Clinical Services Resume Samples

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E Wolf

Everett

Wolf

62683 Madeline Forest

Philadelphia

+1 (555) 280 9687

62683 Madeline Forest

Philadelphia

Phone

p +1 (555) 280 9687

Experience Experience

Chicago, IL

Clinical Services Assistant

Chicago, IL

Crist and Sons

Chicago, IL

Clinical Services Assistant

A successful candidate will demonstrate a commitment to quality client/member service with a goal of assisting providers and members attain improved healthcare
Primary contact after customer service for provider questions involving single case agreements, authorizations, claims processes and technical assistance
Assist providers with requests for authorization of treatment through entering ITR and ORF forms
Performs other duties as may be assigned by the Program Manager
Case Management
Collects demographic data from providers/subscribers for case initiation
Assist clinical staff with documentation to prepare for hearings

Chicago, IL

Clinical Services Manager

Chicago, IL

Corkery LLC

Chicago, IL

Clinical Services Manager

Recruiting and orientating new staff; developing strategies for retaining clinical staff
Assist in planning, coordinating and managing the Resident Services Department
Promote individual development by providing learning and growth opportunities to clinical staff
Influence and/or provide input to forecasting and planning activities
Supporting and promoting organizational goals into specific goals and objectives for clinical staff
Plan, coordinate, monitor and direct day-to-day clinic operations related to nursing, laboratory, radiology and other medical and business areas as delegated
Participate in site specific strategic planning activities

present

Phoenix, AZ

Director of Clinical Services

Phoenix, AZ

Hoppe Inc

present

Phoenix, AZ

Director of Clinical Services

present

Work collaboratively with corporate staff, physicians, risk management, and other corporate leaders to address performance improvement and safety issues
Assist in developing action plans and strategies for addressing deficiencies in partnership with operations management
Facilitates and promotes communication and solid working relationships among client hospitals, physician employees, midlevel providers and EmCare
Hire, manage, and develop teammates to excel in their assigned roles in a team environment
Acts as a resource to the Nurse Manager and Medical Director providing input into issues of staffing and productivity
Oversee, coordinate and implement performance improvement standards/Projects
Develop and evaluate the goals of the Company and prioritize the work in accordance with the strategic objectives of Acadia Healthcare

Education Education

Bachelor’s Degree in Quality Care

Ball State University

Bachelor’s Degree in Quality Care

Skills Skills

Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
Knowledge of office administration procedures with the ability to operate most standard office equipment
Self-motivated with strong organizational skills and superior attention to detail
Ability to collaborate and interact with health care professionals
Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
Ability to use good judgement and to maintain confidentiality of health information records
Ability to pay attention to small details
Knowledge of Nursing practice, applicable rules and regulations and industry standards pertaining to Medicare Advantage Plans
Demonstrated ability to perform basic mathematical calculations
Knowledge of applicable regulatory, compliance, and accreditation standards

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15 Clinical Services resume templates

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Manager of Medicaid Clinical Services Resume Examples & Samples

Ability to effectively communicate with both clinical leaders/managers within the organization, as well as external providers, in addition to interacting with key business managers/leaders
Minimum of two (2) years of prior health care or managed care experience
Minimum of two (2) years of HIV/AIDS, medical or chronic care experience
Demonstrated knowledge of Article 49- Utilization Review process
Demonstrated strong verbal/ written communication and customer service skills
Demonstrated strong organizational, analytical and interpersonal skills with detail-oriented focus required
Demonstrated computer proficiency, including but not limited to, Microsoft Office (Word, Excel, Access)

Supervisor of Clinical Services Resume Examples & Samples

Oversee the coordination of the patient care through the supervision of the clinical staff including nursing, aide, social work, physical therapy, speech/language pathology and occupational therapy
Maintain responsibility for safety and infection control, Quality Assurance and Performance Improvement, chart audits, and medical supplies
Assure that medical records are maintained appropriately and that all clinical disciplines function according to licensure, state and federal law for Home Health and Accreditation Standards
Bachelor's or Master's degree in nursing from an NLN accredited program or the equivalent (additional years of experience in nursing management may be considered in lieu of the bachelor's degree)
3+ years of experience in clinical nursing, with at least 1 year in home health or related community health nursing
1+ years of experience in a supervisory or management position
Proficient with computers
Excellent understanding of homecare rules/regulations
CHHA / Medicare knowledge and experience $

Director of Clinical Services Resume Examples & Samples

2+ years as an NP in a long term care facility
RN/NP License
Experience with ANP/GNP/SNP, Geriatric and managed care $

Clinical Services Supervisor Resume Examples & Samples

3+ years experience in CHHA and/or Long-term experience
Knowledge of Medicare and Medicaid standards
3+ years of leadership experience
MLTC, LTHHC, Geriatric, CHHA experience

Director of Clinical Services City Resume Examples & Samples

10 years of relevant clinical experience
Needs to be ok with driving and comfortable with being in a car
Flexibility on where their office would be (have Long Island location in Brentwood, Dumbo, Brooklyn is an option and also Upper West Side office)
Proven history of managing the operations of an organization that strongly emphasizes substance abuse and mental health treatment, customer service, and employee training
Familiarity with EMRs
Understanding of managed care and privatized insurance
Strong team-builder and inspired leader who works well with a diverse group of employees from a variety of disciplines

Clinical Services Frontline Leader Resume Examples & Samples

Analyze data to guarantee key performance measures are met, while aiding in the removal of barriers to success
Monitors quality and production and holds associates accountable for meeting and exceeding expectations
Experience in a team leadership or supervisory position
Efficient time management skills
Proficiency in Microsoft Office Word, Excel and PowerPoint
Able to give direction and make sound business decisions
Certified Pharmacy Technician (PTCB)
Call center experience in a leadership capacity

Director of Clinical Services Resume Examples & Samples

10+ years of related experience; 5+ years of Management / Supervisory experience
Understanding of the needs and dynamics of elder care services and disadvantaged populations
Understanding of Medicare Advantage Plans/Special Needs Plans (SNPS)
Significant experience with Quality Outcomes measurement and familiarity with clinical data systems and reporting
Knowledge of Nursing practice, applicable rules and regulations and industry standards pertaining to Medicare Advantage Plans
Familiarity with Medicare and State Medicaid programs and hands-on experience with regulatory requirements and reporting
Demonstrated experience in managing clinical nursing staff including recruitment, education and training
Previous Clinical Care Management experience in a Managed Care setting

Clinical Services & Consulting VP Resume Examples & Samples

Development of multi-year client strategies that support a culture of health and well being; providing support of client health management programs through ongoing, direct contact with the client or through the account management team; contributing to the development of new tools, products and approaches within the health management area as well as the broader health and group benefits; developing and delivering presentations for client seminars and industry symposiums to convey the positive impact of health management; assisting in the education of AFG consultants and associates on health management related programs, services, processes, deliverables and cost; and using client data to perform analytical reviews and develop client-specific results and recommendations
Work with the Health Management team to create scalable solutions that address well being and benefit strategies with the power of data analytics to provide evidence-based health solutions for clients that improve health and productivity while positively impacting the bottom line
Coordinate with Health Management team to establish consistent approaches for disseminating point-of-view, process, tools, and services to markets. Lead, perform, oversee and enhance health management consulting with clients
Communicate AFG’s health and wellbeing strategy, vision, and point-of-view internally and externally (clients, vendors, media). Engage in and lead strategic health management discussions with clients
Provide thought leadership around the development of specific health and well being approaches, products, tools, and offers. Utilize broad health care experience to anticipate market trends, internal needs, and client needs
Translate theories and ideas into clear and actionable offers, tools, and approaches that can be deployed by our clients. Leverage appropriate resources across markets, regions, and business groups
Provides health care system and Accountable Care expertise to define and manage collaborative care delivery models. Creates program designs to drive efficiencies and value-based improvements with local providers and delivery systems
Identify and establish internal and external partnerships that can promote Health Management’s strategic direction and product development
Communicate strategy, vision, and point-of-view through the marketing of new products and tools
Minimum 4 years Relevant experience in health plans and/or care systems including familiarity with hospital, ancillary and clinic care delivery and core business and financial processes. Includes experience in population health, ACOs, integrated health system delivery and an understanding of innovative care models to improved care while decreasing costs
Minimum 4 years Clinical experience in a hospital or clinic setting, ideally coupled with experience with in health plans and/or care systems with solid working knowledge of local health systems
Experience conducting audits of case management programs is a plus

Clinical Services Leader Resume Examples & Samples

Active RN license in designated state
Experience and proficiency with the Microsoft Product Suite; PowerPoint, Excel, Word
Demonstrated strong leadership ability
Demonstrates general understanding of Electronic Medical Record Systems and Data exchange between provider and payer
Health Plan, Managed Care experience highly desired
Prior management (team leadership) experience

Clinical Services Manager Resume Examples & Samples

Experience in Quality, Utilization or Case management
Strong computer and communication skills
Strong Clinical Data Analysis and Clinical Triage Skillset
Bachelors in Nursing, BSN, Masters Preferred
CCM or CPHQ
Previous Medicare/Medicaid experience
Previous CMS HEDIS/NCQA experience preferred

Supervisor / Director of Clinical Services Resume Examples & Samples

3+ years of experience in a Clinical Nursing; 1+ year of of experience in a Home Health or related Community Health Nursing setting; 1+ year of Supervisory experience
Bachelor's or Master's Degree in Nursing from an accredited program or the equivalent
CT Registered Nurse (RN) license
Previous Case Management and and Medicaid / Medicare experience

Director of Forensic & Clinical Services Resume Examples & Samples

5+ years of Clinical experience with abused Children and Families; 4+ years of Clinical Supervisory experience
Master's Degree in Social Work
Experience working with Child and Families impacted by violence
Solid, team-building and conflict-resolution skills
Expertise in forensic interviewing and extended forensic evaluations

Clinical Services Leader Resume Examples & Samples

Strong Case and or Care Management experience
Health Plan and Managed Care experience highly desired
General understanding of quality

Clinical Services Leader Resume Examples & Samples

Strong Case and/or Care Management experience
Medicare knowledge (Medicaid is a plus)
Bachelors in Nursing, BSN
Experience with Milliman and/or InterQual

