Health Insurance Operations Director jobs in Rock Island, IL

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meetings

• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

• Direct and effectuate CCH management policies and practices
• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

• Contribute to the management of CCH staff and CCH systemic development and success
• Discuss and develop CCH system policy and procedure

General Administrative Responsibilities continued

• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

• Provides leadership and oversight by directing, administering, and coordinating patient care in the Maternal Child Health department supporting Maternal/Women's Health, Labor & Delivery, Perinatal Health, Infant Health, Pediatrics, and Neonatal Intensive Care Unit patient care.
• Recommends, develops, and implements of policies and procedures ensuring multidisciplinary involvement throughout the process to ensure effective department operation and administration.
• Establishes performance goals and objectives for the Maternal Child Health nursing division in accordance with the Department of Nursing policies and practices.
• Makes rounds to assess and evaluate patient care needs and to ensure care delivered meet standards of care and standards of practice criteria.
• Evaluates nursing intervention, patient response, effectiveness, complications, and communicates information to physicians and staff; develops corrective action plans as needed to facilitate efficient operational strategies.
• Reviews and adheres to a staffing plan to determine and monitor staffing effectiveness; creates a strategic plan to support staffing shortages and maintain efficient department operations.
• Ensures staff are adequately trained and competent to respond to emergencies and identify medical codes.
• Promotes and encourages professional growth and development of staff through continued education efforts of staff to ensure compliance with standards set by Joint Commission
• Promotes an awareness of patient rights by ensuring staff are trained and educational materials are provided to patients as needed
• Participates in quality assessment and improvement activities to enhance patient care.
• Participates in interview, selection, and hiring process of new staff.
• Participates in annual budget process to ensure department operated in compliance with allocated funding.
• Prepares and submits reports on a monthly, quarterly, and annual basis to review performance metrics.
• Maintains open and collaborative relationships with leadership and peers across CCH.
• Attends meetings and addresses any concerns to ensure nursing practices are align with patient care systems.
• Serves as a patient advocate to address any questions or concerns from the patient or family members.
• Offers educational materials to patient or family members to enhance communication and understanding of patient care.
• Performs other duties as assigned.

• Licensed Registered Professional Nurse in the State of Illinois or the ability to obtain license within two (2) weeks of starting employment
• Master's Degree in Nursing, Public Health, Health Administration, or Business Administration
• Five (5) years progressive administrative/management experience in Maternal Child Health
• Three (3) years of prior Director level experience OR six (6) years of prior Manager level experience
• Current Basic Life Support (BLS) Certification
• Current Pediatric Advanced Life Support (PALS) Certification

• Licensed Registered Professional Nurse in the State of Illinois or the ability to obtain license within two (2) weeks of starting employment
• Master's Degree in Nursing, Public Health, Health Administration, or Business Administration
• Five (5) years progressive administrative/management experience in Maternal Child Health
• Three (3) years of prior Director level experience OR six (6) years of prior Manager level experience
• Current Basic Life Support (BLS) Certification
• Current Pediatric Advanced Life Support (PALS) Certification

• Knowledge of nursing practice standards, state law, regulatory and accrediting organization standards
• Knowledge of medication dosages for newborn and children patients
• Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
• Ability to function autonomously and as a team member in a multidisciplinary team
• Ability to train by presenting concepts and demonstrating tasks
• Ability to perform accurate and reliable mathematical calculations or budget estimates
• Ability to prioritize, plan and organize projects and tasks
• Ability to multi-task and meet deadlines in a fast paced and stressful environment
• Ability to maintain a professional demeanor and composure when challenged
• Ability to train by presenting concepts and demonstrating tasks
• Ability to adhere to department policies and standards utilizing best practices incorporating the use of electronic health record (EHR)
• Ability to meet appropriate confidentiality standards for protected health information (PHI)