Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations 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 Health Insurance Operations Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Our Company
Gentiva is an industry leader in hospice, palliative and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you’ll join gifted colleagues who make a lasting difference in people’s lives every day.
Overview
We’re looking for a Regional Director of Clinical Operations to join our team.
You will report directly to our National Director of Clinical Operations. You’ll be responsible for assisting in the day-to-day operations of the assigned hospice program/site.
Must be an RN
You will conduct QA audits in a proactive, recurrent manner to support company infrastructure
Utilize information gathered to facilitate alterations to the HomeCareHomeBase (HCHB) documentation to prevent recurrence
Understand the intricacies of LOS and Disease states and how they interrelate
Quantify documentation and guide local management in the direction required to assure quality of patient documentation from all disciplines, to support terminality
About You
Registered nurse currently licensed with preferably a BSN or equivalent degree
3 years of Hospice and Home Care experience with one year supervisory or management experience which requires responsibility for evaluation, training, and personnel supervision
Experience participating in state surveys
Experience with Accreditation surveys preferred
We Offer
Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
Opportunity to Participate In a Fleet Program
Competitive Salaries
Mileage Reimbursement
Professional Growth and Development Opportunities
Legalese
This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet state specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace
ReqID: 2023-70431
Category: Corporate Management
Position Type: Full-Time
Company: Gentiva
Type of Service: Hospice Only
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