Director of Clinical Services Resume Examples & Samples

Monitor the day-to-day compliance activities
Assist in the development of Performance Improvement practices in facilities and maintenance of same including analysis of data and prioritization of efforts—HBIPS; Outcome Measures, CMS Quality Indicators, as applicable
Set expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results in assigned facilities
Develop, review, update internal clinical procedures, related outcomes measurement, patient satisfaction, clinical/financial scorecards to ensure ongoing compliance with federal, state and other third party regulatory requirements
Respond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate. Coordinate resolution of ethics reports with VP and/or AVP of Clinical Services/Compliance, General Counsel, Chief Compliance Officer Recovery Division and as indicated Acadia Director of HR
Initiate and lead communications with regulatory agencies as appropriate
Develop/maintain proficiency in regulatory planning strategy and the submission of regulatory plans. Develop corrective action plans for the resolution of problematic issues or to address areas of compliance vulnerability
Ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required
Ensure proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required
Translate standards, requirements and policies into terms or processes meaningful to the target program
Develop and evaluate the goals of the Company and prioritize the work in accordance with the strategic objectives of Acadia Healthcare
Maintain regular communication with clinical/leadership staff at assigned facilities regarding clinical and regulatory/accreditation issues
Work collaboratively with corporate staff, physicians, risk management, and other corporate leaders to address performance improvement and safety issues
Degree in healthcare or related field
Residential and Detox Service experience Required
A minimum of five years experience in psychiatric healthcare and/or substance abuse operations at the administrative/leadership level. Previous Medicare/Medicaid Operations/healthcare industry experience preferred
Knowledge of the Joint Commission, CMS, CARF and TRICARE standards and regulations
Experience in conducting complex compliance investigations, preferably in healthcare
Ability to travel up to 50% of the time, including flying and driving rental cars

Director of Clinical Services Resume Examples & Samples

As a member of the senior management team the Director of Clinical Services (DCS) ensures the development, implementation, and evaluation of the clinical programs are consistent with facility’s goals and objectives
The DCS provides leadership and strategic planning for all clinical services on the acute and residential units to ensure community and referral source needs are met
The DCS will possess a thorough knowledge of JCAHO, CMS, OSHA, and all state and federal regulatory standards
The DCS will collaborate with the CNO and Medical Director to promote a multidisciplinary patient focused approach throughout the continuum of care. Performs other duties as assigned
Master’s degree in a human services field (i.e. social work, psychology, or counseling)
Five years clinical and supervisory experience with adolescents and adult populations in both residential and acute care setting required

Human Clinical Services Coordinator Resume Examples & Samples

Associate's degree in a medical field
Two years of progressively responsible experience in health care industry (including phlebotomy and IV experience)
Consideration will be given to an equivalent combination of education and experience in lieu of degree
Ability to develop and maintain positive, successfully working relationships with peers, supervisors, interdisciplinary research teams and volunteers
Valid US or Canadian driver's license

Clinical Services Associate Resume Examples & Samples

Certified in performance of an in depth demo presentation that highlights key product features, and includes differentiation of OncoEMR from competitors
Provide WebEx and Live onsite demo support with Sales Directors
Assist in onsite workflow assessment of a potential client and identify where OncoEMR can assist in the streamlining of work processes and efficiencies
Partner with Product Management by providing client feedback related to enhancement requests from both onsite demo visits and workflow assessments that will assist in furthering functionality of OncoEMR
Provide application expertise to Account Managers as needed, to aid in the retention of existing clients by improving use of the application. (Best practice workflows)
Attend national meetings such as ASCO, COA and ETC to showcase and answer questions related to use and capabilities of OncoEMR to attendees
Partner with engineering team to further shape the future of the Flatiron product suite by providing clinical expertise and end user interface

Assistant Director of Clinical Services Resume Examples & Samples

Must possess a current CPR certification
Must have a minimum of three (3) years of nursing experience in a setting serving the same age/type of resident population served by this facility. Minimum of one (1) year of management experience preferred
Must possess knowledge of local, state, and federal regulations pertaining to facility function
Must possess knowledge of accreditation standards and compliance requirement
Must possess excellent communication and interpersonal skills
Works beyond normal working hours and on weekends and holidays when necessary
Is subject to callback during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)
Is subject to exposure to infectious waste, diseases, conditions, etc
Maintains a liaison with the residents, their families, support personnel, etc., to ensure that the residents’ needs are continually met

Director of Clinical Services Resume Examples & Samples

Ensure the delivery of high quality, efficient nursing care
Supervises Nurse Practitioner, Assistant Director of Clinical Services, Clinical Nurses, and Nurse Techs
In the absence of the Executive Director, you are charged with carrying out the resident care policies established by this facility
Set and monitor achievement of goals and objectives for the nursing department
Recruit and hire nursing staff
Establish, implement, and continually update competency/skills checklists for nursing staff
Prepare and assure adherence to an annual operating budget for the nursing department
Assist surveyors and inspectors to facilitate regulatory compliance
Directs Nursing and Care Plan Team

Ww-clinical Services Specialist Resume Examples & Samples

Current RN license in state of practice required
Bachelor's degree in associated field preferred
Experience in researching, updating, and maintaining clinical policies and procedures preferred
Flexibility in scheduling and ability to travel

Clinical Services Specialist Resume Examples & Samples

Degree in Nursing and RN license (and licensure in state of residence)
Minimum of three years experience
Experience in CQI methodology and techniques
Proven strong leadership skills and the ability to collaborate across functions
Scheduling flexibility and ability to travel
Intermediate computer skills in Word, Excel, and Power Point with ability to create presentations and use the Internet effectively
Passion for quality care and the individual team member’s appropriate role in the provision of that care
Visionary with ability to plan and execute projects that impact mission, goals and objectives
Ability and willingness to coach, mentor, train, and develop teammates to provide continuous improvement in patient care

Clinical Services Specialist Resume Examples & Samples

A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree (may consider Registered Dietitians)
Current RN or RD license in state of practice required
Flexibility in scheduling and ability to travel throughout WI

Clinical Services Specialist Resume Examples & Samples

A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree (We have hired non-nurses for this role but we do feel that an RN who is also a leader is best)
Current RN license in state of practice desired
Minimum of 3 years (5 years preferred) of related experience required where you have some analytics, project management, ability to communicate up and down and to lead projects, clinical outcomes, team education
CNN or CDN, Bonent certification within one year of hire or position change (so you can get this after/post hire)

Clinical Services Specialist Resume Examples & Samples

A.D.N degree from accredited school of nursing required; B.S.N preferred
Current RN license in state of IA required
Minimum of (3 years to 5 years highly preferred) of nephrology experience
If no nephrology experience ; Will consider RN's with State Auditing, Regulatory, or teaching/instructor experience ***
Flexibility in scheduling and ability to travel : travel up to 75 % ; will cover areas of Cedar Rapids, Davenport, and Waterloo IA ***

Director of Clinical Services Resume Examples & Samples

Identify issues that require the establishment of clinical Policies and Procedures or recommend modification to existing policies and
Procedures
Ensure the timely completion of home hemodialysis and/or PD training
Identify specific training needs within the division and implement action plans
Ensure that DaVita’s training programs meet or exceed federal and/or state requirements
Provide oversight of the audit process(s) to ensure regulatory compliance and consistency in approach
Ensure division’s compliance with all laws, regulations and practice guidelines that impact nursing practice
Ensure Right Person/Right Attitude/Right Job (RPRARJ) within Home Clinical Services Specialist and/or PD Trainer positions
Provide coaching and leadership including effective performance feedback to Home Clinical
Services Specialists and Clinical and/or PD Trainers
Ensure the team provides support for and development of the Home Hemodialysis preceptors
Participate as a member of the Division’s Operations Management Team in development of strategic direction for division and ensure
The development of outcome programs to support the direction
Allocate resources according to divisional priorities
Develop a collaborative and unified team
Help direct reports overcome any organizational obstacles encountered during projects
Know, understand, implement, follow, and communicate to teammates
All DaVita employment policies and procedures, awards, and other opportunities
Within company and foster a positive work environment
Hire, manage, and develop teammates to excel in their assigned roles in a team environment
Facilitate teammate development (PDRs, coaching, mentoring,
DaVita training, outside training); collaborate with direct reports to create
Professional development goal
Provide strategic work direction for department teammates
Develop and conduct educational programs to keep teammates up-to-date on DaVita policies, new laws and regulations impacting work, and
Other information necessary to maintain teammates’ knowledge of department
Processes and goals
Travel within the region (Greater Los Angeles to Central Coast) required
Management and Leadership
Teammate Management
Provide leadership to direct reports (2-3)
RN licensure required
Nephrology / dialysis experience preferred
Leadership experience and a track record of success building and leading teams strongly preferred (healthcare, business or military)
Associate's degree required; Bachelor's degree preferred
Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required; proficiency in all DaVita clinical computer software and systems required within 90 days of employment or position change

Senior Director of Clinical Services Resume Examples & Samples

Minimum 10 years’ related experience including proven results working within a quality improvement environment (i.e. Six Sigma, continuous quality improvement, etc.) required
ESRD/Healthcare experience preferred
Ability to prioritize and adapt based on changing priorities
Basic to intermediate computer skills including familiarity with Outlook
Commitment to DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, co-workers, management, physicians, and/or vendors in every day performance and interactions
Passion for quality care and education
Ability to motivate through influence and leadership
Ability to develop effective relationships at all levels of the organization and to influence outcomes positively

Clinical Services Spec, Senior Resume Examples & Samples

Conducts research for needs assessments and provides written complete detailed recommendations to the Department Director
Develops and conducts audits to identify training needs, assess staff compliance with contractual requirements, and opportunities for performance improvement for the clinical services department
Reviews all programs assigned and continuously ensure they meet the rigorous standards that are set forth by WellCare's clinical services department
Revises existing training materials and programs based on audit results, questionnaires, changing procedures and feedback from internal/ external customers, subject matter experts, program sponsors and trainers
Assess the "job fit" of students during training and immediately report non-progress directly to associate supervisor, manager, or director
Receives broad guidance and delegated authority from HS Dir, Training
Preferred A Bachelor's Degree in BSN or higher
Preferred Other Formal training in adult learning principles preferred (college level classes, or advanced certification training
Required 3+ years of experience in clinical practice in a hospital, clinic or other provider setting
Preferred 3+ years of experience in making presentations to groups of 5 or more
Advanced Ability to work independently Strong ability to work independently with little direction
Required Licensed Practical Nurse (LPN)
Required Licensed Marital and Family Therapist (LMFT)
Required Intermediate Microsoft Word Proficient in Microsoft Office including Word, PowerPoint and Outlook
Required Intermediate Other Ability to learn company approved software and other industry software in order to perform job duties

