Health Insurance Operations Director jobs in Nevada

The
Director of Therapy Operations
organizes, develops, directs, and supervises all aspects of Therapy Operations, which includes inpatient and outpatient therapy; and may include other hospital services, in accordance with current applicable federal, state, and local standards, regulations, and guidelines to assure that the highest degree of quality care is rendered at all times. This position requires effective management skills along with good communication skills for interdepartmental relationships and requires competency in therapy discipline for evaluation, assessment, care planning and treatment. The Director of Therapy Operations is responsible for staffing and scheduling to provide adequate coverage for patient treatments and for the preparation and monitoring of financial and budgeting concerns for all departments under its control. This position represents Therapy Operations in hospital meetings, meetings with CEO, and participates as key member of hospital leadership. This position maintains open and an on-going communication with the hospital leadership to ensure patient, staff, and hospital needs are met. The Director of Therapy Operations creates an environment and culture that enables the hospital to fulfill its mission by providing patient safety and patient-centered treatment.
RESPONSIBILITIES AND TASKS
Develops, revises, communicates and implements policies and procedures.
Locates and utilizes current corporate, regional and hospital tools and resources efficiently and effectively.
Holds staff accountable to their roles and responsibilities.
Provides resources for program-based peer support groups.
Monitors staff performance for compliance and provides positive reinforcement.
Advises CEO on staff and equipment required for effective program operation.
Uses historical data and emerging trends to accurately forecast operational revenues and expenses.
Makes recommendations based on internal and external market conditions for potential salary adjustments.
Takes leadership in program development including accreditations such as disease specific certification.
Stays abreast of research, products, evidence-based Medicine, and new developments in rehabilitation.
Communicates with doctors and community residents to identify rehabilitation needs and develops business case for needed program development.
Educates staff and community on new capabilities in collaboration with marketing department.
Educates the community on prevention, awareness, and treatment options.
Monitors and interprets data on patient outcomes, satisfaction and safety.
Targets processes for improvement and leads implementation of process improvement.
Participates in hospital audits and ensures corrective actions as indicated.
Develops/supports clinical affiliations and relationships with educational institutions.
Occasionally may provide patient care (see attached discipline-specific addendum)
Completes mandatory training and courses required by completion date.
Has in-depth knowledge regulatory requirements and applies them to program operations.
Takes responsibility and acts as a resource to therapy on business standards and regulations.
Communicates how standards apply to department positions.
Educates and communicates updates and changes in standards to the staff.
Has in-depth knowledge of state, federal, professional, program reimbursement, and business standards, legal issues, documentation requirements, regulatory requirements.
Partners with the HR department to understand how employment laws affect situations within the department and ensures adherence to all applicable policies and procedures.
Assists HR in ensuring current licensure and certifications for all licensed or certified staff and maintains professional licensure and certifications.
Establishes and monitors department processes such as scheduling, staffing, communications, and patient programs.
Includes plan for patient treatment including intake, admission, scheduling, and communication.
Establishes and monitors plan for patient education and discharge.
Includes use of patient education software and company products, patient and family instruction, continuum of care, equipment recommendation, home program recommendations and recommendations for community support.
Qualifications
License or Certification:

• Current State license as a Physical Therapist, Occupational Therapist, or Speech Language Pathologist.
• CPR certification preferred unless otherwise required by hospital policy.
• If clinician is an SLP, successful completion of SLP Certification of Clinical Competence (CCC) is required.

• Successfully completed a Bachelor's degree or higher from an accredited therapy program, required. Additional training with a Master's or Doctorate's degree in either professional or management area is preferred.
• Minimum five years of rehabilitation experience which includes two years in management is required.
• Active on Therapy Clinical Ladder (when eligible) or specialty professional certification, preferred.