Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Position Summary:
The Director of Clinical Operations is the bricoleur clinical leader of Trusted Care at the organization, creating and maintaining a positive culture of high performance and exemplary patient care. The Clinical Leader ensures quality, service excellence, and regulatory compliance. The Clinical Leader exemplifies the mission, vision, and values of the organization. The Clinical Leader achieves this by:
Developing and launching the clinical pathways necessary to rollout and grow a serious illness organization serving our areas in collaboration with the COO, that redefines serious illness care
Leading the day-to-day clinical care of patients and families
Providing excellent patient care experience driven by the patient care plan
Ensuring clinical operational excellence
Being a good steward of resources by managing the Big 5 clinical expenses (labor, supplies, pharmacy, DME and mileage)
Ensuring spectacular customer service for patients, families, and referral sources
Coaching, mentoring, and leading the clinical team
Ensuring service, quality and compliance pillar success through strategic operational planning, implementation, and execution and ensuring goals are achieved.
Ensuring excellent CAHPS scores through utilizing the 5 Gems
Community and referral partner outreach and relationship building in partnership with growth team.
Ensuring all clinical policies and procedures are implemented and followed
Creating a program with commitment to excellent patient care and open access to services with urgency
Ensuring regulatory compliance (state, federal, local, Medicare, SCDHEC, DEA, and accreditation standards)
Guiding and collaborating with IDG
Implementing all process improvement effort identified by the QAPI team
Building a high-performance team by intentional recruiting and hiring
Ensures all new clinicians receive stellar onboarding which promotes excellent care
Conduct monthly one to one, clinical team meetings, and supervisory visits
Seeking guidance, coaching, learning and collaboration as part of the Teleios Collaborative Network
Knowledge, Skills & Abilities:
Knowledge of federal, state, and local regulations r/t Hospice
Knowledge of Medicare Conditions of Participation for Hospice
Knowledge of quality standards and reporting practices for hospice and palliative care
Knowledge of Adult learning & training methodologies
Model the way
Exemplify the TCN Leadership System
Inspire a shared vision
Challenge the process
Enable others to act
Encourage the heart
Read the group and discern what is needed
Lead courageously
Proficient in Microsoft Office (excel, word, outlook, power point) & Zoom / TEAMS
Excellent & interesting presentation skills
Excellent problem-solving skills
Strong organizational skills and ability prioritize tasks, detail oriented and flexible
Excellent oral/written skills
Excellent interpersonal skills
Convey warmth, confidence, and competence
Ability to work under pressure to meet deadlines
Ability to facilitate large & small groups effectively
Ability to plan, prioritize and coordinate
Ability to effectively work virtually and move outcomes even when not physically on-site
Ability to direct and contribute to initiatives and processes within the organization.
Ability to integrate core values, integrity, and accountability throughout all clinical practices.
Ability to understand and apply information with which to contribute to the organization's strategic plan.
Ability to manage interactions to provide service and to support the organization.
Ability to provide guidance to organizational stakeholders.
Ability to interpret information with which to make business decisions and recommendations.
Ability to value and consider the perspectives and backgrounds of all parties.
Ability to effectively exchange information with stakeholders.
Qualifications:
Education
Registered Nurse
Bachelors or Masters of Nursing degree– preferred
TCN Leadership Immersion
Teleios University graduate preferred
Experience:
6 years in a Leadership position in Hospice or Palliative Care
Extensive experience with leading clinical teams in hospice and palliative care
Experience and Knowledge of team formation and building
Experience of great life struggle or challenge strongly preferred
Licensures & Certifications:
Active Registered Nurse license in the state of SC
Active Professional Affiliation preferred
Valid driver’s license and proof of automobile insurance (or other mode of personal transportation) required
We are committed to providing an environment of mutual respect with a diverse workforce; we make staffing decisions based on knowledge, skills, and abilities. We are an Equal Opportunity Employer that does not discriminate based on actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, any other non-merit-based factor, or any other characteristic protected by applicable federal, state, or local laws.
Clear All
0 Provider Network Director jobs found in Rock Hill, SC area