Clinical Services Specialist Resume Examples & Samples

Trains, facilitates, assesses, and develops processes for the clinical services department
Assesses, designs and develops instructional materials including training manuals, teaching aids, self-paced study and performance evaluation tools, in conjunction with the training department
Conducts research for needs assessments and provides written complete detailed recommendations to Training Director of clinical services
Manages group dynamics through the use of “learner focused” environment and adult accelerated learning methods
Develops and conducts audits to identify training needs and opportunities for performance improvement for clinical services department
Produces professional presentations and training materials using MS Word, PowerPoint and other desktop publishing software
Coordinates and organizes enrollment of students, assemble necessary program materials, maintains staff attendance documentation, provides reports of trainings and audits to the department leadership
Assists clinical services specialist senior, department managers, and department director with tasks as required
Assess the "job fit" of students during training and immediately report non-progress directly to the associate supervisor, manager, or director
Performs special projects as needed
Required A High School or GED
Preferred A Bachelor's Degree in nursing or related field
Required 2+ years of experience in clinical practice in a hospital, clinic or other provider setting
Required 1+ year of experience in managed care or case management role
Required 1+ year of experience in making presentations to groups of 5 or more
Preferred Other Direct training experience with member services, claims, customer service, call center and/or health management organization
Intermediate Ability to proof large bodies of materials
Intermediate Ability to analyze information and covert related activities into a comprehensive work plan
Intermediate Ability to work independently Strong ability to work independently with little direction
Required Other At least one of the licenses/certifications listed is required
Required Licensed Clinical Social Worker (LCSW)
Required Licensed Clinical Marriage & Family Therapist (LCMFT)
Required Licensed Mental Health Counselor (LMHC)
Required Licensed Mental Health Practitioner (LMHP)
Required Intermediate Microsoft Outlook Proficient in Microsoft Office including Word, PowerPoint and Outlook
Required Intermediate Microsoft Excel
Required Intermediate Macintosh Photoshop
Required Intermediate Macintosh Illustrator

Clinical Services Coordinator Resume Examples & Samples

Responsible for daily supervision of multidisciplinary clinical team and oversight of the team's administrative support to include provision of coaching and counseling as required to ensure compliance with clinical scope of practice and standards
Provides clinical administrative support, clinical expertise to meet patient and staff needs and functions as the liaison with physician practices and hospital case management and other referral sources
Analyzes the data to prioritize multi-issue situations to support appropriate actions based on the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services
Supports billing compliance and timeliness by maintaining current knowledge of payer requirement and billing criteria, state and federal regulations, performing timely completion of CSC workflow and identifying opportunity for appropriate reimbursement

Senior VP Clinical Services Resume Examples & Samples

Comprehensive oversight of branch-based acute nursing to include productivity, performance and training
Oversight of nursing agency relationships to include service level standards
Oversight of field based Specialty Nursing Leadership
Oversight of nursing agency relationships to include extensive training on new therapies
Training and use of Outcomes based tools at the patient (Care Exchange)
Accountability for pharmacy standards and credentialing
Lead Development of Pharmacy /Clinical training to include philosophy and clinical approach
Travel as needed approximately 25% (75% if not in Lenexa, KS)
BS required; Master’s Degree preferred
6+ years of direct, hands-on clinical health care experience
4+ years of management experience including 2 years managing leadership levels
1+ year experience scaling and improving multiple geographically dispersed groups
Strong business operations aptitude including P&L skills
Exceptional communication skills/professional presence with ability to lead and drive change on a national scale
Operational performance management include use of metrics to measure performance
Proven, demonstrated skills impacting improvement of organizational productivity and development
Experience effectively interpreting/translating strategic initiatives into daily operational objectives for staff
Experience managing clinical operations
Clinical credentials

Assistant Director of Clinical Services Resume Examples & Samples

Acts as a liaison between the Director of Nursing and the nursing staff
Participate in the development and achievement of nursing department goals and objectives
Staff development functions/responsibilities. Provide educational programming
Assist in the implementation of and monitor compliance with policies, procedures, and standards of practice consistent with corporate and external regulatory guidelines
Collaborate with various department heads to promote positive interdepartmental relations
Assist in the development, implementation, and monitoring of an accurate and effective documentation system
Must complete preceptor training
Perform other duties, as assigned

Optum Hospice Clinical Services Manager Resume Examples & Samples

Supervises assigned RN Case Managers, LPNs / LVNs, Social Workers, Chaplains and Hospice Aides
Ensures needs and services of the patient are met as identified in the patient’s initial assessment and subsequent assessments
Evaluates and coordinates patient care services provided by the IDG by supervising meetings of the IG and daily stand up / stand down
Coordinates patient admissions and levels of care
Understands and applies local coverage determination/guideline criteria regarding terminal prognosis in all aspects of patient care
Supervises nursing care and ensure the nursing needs of the patient are met as identified in the patient’s initial assessment, comprehensive assessment and updated assessments
Provides coordinator of patient care and ensures continuous assessment of each patient’s and family’s needs and implementation of the IDG plan of care
Ensures all documentation and nursing services meet state regulations and federal hospice conditions of participation as well as federal regulatory mandates
Serves as a nurse liaison with staff, physicians, vendors, other agencies, hospice programs and individuals that have contracted agreements to provide additional nursing services
Services as a liaison between the DCS, Medical Director, clinical staff and community outreach representatives regarding clinical problems and progress in patient care
Serves as a liaison between hospice staff, patients and families
Supervises the day to day quality of care provided including, but not limited to, orientation, scheduling, education, and support of all members of the hospice IDG including contracted staff
Participates in review and implementation of hospice policies and procedures
Reviews information on all pending patient admissions, all new admissions and “live” discharges to assure regulatory criteria are met
Reviews / monitors / approves payroll and mileage. Reviews patient care expenditures prior to the Executive Director’s approval
Acts as a resource / mentor for staff regarding clinical issues, documentation, problem solving and appropriate customer service behavior
Communicates with the clinical staff regularly/effectively regarding organizational changes and updates, practice expectations and other matters of importance
Manages team schedules to assure nursing, Hospice Aides and allied health services are available
Managers RN schedules to ensure nursing services are available 24 hours a day, seven days per week
Monitors schedules to ensure LPNs / LVNs and home health aides work under the direct supervision of an RN
Assures that problems/grievances / service failures experience by individual patients / families or referral sources are address with team members and vendors to ensure they are resolved promptly and satisfactorily
Completes all job duties in a manner that meets the accepted standards of practice and the Optum Palliative and Hospice Care Policies and Procedures
Ensures clinical staff is proficient in the Electronic Medical Records system and using the EMR application proficiently
Works in other RN roles as directed by the Executive Director of DCS
Works on-call as required, including nursing call and / or administrative call
Current and unrestricted RN licensure in state of the hospice
3+ years clinical experience
2+ years recent Hospice experience
Knowledge of MS Office suite including Outlook, PowerPoint and Word
Experience with Electronic Medical Record systems (EMR)
Management and / or supervisory experience
Community Outreach experience
Account management and / or marketing experience
Long term care experience
Certification in Hospice and Palliative Care

Optum Hospice Clinical Services Manager Resume Examples & Samples

Understands and applies local coverage determination / guideline criteria regarding terminal prognosis in all aspects of patient care
Assures that problems / grievances / service failures experience by individual patients / families or referral sources are address with team members and vendors to ensure they are resolved promptly and satisfactorily
Reliable transportation including valid driver’s license and auto insurance

Clinical Services Specialist Resume Examples & Samples

Extensive travel required for customer training, trade show support, and site visits to critical customer accounts
Provide lead instruction and mentoring to new hires while “in the field” performing customer training through our employee shadow program
Training Customer staff on new product or product updates to including system and functionality
Provide clinical instruction on procedural standards for performing biopsy procedures as applicable
Document applications training performance for all instruction provided to customer within one week of training completion
Provide continued customer service through post-applications support to include progress reports
Maintains a high standard of medical ethics at all times and is self-motivated to increase level of understanding and knowledge of the field, disease, and new procedures as they evolve
Assist with Field Service and helpdesk training with product updates as applicable
Ensure that all activities reflect the Quality Policy according to ISO Standards
Provide educational lectures for continuing education
Must be able to multi-task and make decisions while working in a fast paced environment
Must be able to communicate effectively both orally and written with customers and supporting departments
Needs to have a thorough understanding of breast health systems
Demonstration of professional demeanor
Valid Driver’s License. Valid passport as applicable
Ability to travel within North America and international
Qualified candidates require at least 2 years clinical experience in breast imaging as a registered technologist, as well as additional experience in a medical setting using Ultrasound and/or MRI imaging modalities or equivalent
Knowledge of digital and stereotactic as applicable
Knowledge of GE, Siemens and Toshiba as applicable
International experience helpful and bilingual a strong consideration
ARDMS registered sonographer experience a plus

Clinical Services Technologist Resume Examples & Samples

Performs routine and non-routine intermediate to high complexity molecular assays in a GCLP and CLIA regulated environment
Opportunity to work with Affymetrix, ThermoFisher and Illumina NGS instruments, ABI Sanger sequencing and real-time PCR platforms, gel-based assays
Makes detailed observations and analyzes data and interprets results
Assists in identifying and troubleshooting discrepancies and quality control failures
Assists in the validation of new assays
Assists in the writing and editing of standard operating procedures, material requirements documents, and other essential documentation
Performs DNA purification, quantitation, and gel electrophoresis of routine and non-routine client samples
Performs RNA extraction, cDNA synthesis and total RNA quality analysis from a variety of specimen types, including FFPE tumor samples
Responsible for reviewing for genomic and gene expression data for quality control
Maintains equipment logs, maintenance logs, and calibration logs
Assists in laboratory inventory, makes common reagents and reviews reagent quality control
Assists with accessioning client samples and other sample management processes as needed
May train personnel
Works on problems of moderate scope in which analysis of situation or data requires a review of a variety of factors
Exercises judgment within defined procedures and practices to determine appropriate action
Requires a minimum of a Bachelor’s Degree with a concentration in life sciences, Molecular Biology, Biochemistry, Pharmacology, or closely related field. Experience in good laboratory practices is required
Must be able to interpret and follow procedures that are given both in writing and verbally
Must be able to organize, multitask and demonstrate effective time management and prioritization skills
Must have excellent interpersonal and communication skills, demonstrated ability to work effectively in a team environment
Must have excellent eye hand coordination and the ability to work in a laboratory environment

Assistant Director of Clinical Services Resume Examples & Samples

Assist in the implementation of and monitor compliance with policies, procedures, and standards of practice consistent with
Assure effective interaction with resident and families
Participate in and/or provide inservice education sessions
Attend and participate in department/facility meeting, as required
Assist surveyors and inspectors to facilitate regulatory compliance, as per the direction of the director of Clinical Services
Access continuing education opportunities, appropriate to discipline and responsibilities
Adheres to facility policies and procedures and participates in facility quality improvement and safety programs
Embrace Consulate Health Care’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them
Demonstrate a passion for caring as evidenced by interaction with co-workers, residents, families, and visitors

Supervisor of Rehab Clinical Services Resume Examples & Samples

Current FL PT, OT, or SLP Licensure required
BLS Certfication
3 years or more in a resource therapist role
Ability to manage and motivate others

WW Acute Clinical Services Specialist Resume Examples & Samples

A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree
Experience in teaching the adult learner strongly preferred with demonstrated ability to communicate technical/medical information in lay terms as necessary
Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint and Outlook required

