue cycle partnership, leadership and staff throughout the system. Demonstrates subject matter expertise and leadership to other business partner relationships - clinical, compliance, and information technology.
•• Thorough knowledge of the full revenue cycle across the organization with the confidence to challenge the status quo to improve organizational effectiveness and service to customers.
•• Ability to craft a vision, gain alignment, and motivate others towards its achievement. The capacity to balance the big picture, strategic perspective, with attention to the details of operations.
•• Exceptional interpersonal , communication, and presentation skills, and the ability to clearly articulate goals and expectations across the organization.
•• The ability to manage multiple projects simultaneously and maintain flexibility in a dynamic work environment. The ability to prioritize and effectively respond to issues as they arise.
Essential Functions
1. Lead revenue cycle performance monitoring and improvement initiatives at the division and facility level to create a high performing revenue cycle across front-end, middle, and back-end functions
2. Review and interpret key indicator reports and participate in discussions for corrective actions to be taken by Revenue Cycle Operations in the markets in response to variances and trends
3. Create visibility and accountability of revenue cycle performance at the market level
4. Supports day-to-day Optum360 integration plans
5. Assess revenue cycle performance in accordance with goals and objectives set by CommonSpirit Health National, facility budgets and Optum360 SLAs.
6. Manage vendor relations and contract coordination with both Revenue Cycle Operations and CommonSpirit National, and work to ensure that revenue cycle vendors are fulfilling their roles and working in conjunction with CommonSpirit's mission and philosophy
7. Facilitate relationships and break down barriers in conjunction with Dignity Health local leadership and Optum360 Revenue Cycle Operations, and other preferred vendors
8. Serve as a subject matter expert in the interpretation of revenue cycle activities and needs to assure revenue cycle management is an efficient and effective function integrated into critical programs
9. Provide revenue cycle subject matter expertise in market specific committees and work groups
10. Develop policies for all Dignity Health retained revenue services responsibilities
11. Ensures timely and consistent communication of all mandatory and strategic alignment messages; Ensures messages are received and understood
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Position Summary:
Provides support to Managed Care Directors and VPs by managing smaller payer renewals (including Behavioral Health, grant programs, county plans), assisting with document proof-reading and document review/preparation. Assists with statewide negotiating team work or inter-departmental process work as needed.
Principal Duties and Accountabilities:
Supports Managed Care Directors and VPs by reviewing documents, doing research, assisting with CDM amendments.
Participates in statewide negotiating teams as needed.
Negotiates small/local payer renewals including behavioral health, managed MediCal, county grant programs, etc.
Assists with contract maintenance, coding maintenance and organizes documents/electronic files.
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Position Summary:
Under direct supervision the incumbent may be (depending on the daily assignment and vehicle) responsible for: The Transportation of seniors and mobility-impaired persons and/or the delivery of bulk food and/or the delivery of Home Delivered Meals to qualified customers in a courteous and efficient manner in accordance with guidelines of PSA 2, Area Agency on Aging. The incumbent is responsible for keeping vehicles in a sanitary condition, conducting daily inspection of vehicles and reporting any needed repairs to leadership. The position reports to the Manager Operations
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Position Summary:
Under direct supervision the incumbent may be (depending on the daily assignment and vehicle) responsible for: The Transportation of seniors and mobility-impaired persons and/or the delivery of bulk food and/or the delivery of Home Delivered Meals to qualified customers in a courteous and efficient manner in accordance with guidelines of PSA 2, Area Agency on Aging. The incumbent is responsible for keeping vehicles in a sanitary condition, conducting daily inspection of vehicles and reporting any needed repairs to leadership. The position reports to the Manager Operations
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Position Summary:
Under direct supervision the incumbent may be (depending on the daily assignment and vehicle) responsible for: The Transportation of seniors and mobility-impaired persons and/or the delivery of bulk food and/or the delivery of Home Delivered Meals to qualified customers in a courteous and efficient manner in accordance with guidelines of PSA 2, Area Agency on Aging. The incumbent is responsible for keeping vehicles in a sanitary condition, conducting daily inspection of vehicles and reporting any needed repairs to leadership. The position reports to the Manager Operations
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Summary
The Driver/Escort will at all times uphold the best interest of Dignity Health consistent with the Mission and Philosophy of the organization; promoting organizational culture and development based upon Dignity Health values and principles. This position is to insure safe, efficient, reliable and productive vehicular transportation of patients, employees, and guests to a designated place, facility and/or Department.
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Position Summary: The Echo Sonographer will produce diagnostically adequate documentation of all the anatomic malformations associated with heart disease. Cardiac sonographers must be familiar with cardiac anatomy and physiology and with the clinical aspects of cardiology. Cardiac sonographers must possess a keen understanding of ultrasound physics and instrumentation plus manual dexterity to manipulate a transducer. Performs Echocardiology procedures, electrocardiograms (EKGs), pediatric and neonatal EKG’s, pharmacological and exercise stress echoes, pharmacological and exercise cardiolyte procedures, stress testing, tilt table procedures, and holter monitoring. Within procedure specifications and within scope of practice performs echocardiograms, stress echocardiograms, pharmacological stress tests, nuclear stress tests, pharmacological nuclear stress tests, transesophogeal echocardiograms, tilt table tests, and Holter monitoring. Within scope of practice performs electrocardiograms pediatric and neonatal EKG’s. , pharmacological and exercise stress echoes, stress testing, tilt table procedures, and holter monitoring. Minimum:
- Two (2) years performing echos, dopplers, color flow doppler, transesophageal echo experience required.
- One (1) year experience in performing EKG testing, stress testing, Holter monitoring and Event monitor set-up and scanning required.
- Completion of accredited echocardiography program required
- Completion of an approved Arrhythmia course required.
- Current AHA BLS certification required.
- Current AHA ACLS certification required.
- Current RDCS certification required.
Preferred:
- Certified cardiovascular technologist preferred (CVT) preferred.
#RN@DH
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About this Opportunity:
Through the use of accepted techniques and practices, provides high quality general diagnostic echocardiogram studies; performs echocardiogram exams to include general echo with the ability to learn TEE, Pediatric Echo, Stress Echo (including Dobutamine), Contrast echoes, aides Cardiologist with Echo guided Pericardiocentisis and any other studies that fall under the spectrum of general echo exams. Communicates effectively with ancillary areas and internal staff. Able to evaluate, coordinates and executes responsibilities under pressure situations. Has the initiative to resolve customer problems by self, and involves supervisors as necessary. Provides professional and quality care to patients from neonates to geriatrics, while following hospital and departmental policies, procedures and standards. Provides and documents technical findings and preliminary observations within the scope of practice as set by department policies. Ability to take night and weekend call for a minimum basis. To assist in the training of echo technologists or students in the advancement of research and or general echocardiography.
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The Cardiology Technician is responsible for processing and performing EKG's, Cardiac Stress Testing, Holter monitors and Stress testing in conjunction with Nuclear Medicine on in and out patients and for maintaining the quality of the lab. The technician/technologist shall assure that all equipment is properly maintained, calibrated and appropriate quality assurance measures are taken. The technician/technologist is also responsible for assisting with and performing numerous Cardiology procedures.
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Job Summary:
Provides excellent, quality care in the role of an Echo Tech and assists with Cardiac procedures for patients at Arizona General Hospital. Able to proficiently perform transthorcugic echoes, transesophageal echoes, stress tests as required for position.