Clinical Services Director Resume Examples & Samples

W/TPMG partner, directs development & implementation of quality & utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of srvs & cost effective utilization of necessary srvs. Builds trust w/ the nursing team through visibility
Mentors nursing Mrgs in development of leadership skills, fiscally accountable staffing/scheduling practices, professional development of staff, & outcomes based practice
Develops srvs that achieve a high level of customer satisfaction w/emphasis on customer srv, highest standards of quality & innovation

Regional Clinical Services Analyst Resume Examples & Samples

Consults and works with Regional Clinical Services Analytics Supervisor and lab/optical/pharmacy services management to develop and compile ad-hoc and standard reports for Regional Clinical Services
Extracts data from data sources, including but not limited to Sunquest, Clarity, Sybase Data Warehouse, and Oracle Data Warehouse using Crystal Reports, Business Objects, Infomaker, and SQL
Develops and compiles reports and analysis in support of current program initiatives related to volume, productivity, turnaround time, cost, etc. as requested by Regional Clinical Services management
Designs and prepares timely trend analyses of volume, productivity, turnaround time, cost, etc. as requested by Regional Clinical Services management
Coordinates the reports and analyze for other regional customers as needed
Minimum two (2) years of experience developing spreadsheets and graphs using Microsoft Excel required
Two (2) years of relevant data mining experience in lab or health care strongly preferred
Two (2) years of experience designing and developing databases and queries using Microsoft Access strongly preferred
One (1) year of experience with SQL/Oracle strongly preferred
Knowledge of Crystal Reports preferred
Working knowledge of Sunquest or another lab system preferred

Manager, Pulmonary Clinical Services Resume Examples & Samples

Develops, implements, and monitors quality of CSA pulmonary standards across the continuum of care. Ensures all programs support the organizations goals and strategic plans
Coordinates plans of treatment, customer focused delivery of services, and cost effective utilization of services. Ensures all patient care is in compliance with administrative, legal, and regulatory requirements and follows established policies and procedures. Works with other health care providers to develop, implement, and provide efficient pulmonary care services and outcomes
Meets short and long term financial goals by continually planning, developing, monitoring, adjusting and evaluating annual budgets. Identifies opportunities to reduce costs, while maintaining quality of services
Manages staff, ensuring all are fully competent in providing the highest quality of care to members. Determines appropriate staffing to maintain the service levels. Develops and presents in-service programs to medical center staff. Manages and resolves human resource, employee and department safety, and risk management issues

Clinical Services Director MCH Resume Examples & Samples

Coordinates w/TPMG to provide for the seamless transition of patients across the continuum of care. Establishes partnerships w/facility leadership groups. In collaboration w/medical staff & facility leadership ensures a superior care experience & a safe environment w/patients & staff. Ensures policies, practices, & procedures comply w/administrative, legal & regulatory requirements of the Health Plan contract & governmental & accrediting agencies
Manages & resolves human resource, labor relations, employee & Dept safety & risk Mgmt issues
Enhances nursing practice & patient outcomes through the effective use of clinical practice & GRASP committees
Participates in developing the hospital's plan for the recruitment & retention of nursing resources to ensure that a sufficient number of qualified staff members are available to meet the needs of the patients
Master's degree in nursing, health care, public administration, or business administration preferred

Clinical Services Specialist, Senior Resume Examples & Samples

Trains, facilitates, assesses, and develops training programs for the clinical services department and clinical programs and staff
Leads in the assessment, implementation and evaluation of instructional materials including training manuals, teaching aids, self-paced study and performance evaluation tools, in conjunction with the clinical services department
Mentors group dynamics to preceptors through the use of “learner focused” environment and adult accelerated learning methods
Oversees the enrollment of students, assemble necessary program materials, maintain staff attendance forms, provide reports and observations back to associate supervisor, manager or director
Assists clinical services director with tasks as required
LI-SM1
Preferred a Bachelor's Degree in BSN or higher
Preferred formal training in adult learning principles preferred (college level classes, or advanced certification training
Required a High School or GED
Required 2+ years of experience in managed care or case management role
Preferred experience with Government Programs, Medicare and Medicaid
Preferred direct training experience with member services, claims, customer service, call center and/or health management organization
Preferred experience in the following areas/competencies is advantageous: Claims / Member Services / Health Services / Call Center / Sales / Provider Relations Training and development / Corporate University/ HMO, managed healthcare or Insurance professional/ Curriculum development specialist/ Team leader for groups of 25 or more/ Online training / Computer based learning professional/ Public speaker / seminar leader
Advanced demonstrated written communication skills
Advanced demonstrated interpersonal/verbal communication skills
Advanced ability to work independently Strong ability to work independently with little direction
Intermediate ability to solicit creative ways to improve upon curriculum materials and programs
Required Licensed Professional Counselor (LPC)
Required intermediate or stronger skill level with Microsoft Word, PowerPoint and Outlook
Ability to learn company approved software and other industry software in order to perform job duties

Clinical Services Specialist Resume Examples & Samples

Conversant knowledge and experience with case management care coordination, and/or utilization review
Track record and comfort in collaborating with physicians
Demonstrated ability in problem solving and communications
Working knowledge of and basic skills with computers
Emergency Nursing and Case Management preferred
Three (3) years bedside experience in the relevant clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience)
Required to use fine motor skills (typing/data entry), and reach with hands and arms
Must be able to lift up to 25 lbs

Clinical Services Manager Resume Examples & Samples

Responsible for supervision of NPs delivering in-home care for our CarePlus Community members in the greater Houston area
Recruiting and orientating new staff; developing strategies for retaining clinical staff
Building self-directed work teams with autonomy and accountability for their own goals / targets
Developing and conducting programs that support and improve quality management and clinical performance of the Complex Care clinical model in our CarePlus Community Program
Oversee implementation and adoption of clinical and quality initiatives
Accountable for specific financial targets related to clinical programs
Partner with staff to achieve business goals
Monitor and hold clinical team accountable for documentation and coding initiatives to achieve revenue accuracy
Planning and directing clinical and business project implementation
Oversight and performance various administrative / operational functions to support the team
Participating in cross-function and/or cross-geography teams
Analyze workload environment and streamline workloads on an ongoing basis
May carry a small caseload of patients
Active and unrestricted Nurse Practitioner License in the state of Texas
DEA License or the ability to obtain
Computer proficiency with MS products including: Word, Excel and Outlook
Proven experience in developing and sustaining internal and external client relationships with healthcare professionals
Strong supervisory, management and leadership skills, with primary focus on managing and developing a clinical team
Knowledge of Medicare
Knowledge of long-term care, geriatrics and chronic illness
Prior experience in adult teaching environment a plus
Strong business acumen including analysis and business planning experience
Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships

VP-clinical Services Resume Examples & Samples

Active New Jersey State Registered Nurse license,
MSN, minimum of seven years of oncology nursing experience,
Population health/transition of care experience
Knowledge of Continuous Quality Improvement (CQI) or Total Quality Management (TQM)
5+ years of performance improvement experience
Strong leadership skills and excellent analytical, group dynamics, organizational, and planning skills
Clinical knowledge of payment systems and methodologies, coding concepts and guidelines
Experience guiding clinical design, planning and implementation, experience improving transition of care systems and improving clinical outcomes/outcomes metrics
Active New Jersey State Nurse Practitioner

Divisional Director of Clinical Services Resume Examples & Samples

Oversees the nursing staff for the provision of quality and appropriate resident / patient care that meets or exceeds company and regulatory standards
Assists in the preparation of annual budget for the living center. Monitors monthly performance of nursing services in relation to budget and intervenes as needed
Schedules and performs rounds to monitor and evaluate the quality and appropriateness of nursing care
Maintains administrative authority, responsibility and accountability for the proper charting and documentation of care, medications and treatments
Hires nursing staff, oversee the provision of orientation/training by a qualified Director of Education and retains qualified staff to carry out nursing programs and services. Reviews employee performance and conducts periodic performance appraisals timely
Develops and implements the written staffing plan and nursing schedule that reflects the needs of the resident and patient population
Evaluates current and potential residents and patients to determine and maintain living center’s ability to provide appropriate level of care
Maintains regular and ongoing communication with the living center’s Medical Director to identify educational needs for staff and provide quality care and services to meet the needs of residents
Manages clinical aspects of state or federal government survey processes
Conducts daily Clinical Start-up meeting with the interdisciplinary team to review resident and patient status
Attends the weekly “at risk” meeting and reviews modifications to residents’ and patient’s plan of care
Oversees and monitors the Resident Assessment process for accuracy, attends care planning conferences periodically to determine compliance with care planning guidelines
Collects, reviews, and analyzes clinical outcome data and determines trends. Brings identified concerns to the QA&A committee for development of appropriate plans of action
Must hold and maintain a current license to practice as a Registered Nurse (RN) in assigned states - state specific licensing is not required for assignments where individual is not acting as the Director Nursing Services
Minimum five (5) years management or supervisory experience in long-term care or acute care
Restorative or geriatric nursing experience preferred
Proven track record in performance management and effective leadership
Ability to travel extensively including overnight stays and for extended periods of time

Director of Clinical Services Resume Examples & Samples

Must have good verbal and written communication skills in order to communication in a clear a concise manner with children and adolescents, families, all members of the interdisciplinary team and with the managed care representatives
Must have good clinical skills to assess dynamics accurately and develop effective treatment strategies within the context of the overall treatment plan
Must have good analytical ability to evaluate information reported by all members of the treatment team and revise treatment strategies accordingly
Must have leadership abilities to support the clinicians, nurses and care workers working with the population
Must be flexible regarding program needs

Clinical Services Manager Resume Examples & Samples

Plan, coordinate, monitor and direct day-to-day clinic operations related to nursing, laboratory, radiology and other medical and business areas as delegated
Ensure appropriate staffing patterns for optimum patient flow and service
Report staffing or clinical issues to clinic manager or provider and participate in resolution as appropriate
Assist in the identification, development and implementation of policies and procedures to improve quality of care, clinic operations, customer service, communication and collaboration among health team members
Administer and educate staff about Allina and AMC policies
Develop and supervise collaborative work, including appropriate selection and assessment of staff competencies and annual performance reviews, training needs, coaching and support
Provide orientation to new employees and foster a superior work environment and the development of patient loyalty
Mediate disputes and work to resolve conflicts and provider issues in a timely manner
Participate in the development and implementation of community health initiatives, public outreach and education. Identify, develop and implement clinical care guidelines with physician site leadership
Clarify and communicate patient requests, concerns and/or complaints to appropriate providers and staff, participating in problem resolution and facilitate service recovery
Investigation and follow-up with Risk Management when necessary

Technical Assistant, Clinical Services Resume Examples & Samples

MBBS with a minimum of 1 year post national youth service experience in clinical care,
Registered Nurse /Midwife with a minimum of 3 years post qualification experience
A sound understanding of HIV/AIDS, TB and TBHIV technical areas

Clinical Services Specialist Resume Examples & Samples

Communicate directly with physicians and their associated staff to ensure optimal integration of ClonoSEQ into their medical practice and/or institution
Support Adaptive Biotechnologies’ field Sales team
Resolve all documentation issues related to clinical samples. The specialist will be responsible for contacting customers to collect information as needed
Work directly with a number of pathology labs to request archived material for testing
Receive and respond to telephone inquiries and e-mail messages from customers (physician offices and laboratories), patients and other medical professionals
Act as a liaison between the customer and many of the company’s internal departments including Translational Medicine, Marketing, Legal and IT
Work with the larger Client Services team to streamline processes, ensure efficiency and improve existing standard operating procedures

Associate Director OF Clinical Services Resume Examples & Samples

Provide clinical services to our student population, including assessment, consultation and brief treatment
Provide direct management and supervision to approximately clinical staff, including goal setting and performance evaluations for clinical staff
Assist Director to create and revise clinical policies and procedures as they relate to clinical care
Serve as a member of the Behavioral Medicine Leadership Team

Clinical Services Specialist, Senior Resume Examples & Samples

Preferred Other Experience with Government Programs, Medicare and Medicaid
Preferred Other Experience in the following areas/competencies is advantageous: Claims / Member Services / Health Services / Call Center / Sales / Provider Relations Training and development / Corporate University/ HMO, managed healthcare or Insurance professional/ Curriculum development specialist/ Team leader for groups of 25 or more/ Online training / Computer based learning professional/ Public speaker / seminar leader
Intermediate Other Ability to solicit creative ways to improve upon curriculum materials and programs
Required Other At least one of the certifications below is required At least one of the licenses/certifications listed is required
Required Intermediate Microsoft PowerPoint Ability to learn company approved software and other industry software in order to perform job duties

MR Clinical Services Specialist Resume Examples & Samples

Excellent customer service, presentation, and written and verbal communication skills
Proficient conflict management and influencing skills
Practical knowledge of clinical applications and post processing products
Ability to work cohesively and effectively across teams, departments, and businesses at all levels of an organization
Ability to establish and maintain clinical relationships with customers
2 years of MR clinical experience preferred
Associates or Bachelor’s degree preferred or equivalent experience

MR Clinical Services Manager West Zone Resume Examples & Samples

Must live within the zone
Minimum 3-5 years leadership experience in health care services
Must be ARRT (MR) certified
Proven experience mentoring and developing team on Relationship management, Customer influencing and Problem solving
Experience managing a budget and a dispersed operation
Demonstrated knowledge of Healthcare customer processes and customer management decisions in MRI environment
Demonstrated partnership with sales and technical team to deliver solid service to customers resulting in strong customer satisfaction and brand loyalty
Excellent influencing, relationship building and problem solving skills at all levels of an organization
Strong project management, change management, problem solving, and business analytics skills
Understanding of adult education concepts and process is desired
Must be available for up to 75% travel

Clinical Services Coordinator, Rehab Resume Examples & Samples

Establishes clinical excellence and serves as a resource within assigned clinical cluster and to other medical professionals
Maintains clinical productivity and/or produces a quantity of work that is consistent with Divisional administrative productivity goals
Maintains evidenced based and state of the art service programs and clinical services that are consistent with Division standards
Provides feedback to the Assistant Directors regarding the need for development and/or change of policies and procedures that guide the provision of services

Clinical Services Specialist Resume Examples & Samples

Maintain accuracy of patient data by working daily and weekly control reports
Respond knowledgeably and confidently to patient and partners’ inquiries with information regarding concerns and issues
Work with dialysis partners to ensure correct patient data is received and maintained
Work alongside the quality and operations teams to identify and implement process improvements within various lines of service
Develop and analyze reports as requested to determine root cause of issues including but not limited to in-depth analyses and presentations of findings
Conduct quantitative and qualitative analyses on a broad array of issues across disciplines, projects, and functional areas to determine impact on overall operations as assigned
Cross-train in other departments to maintain knowledge necessary to resolve wide range of patient issues appropriately
Pharmacy Technician Certification required; demonstrate and maintain good standing with State Board of Pharmacy
Minimum of 1 year experience as a Pharmacy Technician
Minimum of 1 year of data analysis and reporting experience required, preferably in health care and/or pharmacy operations
Experience in and demonstrated successful history of business analysis leading to process and product improvement
Experience as a Pharmacy Technician in a mail order pharmacy preferred
Intermediate computer skills and proficiency in MS Word, Excel, Outlook and all DaVita Rx specific software

Clinical Services Manager Resume Examples & Samples

Develops and directs the daily operations of all behavioral health clinical/social service programming, including the Unit Group programming schedule, per ADHS, DBHS, CMS, and RBHA requirements
As the clinical leader, is responsible for clinical competency of staff (Counselors, Recovery Coaches and Peer Support Specialists, etc.) and clinical performance with focus on quality of outcomes utilizing evidence based best practices. Ensures optimal care/treatment to patient population. This position has overall accountability for direction of day-to-day operations associated with direct patient care activities. Ensures total clinical conformance such as assessments, service plans, medication management, appropriate documentation, review etc. Also provides and formally documents clinical and administrative supervision for Peer Support Specialists
Provides and facilitates therapy for patient populations and serves as a resource to staff for clinical and managerial support. Provides assessment and direct psychotherapy to patients and families. Provides education and monitors patients. Assumes responsibility for direct patient care. Promotes interdisciplinary patient care planning and patient education
Directs the activities of Behavioral Health Counselors, Recovery Coaches and Peer Support staff which includes: Intake, treatment team / multi-disciplinary treatment planning operations and scheduling, psychosocial assessment, Adult Recovery Team Interventions (Networks & RBHA), and family interventions
Provides clinical supervision related to therapeutic interventions in group, individual and family therapy
Supports and promote a care model that encourages staff participation in the development of treatment standards that are collaborative, collegial and utilizes current trends and data in professional practice (clinical and administrative)
Provides input in hiring, performance evaluations, metrics, corrective action and provides training, monitors and directs the workflow and performance for the staff. Develops a plan for identifying the required knowledge and skill sets for Counselors, Recovery Coaches and Peer Support staff. This position participates in the development and implementation of department goals and objectives. Ensures all goals and objectives are met timely and effectively. Mentors/Coaches and acts as a resource to staff
Demonstrates current knowledge about national and local issues affecting mental health care delivery. Maintains clinical competencies and certifications as required and assures compliance with regulatory agencies and laws. Accountable for the ethical, legal, and professional responsibilities related to the practice. This includes maintaining confidentiality of all work information. Adheres to safety policies

Clinical Services Senior Manager Resume Examples & Samples

8AM - 5PM, rotating admin on-call for weekends and holidays
Provides team leadership in the delivery of coordinated, integrated patient throughput and care through the development and improvement of management and delivery systems. Ensures care is provided in a fiscally responsible manner through process improvement. Assures care is coordinated through collaboration of multiple disciplines and assures all processes are followed
Utilizes financial management through appropriate fiscal monitoring of resources, equipment and supplies. Identifies staffing levels needed to provide safe, quality patient care. Adjusts staffing to meet changing workload projections and productivity targets
Develops budget, ensures that targets are met, and analyzes budget variances
Serves as a professional resource to patients, families, physicians, and staff by interpreting policies and facilitating care. Provides departmental leadership by demonstrating effective communication skills, problem solving, and proactive conflict resolution to internal and external customers in escalated situations
Serves as a role model to improve and mentor behaviors that enhance employee and patient satisfaction. Aligns care delivery with service expectations to facilitate patient and employee satisfaction and retention
Hires, leads, mentors, develops, and evaluates staff in a manner that promotes engagement, productivity, and ensures competencies. Mentors staff to increase clinical skills, critical thinking, and problem solving skills. Conducts individual and team goal setting, performance planning and evaluation
Facilitates change and participates in the development, implementation, and evaluation of goals, objectives, and quality management activities. Seeks and utilizes input from staff affected by change and assists them through transitional phases and processes

Clinical Services Supervisor Resume Examples & Samples

Acts as resource to staff as clinical expert
Ensures individualized care goals are met
Researches, identifies, and implements best practice models of other agencies
Reviews all visits made by contract services for adherence to hospice and home health policies
PHN certificate preferred

Director of Clinical Services Resume Examples & Samples

Treats everyone as a guest, demonstrates professionalism and practices teamwork
Ensure productivity and professional growth through regular supervision and inservice training. Identify individuals and departmental training needs annually, inform staff of training opportunities in the community,
Monitor staff productivity and chart audits to ensure proper delivery of services
Oversee the quality and appropriateness of Clinical services including measurement of specific managed care performance standards ie. CANS, after care planning and outpatient appt
Responds promptly and appropriately to complaints, concerns, requests of customers
Maintain clinical standards for areas of responsibility Social work, Groups tx, discharge planners
Oversee, coordinate and implement performance improvement standards/Projects
Collaborate with teams members to promote and support an interdisciplinary culture
MA Degree in Psychology, Social Work or related field
Current State Licensure: LICSW, LMHC, Lic. PhD
Five years of psych experience preferably in a community health setting or psychiatric hospital. Minimum of two years as a clinical supervisor or program manager preferred

Clinical Services Leader Resume Examples & Samples

Active RN license without restrictions in designated state
Direct leadership experience
Strong Care Management experience
General understanding of Electronic Medical Record Systems and Data exchange between provider and payer
Knowledge of CMS coverage guidelines

Clinical Services Resume Examples & Samples

Analyzes and solves problems that are lower complexity and may be routine in nature, requiring varied responses depending on the situation
Interacts with peers within Accenture before updating supervisors
Likely has some interactions with non-management levels at the client and/or within Accenture
Receives minimal instruction on daily work tasks and a moderate level of instruction on new assignments
Decisions impact own work and may impact the work of others
Individual contributor and/or oversees a small work effort and/or team
Minimum of 8+ years professional experience
Minimum of 3+ years working for a Large Consulting Firm
2+ years experience supporting a PMO and performing required duties
6+ months experience supporting Clinical Services projects (Healthcare related)
Excellent leadership, communication (written and oral) and interpersonal skills

Senior Director of Clinical Services Resume Examples & Samples

Degree in Nursing (and licensure in state of residence) or Advanced Degree in related field or equivalent experience
Demonstrated ability to prioritize and adapt based on changing priorities
Demonstrated ability to proactively identify and analyze issues in the workplace and identify and implement solutions collaboratively
Solid reasoning, critical thinking, problem solving abilities

Director of Clinical Services / DON Resume Examples & Samples

Supervise Nurse Practitioner, Assistant Director of Clinical Services, Clinical Nurses, and Nurse Techs
In the absence of the Executive Director, you are charged with carrying out the resident care policies of the facility
Establish and monitor compliance with an effective medical record documentation system

Acute Clinical Services Specialist Resume Examples & Samples

Education experience, specifically in teaching the adult learner strongly preferred Must have demonstrated ability to communicate technical/medical information in lay terms as necessary
Experience in auditing, researching, updating, and maintaining clinical policies and procedures preferred
Flexibility in scheduling and ability to travel in state and out of state (up to 50% of the time)

VP Clinical Services Resume Examples & Samples

The Vice President, Clinical Services is a key member of the administrative team, functioning as the primary point of interface with the medical staff and is empowered to facilitate all aspects of the clinical care for the Imaging, Sleep, Family Medicine, Heart and Vascular services
Partners with other members of the administrative team in all aspects of strategic planning, capital planning, and clinical program development. Responsible for timely execution and financial outcomes of the plans
Partners with other members of the administrative team in key decisions impacting the hospital and associated ambulatory care sites, their operational performance, as well as all clinical programs
Coordinates efforts to improve operational effectiveness, financial performance, customer satisfaction, clinical excellence, physician and employee satisfaction, and in developing and implementing strategic initiatives
Champions physician loyalty efforts among all responsible departments and serves as the key contact for physician leadership to facilitate a high level of administrative support for strategic planning, marketing, public relations, philanthropy, and educational programs in all areas of responsibility
Monitors and assesses trends, external environment and internal practices; makes recommendations to develop/adjust strategy to meet the changing business and market conditions
Develops, coaches and manages a staff dedicated to providing expertise and service to patients, visitors, hospital, and medical staff
Participates in developing the hospital's administrative plan for recruitment and retention to ensure that a sufficient number of qualified staff members are available to meet the needs of the patients
Assists the administrative management team in the preparation of department operating and capital budgets based upon criteria supported by clinical evaluation, volume and expense projections, cost benefit analysis, operating processes, and other relevant information
Maintains a state of continuous regulatory readiness in all areas of responsibility
Knowledge of hospital and procedural department operations is required and extensive experience in building and maintaining physician relationships. Ideally, the candidate will have significant related experience and have a track record of successfully collaborating within a health care system

SPV Clinical Services Resume Examples & Samples

Performs daily oversight for the UM Care Managers
Manages the census for higher levels of care and utilization timeframes
Manages the denial and correspondence process and timeframes
Conducts routine audits of UM Clinicians to ensure consistency with corporate CPI and regulatory bodies
Produces operational data for senior leaders and participates in quality improvement projects
Works in conjunction with medical director to support the clinical rounds process
Organizes and presents at staff meetings
Applies employee performance management techniques through job-related coaching, training and development activities
Develops and maintains process workflows consistent with client, corporate and regulatory agency policies and procedures
Assist in the hiring and orientation of new staff
Assist in unit scheduling needs
Engage in solution oriented problem solving to ensure departmental goals are achieved
Works in partnership with Recovery Team leadership to ensure individual’s needs are addressed
Responsible for ensuring utilization activities are completed within contractual guidelines, including, but not limited to: registration, eligibility verifications, authorizations, prior authorizations, facilitating care coordination, discharge planning, community transition and provider access
Five years of direct service experience in the delivery of public behavioral health, psychiatric, and/or substance abuse experience is required
One to three years conducting utilization care management review activities in a managed care environment required
One to three years supervisory experience in a managed care environment or three years supervisory experience in utilization management for behavioral health services or five (5) years’ experience in utilization management for behavioral health services required
Previous experience conducting utilization reviews in a public sector/Medicaid environment preferred
Knowledge of DBHDD policies/procedures preferred
Advanced PC skills (Microsoft Word, Excel, Outlook) required
Ability to multi-task and adapt to changes in the work environment, managing competing demands and is able to deal with frequent changes, delays or unexpected events
Familiarity with behavioral health care management processes
Ability to build and maintain effective interpersonal and supervisory relationships with staff members in the department

Clinical Services Assistant Resume Examples & Samples

Quotes accurate benefit and policy information on impatient and alternative levels of care
Handles complicated inquiries, educates providers/subscribes in the certification process, and reconciles inconsistencies and procedural difficulties when necessary
Performs all data entry for case initiation and updates and enters data in the system
Collects demographic data from providers/subscribers for case initiation
Verifies benefits against contract requirements prior to cases initiation

Clinical Services Assistant Resume Examples & Samples

Responsible for determination of single case agreements due to network inadequacies andprocess as needed. Duties include contacting the Provider/Facility to negotiate Single Case Agreement rates and load final rate into computer system
Primary contact for all provider questions involving single case agreements, authorizations and claims processes
Responsible for the daily maintenance and data entry of single case agreements into computer system
Record member/provider inquires into CareConnect and complete administrative functions as necessary. Conduct provider searches and record findings including provider status
Primary contact for building and authorizing outpatient cases for members and providers through the registration process and the screening criteria tool
Responsible for placing follow up phone calls to facilities and providers confirming reviews, aftercare and verifying appointment attendance.This may also include discharge planning coordination calls and distribution of outreach letters
Run all clinical data reports including but not limited to: open case reports, letter error reports, single case agreement reports, etc
Responsible for sending and distributing clinical faxes per contract requirements and HIPPA policy
Other duties as assigned to allow Care Managers to focus on assessments and reviews

MGR Clinical Services Resume Examples & Samples

Responsible for oversight of day-to-day operations of the Clinical Care Management Department staff
Acts as liaison with other operations departments
Ensures all workflows are up to date and staff is consistently following process

DIR Clinical Services Resume Examples & Samples

Plan, organize and direct the Clinical Operations Department for the effective and appropriate referral and approval of mental health services for members in response to inquiries from providers, family members and consumers
Develop, implement, and maintain operating policies, procedures, and performance standards in compliance with URAC/NCQA requirements
Work collaboratively with our staffing/employer partner to interview, hire, orient, and train staff and coordinate employee development and evaluation
Work with Medical Director to identify and resolve clinical issues related to clinical assessment, referral, and case management
Establish work schedules, case rounding schedules, and other assignments for clinical staff. Maintain daily, weekly, and monthly departmental productivity and utilization statistics
Work with the Quality Management Department to ensure that care is being appropriately monitored and delivered. Assist with all internal inter-rater reliability testing
Demonstrated ability to work collaboratively (both internally and externally) required
Basic computer skills required (Word, Excel)
Excellent communication and organizational skills required
Analytical skills in problem solving
Must demonstrate outstanding leadership and coaching skills

SPV Clinical Services Resume Examples & Samples

Provide day-to-day oversight and clinical supervision to Board Certification Behavioral Analyst (BCBA) clinical staff
In collaboration with the care management staff, identify opportunities to streamline workflows that result in accurate, high quality production standards and improved results in cost savings, or outcomes measurement
Use established benchmarks to monitor, track, and trend aggregated, product-specific and plan-specific utilization and care management metrics
Facilitate strategic collaboration with key providers to improve service delivery and quality; initiates new services, as needed; and ensures a robust continuum of care
Collaborate with Beacon leadership to develop innovative practices based on evidence to improve utilization and care management efficiencies for autism services
Knowledge of managed care, analytics, performance improvement and clinical skill preferred
Knowledge of Microsoft Office and Microsoft Outlook

DIR Clinical Services Resume Examples & Samples

Ensures all utilization management and intensive care management programs meet client, accreditation and regulatory standards
Understands all national medical and clinical best practices and implements them in local service centers tracking and auditing compliance
Collaborates with Medical Director to identify and resolve clinical issues
Interfaces with client, internal and external customers in a prompt and professional manner to ensure optimal quality of service
Collaborates with QM department to identify and implement quality improvement activities

Clinical Services Assistant Resume Examples & Samples

Responsible for ambulatory follow up procedures to ensure that members have access to aftercare providers and receive the assistance they may need to reschedule appointments. This includes completing all protocols related to follow up activities and survey requirements such as placing follow up phone calls to facilities, members and providers confirming reviews, verifying appointment attendance. This may also include discharge planning coordination calls and distribution of outreach letters
Primary contact after customer service for provider questions involving single case agreements, authorizations, claims processes and technical assistance
Determines the eligibility and benefit status of all participants. Builds reviews in the connect system as required by workflows. Communicates with clinical team manager when barriers are identified to completing assigned tasks
Responsible for the daily monitoring of assigned queues and immediate reporting of variance that include but are not limited to CMS calls; connect queues, and individual queues when directed by the Clinical Manager/Supervisor
Record member/provider inquiries into the Connect system and completes administrative functions as necessary. Conduct provider searches and record findings including provider status
Assist clinical care managers to locate community resources for referral purposes
Assist with reporting requirements when requested
Responsible for sending and distributing clinical faxes per contract requirements and HIPPA policy. Monitors fax machines for documents with PHI as well as functionality (paper loaded)
Basic Computer skill are required
Knowledge of Microsoft Office Products
Microsoft Windows)

VP Clinical Services Resume Examples & Samples

Provide direct supervision to the clinical director and direct the operations and strategic initiatives of the clinical department
Develop, implement and monitor all corrective action plans of the clinical department to ensure compliance with HealthChoices, Department of Public Welfare and County standards
Monitor and support the clinical audits including documentation audits, phone audits and provide continuous feedback to clinical team regarding findings
Establish, monitor and control clinical department productivity by developing benchmarks, regular reports and designing interventions when benchmarks are not met
Participate in the Quality of Care oversight Committee with the Medical and Quality directors and ensure clinical department compliance with HealthChoices and Beacon Health Options Policies and Procedures
Sound knowledge of managed care clinical/network design programs, MEDICAID, managed care financing, service access and delivery models, and health plan utilization management/service delivery issues is essential
Must have strong TQM/CQI orientation and competence in clinical care management

Director of Clinical Services Resume Examples & Samples

Facilitates and promotes communication and solid working relationships among client hospitals, physician employees, midlevel providers and EmCare
Assists with the development of divisional strategies and operational planning activities
Identifies operational needs of EmCare and clients and facilitates utilization of financial resources
Pursues current innovative information and maintains an unique comprehensive databank for dissemination to clients
Functions as a resource to the client for governmental, state, local and legal initiatives such as COBRA/EMTALA, Medicare, HCFA, etc
Identifies and implements operational/training needs to improve Emergency Department customer service
Acts as a resource to the Nurse Manager and Medical Director providing input into issues of staffing and productivity
Evaluates and identifies areas of opportunity for improvement in the Emergency Department including
Experience in nursing management
Emergency nursing experience
Possess ability to communicate effectively with nursing staff, physicians, and hospital administration

Clinical Services Assistant Resume Examples & Samples

Verifies benefits against contract requirements prior to case initiation
Refers complicated inquiries to Care Managers
Completes data entry for authorizations

Regional Director of Clinical Services Resume Examples & Samples

Associates Degree Required, BSN preferred
Must maintain a valid, unrestricted RN license
Minimum of 5 years healthcare management experience, demonstrates clinical competency in the areas of assessment, medication management, service planning and disease management
2-3 years of experience in senior housing/assisted living desired
State RN license in primary state of responsibility. Valid driver's license required for extensive travel
Must have the ability to communicate clearly and effectively, be organized in the management of resident care and the supervision of staff

Clinical Services Coordinator Resume Examples & Samples

Conducts on- going maintenance and follow up regarding facility clinical services components
Conducts onsite and telephonic internal sentinel event investigations, as requested
Assists with the maintenance of updated record keeping of all required regulatory licenses, certifications and accreditations at all CTC facilities
Establishes and maintains positive working relationships with all regulatory agencies and accreditation entities
Assists with the development, revision and implementation of CTC administrative and clinical policies
Bachelor’s degree in social work, psychology, public health or a related field, and a minimum of five years of experience in the field of substance abuse / behavioral health are required
Has working knowledge of all applicable Federal and State rules and regulations and accreditation standards governing CTC Division operations
Leadership, education and training and customer service skills, as well as, an understanding of the principles of Clinical Services, Compliance, Quality, and Policy Management are required
Experience in developing and implementing trainings preferred
Certification in the area of substance abuse and a Master’s degree are preferred

Director of Clinical Services Resume Examples & Samples

Assists with the development of regional strategies and operational planning activities
Identifies operational needs of EmCare and clients and facilitates action plans for implementation/improvement
Bachelors of Nursing
Ability to travel 50% of work time

Clinical Services Assistant Resume Examples & Samples

A successful candidate will demonstrate a commitment to quality client/member service with a goal of assisting providers and members attain improved healthcare
Responsible for maintaining phone coverage in a call center environment through answering incoming calls, monitoring CMS call management reports, and triaging calls to appropriate clinical personnel
Assist members and providers who request authorizations and referrals to outpatient mental health care, which are completed using workflows and guidelines provided, and includes appropriate documentation in an electronic health record
Responsible for the daily maintenance and management of provider requests for authorizations, claims assistance, or other requests, submitted through an online provider service
Work must be completed in a timely and professional manner and may include making outreach telephone calls to the provider
Primary contact for all provider questions involving single case agreements, treatment authorizations, and claims processes
Must be proficient in Microsoft Office Applications and be able to navigate through computer databases
Able to resolve customer issues professionally and respectfully in a high pressure environment
Multi-line phone systems experience a plus

Clinical Services Manager Resume Examples & Samples

Plan, coordinate and deliver quality interdisciplinary home health care services, assuring compliance to federal/state standards and clinical best practices
Supervise ongoing case management of all patients assuring an accurate evaluation and treatment plan, maintaining our quality model, and utilizing services appropriately to achieve optimal outcomes
Provide clinical oversight for home health patients within assigned team
Review patient schedules to ensure appropriate coordination of care and clinical needs and ensures efficiency of clinical associates
Serve as an educator and mentor for assigned home health care team regarding home health documentation, including addressing deficiencies in clinical documentation, inconsistencies, clinical standards of care, and compliance
Valid RN license within the state of practice
Two years experience within a licensed and certified (Medicare) home health agency
Competent in federal (Medicare) and local standards, including conditions of participation and local coverage determinations
Basic level computer skills including Outlook, Word and Excel

VP, Clinical Services Resume Examples & Samples

Oversight of Clinical Operations and direct management of RN Supervisors, Clinical Services Managers, Director of Education and Staff Development and VP of QI
Meets consistently with the Medical Director and VP of Quality and Risk Management to review clinical quality assurance program, risk management concerns and discuss clinical program improvement initiatives
Meets on a consistent basis with the RN Supervisors and VP of Operational Performance and Non-clinical Operations regarding clinical staff performance, RN staffing and scheduling needs, and clinical processes and protocols
Meets on a consistent basis with the Director of Education and Staff Development to ensure an optimal clinical training program and staff development initiatives
Serves as a clinical liaison between clients and THMCC. Provides clinical voice to existing clinical clients to ensure clear communication of THMCC’s clinical services and, likewise, effectively communicating any special clinical client directives and objectives to all inter-departmental management
Oversight of Clinical Advisory Committee and planning the agenda for the quarterly CAC meetings
Oversight of clinical complaint research and resolution plans. Involved in strategic business development discussions regarding clinical program development needs to support new clinical service lines
Participates in sales presentations to prospective clinical clients as needed
Active involvement with the RN Training Program and RN recruitment as needed
Responsible for all clinical aspects of new client implementations
Maintains positive relationships with leadership team members
Graduate of an accredited School of Nursing with a current active Registered Nurse licensure
Prefer minimum of ten years experience in healthcare administration, preferably in managerial capacity with a proven track record of success
Prefer 1-2 years of experience in telephonic nursing management
Proficient and skilled in using computer technology (i.e. MS Office, Power Point, Excel, etc.)
Ability to handle stress and conflict
Capable of prioritizing and organizing
Excellent presentation and negotiation skills
Good problem-solving/analytical skills
Ability to manage and direct others

Clinical Services Supervisor Resume Examples & Samples

Basic typing or computer input
Relevant medical experience in the clinical specialty (e.g., care managers for pediatric patients should have pediatric nursing experience)
Management experience desirable

Clinical Services Assistant Resume Examples & Samples

Completes NOAs according to Partner and Contract requirements
Edits and proof reads letter drafts to refine vocabulary and sentence structure to provide final versions of neat and accurate finished copies of NOAs
Will use Beacon Health Options style guide to organize and implement projects that involve collating, distribution, and/or mailing
Tracks, logs into databases, and completes NOA process as assigned
Maintains templates for NOA letters and tip sheets on wording for special circumstances
Basic Computer Skills, Experience with Microsoft Word and Excel a must
Must have exceptional Writing, Spelling, Grammar and Editing skills

Clinical Services Dir-perioperative Services Resume Examples & Samples

Assures successful implementation of organizational strategies such as Hospital Efficiency, Work Place Safety, Supply Cost Initiative including OR Back-log, Patient satisfaction
Through the hiring, retention, & development of internal staff in areas of accountability, achieves staffing ratios & optimal patient outcomes w/minimal dependence on premium pay (overtime & registry/traveler staff)
Maintains a state of continuous regulatory readiness
Utilizes research data to implement clinical changes & the delivery of patient care & member srvs
Minimum eight (8) years of nursing experience in patient care

Director of Clinical Services Resume Examples & Samples

Ability to demonstrate an understanding of business operations and the effect they have on the overall business results
Knowledge of applicable regulatory, compliance, and accreditation standards
Ability to maintain long-term customer relationships, building trust and respect by consistently meet and exceed expectations
High Impact Communication - Ability to communicate clearly and concisely
Demonstrates a willingness to listen to others and openly expresses respect for differing opinions
Demonstrated ability to perform basic mathematical calculations
Computer Skills – Demonstrated computer proficiency and proficiency in PC applications as required
Minimum (3) years direct RN experience (preferably in an ambulatory surgery center surgical setting)

Clinical Services Director Resume Examples & Samples

Develops, implements and assures the ongoing effectiveness of programs and strategies to achieve department goals
Leads workgroups in partnership with the operations leadership and CPMG
Monitors organizational performance against established targets in clinical areas
Integrates work plans and produces seamless transition of care for members
Promotes nursing initiatives and collaboration across departments in multiple facilities
Develops studies and assures dissemination of best practices where appropriate
Oversees the care delivery through supervision of departments
Identifies, develops, implements and evaluates clinical guidelines and education for care
Guides clinical departments in the development of quality guidelines and operationalizes measures of compliance with those guidelines
Develops policies and procedures to ensure effective operations consistent with organizational objects for quality of care, service and cost effectiveness
Administers annual operating budget and capital equipment budget for the department
Assist supervisors in the preparation of department budgets
Ensures pm/pm costs are continually improved
Prepares monthly reports and specialized reports with analysis to depict the financial position of the department
Develops plans to optimize revenue
Coordinates, monitors and maintains health and safety standards for departments
Manages the day to day supervisory, professional, technical and clerical activities of department; provides leadership and support to supervisors and health plan staff, including hiring and performance review of supervisors
Provides coaching in leadership, labor-management practices
Consults and coordinates with medical office and department leaders on local issues and general operating practices
Six (6) years of experience in operations which include peri-operative experience, with four (4) years of experience in managing or coordinating systems, budgets and personnel
Preferred licensed in the State of Colorado as a Registered Nurse, Nurse Practitioner, Physician Assistant or any other health care related license may be considered

Integrated Clinical Services Resume Examples & Samples

Manage and lead the delivery of clinical technology, predictive model initiatives involving cross-functional teams and systems
Partner with business areas to understand strategic initiatives and document requirements for technology solutions
Interface with business and IT to define solutions delivering operational needs while considering strategy, budget, resources, and system capabilities
Represent Integrated Clinical Services and communicate progress on key initiatives in discussions with internal and external departmental audiences
Serve as an expert on CareHub predictive model operational processes
Maintain strong working relationships while coordinating with Business and IT stakeholders to ensure operational excellence
Have the ability to effectively manage your work while serving in different capacities including project management, business design, and test lead
Identify issues or areas for improvement and facilitate follow-up efforts to address
Assist in the development and reporting of key performance metrics pulled from multiple sources
Bachelor’s Degree or equivalent work experience
Ability to manage multiple projects and priorities
Proficient PC skills (including MS Word, Excel and PowerPoint)
Self-starter and problem solver who thrives in a fast-paced environment
Ability to work with a team and independently
Strong facilitation skills
Superior communication skills with the ability to describe complex interactions in simple terms at various levels within the organization
Prior experience presenting to large groups
Strong consulting experience
Proficient with Microsoft Project, Access, and Visio
Prior experience building operational reports
Ability to understand system processes
Testing business validation experience

Director of Clinical Services Resume Examples & Samples

Licensed Registered Nurse
A minimum of 3-5 years Nursing leadership experience required, prefer Home Health and/or Hospice experience
Demonstrated ability to supervise and direct professional and administrative personnel
Ability to market and deal tactfully with customers and the community
Has excellent observation, verbal and written communication skills
Knowledge of business management and governmental regulations

Clinical Services Coordinator North East Region Resume Examples & Samples

Coordinates and conducts onsite surveys and focused reviews of all CTC facilities, as appropriate
Summarize findings and recommendations, as well as, facility, Region and Division trends in a formal report
Works in conjunction with the Vice President of Clinical Services, RVP’s, Regional Directors and Clinic Directors to initiate and facilitate the process of developing and implementing training and / or other mechanisms to enhance clinical services efforts, ensure compliance with all regulatory guidelines, assist with risk management efforts and provide guidance for conformance with company policies and procedures
Responsible for oversight of and assistance with compliance to CARF accreditation standards for all clinics and assists with on-site surveys and the development of required responses

Associate Director for Clinical Services Resume Examples & Samples

Assists the CC Director in providing leadership and managerial oversight of the clinical functions of the CC, including, but not limited to all assessment, counseling, crisis intervention services, and risk assessment for violence and suicidal behavior
Assists the CC Director in the development and implementation of CC policy and procedures
Leads or Co-Leads the CC’s Effectiveness and Efficiency Committee
Serves as a consultant to clinical staff regarding challenging clinical cases and a resource for clinical staff regarding issues such as state law, confidentiality, and the reporting of abuse
Stays up-to-date with national policy-related trends regarding the management and provision of clinical services
Oversees the CC’s involvement in clinical research programs and projects
Manages the Counseling Center’s electronic record system (Titanium)
Leads weekly Case Management Meeting
Coordinates the evaluation of students for mental health withdrawals and readmission following mental health withdrawals
Provides clinical supervision and evaluation of unlicensed clinical staff, provides administrative supervision and evaluation of licensed clinical staff and the CC’s psychiatric resident/fellow, and provides clinical supervision and evaluation of doctoral interns
Manages the orientation and training for new staff and interns regarding CC clinical service policies and procedures
Provides intake assessments, individual counseling, group counseling, couples counseling and crisis intervention to JHU students
Provides daytime and after hours on-call coverage
Provides outreach, and consultation services to the university community: including students, parents, faculty, staff and university administration
Engages in professional activities at the local, regional, and/or national levels
Performs other duties as assigned by the CC Director
Significant experience and expertise regarding the clinical services provided in a counseling center setting
Thorough understanding of an electronic records system, preferably Titanium
Demonstrated experience in administrative coordinator and supervisory capacities
Ability to work effectively and collaboratively as a member of a counseling center team
Ability to effectively manage clinical crisis situations
Ability to work with a wide range of student issues in individual and group counseling
Commitment to one’s own ongoing development of multicultural competence as a psychologist
Commitment to the developmental orientation of counseling services

Remote Clinical Services Director Resume Examples & Samples

Bachelor degree or equivalent combination of education and relevant clinical services experience required, science or technical (RN or MT) background preferred
Minimum ten years of relevant experience required, preferably in a GMP/GCP operations/clinical/quality setting, including a minimum of seven years supervisory experience
Must be knowledgeable of applicable government (state and federal) regulations, industry standards, and compliance as it relates to Clinical Services. Excellent verbal and written communication skills required
Virtual management experience preferred
Ability to relocate preferred
Ability to frequently travel
Assures that clinical services including cellular therapies are of the highest quality and are performed efficiently within regulatory requirements and industry standards
Provides leadership and strategic direction for clinical services activities that are aligned with corporate, division and regional business and quality initiatives and in compliance with all regulatory requirements and industry standards, as applicable
Establishes short and long range goal planning to ensure goals are achieved with maximum efficiency through sound operational systems
Develops and oversees implementation of the Clinical Services department budget to ensure appropriate and adequate resources (personnel, facilities, equipment, materials, etc.) to meet stated department and division goals
Develops and implements quality program initiatives for Clinical Services programs, as applicable, and implementation of quality protocols to bring Clinical Services to stated divisional quality initiatives in line with applicable cGMP and cGTP requirements

Clinical Services Manager Resume Examples & Samples

Assist in planning, coordinating and managing the Resident Services Department
Assisting in overall direction, coordination and evaluation of clinical services as well as services provided to the residents
Works closely with Executive Director in overall operation of Resident Services Department
Supports and practices the philosophy, objectives and standards of the Resident Services Department and participates in the revision of these as necessary to ensure quality care to all residents
Participates in the development of policies and procedures that support Resident Services Department objectives
Ensures that the philosophy, objectives and standards of the Resident Services Department are an integral part of the orientation and education of the Resident Services personnel
Incorporates Wellness philosophy, standards and objectives into the evaluation process for staff in Resident Services
2 Years' experience in an assisted living environment desired
Three years' experience in a position with management and leadership responsibilities
Familiarity with State Regulations
Current, unencumbered State RN
Current CPR Certificate
Additional certification in nursing specialty of Geriatrics is desirable
Must be able to communicate effectively (written and oral form) in a care setting with residents, families, staff, representatives of community and state agencies

Director of Clinical Services Resume Examples & Samples

Facilitates and promotes communication and solid working relationships among assigned client hospitals, physician employees, advanced practice professionals and EmCare
Development of consistently-delivered best practices at client sites for the hospitalist service line. Development of value-added strategies to enhance client performance on operational metrics, thus improving EmCare longevity and profitability at existing contracts
Responsible for implementation of Lean, Studer group programs aimed at optimizing the inpatient hospitalist patient experience. Collaborates with colleagues in Client Services to partner and deliver programs throughout the division. Coordinate directly or indirectly a service team for high-profile client sites, working collaboratively with DCA, Client Services team members, SMD, RMD, VP/EVP and Senior hospital leaders to drive initiatives and maximize efficiency in operations
Develop, plan, and implement strategies that will better deliver, direct, and support contracted services at client hospitals.Serve as liaison between physicians, key hospital leaders, and EmCare in coordination of client services
Assists the COO and Client Services Management as necessary in the development and review of best-practices and value-added services. Develops and implements improvements in internal workflow processes within EmCare division support center to better serve client needs
Bachelor’s degree required with graduate degree preferred
7-10 years of healthcare leadership experience to include physician relations, proven success in implementation of performance and quality improvements at the department or region level, and customer service
Previous experience as a consultant or senior manager in a hospital environment managing or supporting hospitalist programs is required
In-depth understanding of healthcare operations and evolving trends, particularly with hospital inpatient patient flow issues and hospitalist medicine
Strong communication and leadership experience, builds collaborative relationships, gains buy-in and influences results through others

Regional Clinical Services Mgr Resume Examples & Samples

Provides regional oversight for the implementation of policies and procedures for Molina Medical Clinics
Monitors achievement of goals and objectives for the clinic and creates and implements corrective actions plans to improve performance
Monitors the implementation and adherence of current policies and procedures
Develops and monitors adherence to Quality Improvement Processes, Standards of Care, Standing orders, HEDIS metrics and all other clinical initiatives
Support and follows up with clinic administrators and Regional Managers in identifying trends and assists in the development of corrective action plans and troubleshooting resolutions
Schedules weekly site visits to each clinic to provide supervision, clinical expertise, ensure communication, and to monitor the overall delivery of support staff clinical services
Conducts clinic site reviews based on operational needs, changes in management and commitment to regulatory compliance
Provides in-service training and orientation to clinic
5+ experience in nursing services administration managing multiple sites

Clinical Services Supervisor Hospice Resume Examples & Samples

Manages the day-to-day clinical operations of the agency, including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement
Supervises agency and employee safety programs and risk management
Responsible for overall supervision of hospice and home health nurses and aides, includes interviewing, hiring, monitoring assignments and evaluating personnel
Develops and implements action plans to improve staff development
Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures
Participates in program management, including licensing, budgeting, utilization and quality assessment/improvement activities
Works with health care providers outside of the agency to achieve optimal patient care across the continuum

100

VP Clinical Services Resume Examples & Samples

Development of consistently-delivered best practices at client site emergency departments
Manage a team of managers and division directors to provide esential services to client hospitals
Development of value-added strategies to enhance client performance on operational metrics, thus improving EmCare longevity and profitability at existing contracts. Responsible for development and tracking of operational metrics
Recommend and implement creative and cost-effective recruiting strategies to improve the regions recruiting results. Analyze and report all recruiting activity to the division management team
Implementation of Studer group rollout and lean process improvement efforts
Coordinate service team at high-profile client sites; working collaboratively with RMD, CEO, and Senior hospital leaders
Develop and implement processes and strategies to effectively manage multi-hospital healthcare systems and develop future business in these systems
Serve as liaison between physicians, key hospital leaders, and EmCare in coordination of client services
Personally serve as account manager at certain strategically important client sites fulfilling responsibilities as needed
Assists the VP of Business Development as necessary in the development and review of best-practices and value-added services
Develops and implements improvements in internal workflow processes within EmCare division support center to better sere client needs
7-10 years of healthcare leadership experience to include physician relations, quality improvement, P and L responsibility at the department or region level, and customer service
Previous experience as a consultant
Previous clinical experience in an Emergency Department setting
In-depth understanding of healthcare operations and evolving trends
Ability to resolve complex issues in a timely manner
Proven track record of meeting deadlines and functioning in a fast-paced, complex environment

101

DIR Clinical Services Resume Examples & Samples

Collaborates with and provides operational support to the AVP, Clinical Services
Identifies and supports the implementation of operational efficiencies throughout the clinical department and the clinical operations of local offices
Coordinate, manage and distribute internal clinical reports
Creation and coordination of new reports as needed
Oversight of non-clinical functions within the clinical department and programs
Create and review data to enhance and promote clinical efficiencies
Coordinate, manage and track corrective action plans, performance guarantees, and performance objectives for the clinical programs by plan
Support and maintain productivity standards and benchmarks for all utilization review and care management staff as well as non-clinical functions
Operational and inter-departmental lead
Utilize metrics to identify areas that require staffing adjustments and to improve efficiency of clinical operations
Assist clinical management and staff with creation of Information and Analytics requests related to operational efficiencies or policy development
Lead for the Clinical Department when influencing the Business Development Team in responding to new business procurements
Attends internal operation meetings
Analytic skills
Workflow and process management
Proficiency in Word, Excel, PowerPoint, Visio, and Access
Must have excellent communication and negotiation skills

102

Clinical Services Supv Home H Resume Examples & Samples

Monitors the quality of service and utilization standards and assumes specific responsibility for patient care at the agency level
Ensures coordinated plans of treatment, customer focused care, and cost effective utilization of services
Coordinates with appropriate team members or contract services for the clinical care hospice and home health patients and families
Ensures patients receive quality care by reviewing documentation, making visits with staff, reviewing care plans, conducting/participating in multidisciplinary team conferences, and reviewing patient satisfaction reports. Investigates and resolves patient/family member concerns regarding patient care
Minimum four (4) years nursing experience, two (2) of which are in the last five (5) years as a Registered Nurse in a HH agency, primary care clinic, or health facility
Bachelor's degree in nursing or health care related field preferred

103

Director of Clinical Services / Quality Resume Examples & Samples

Participate in divisional CQI activities
Identify issues that require the establishment of clinical Policies and Procedures or recommend modification to existing policies and procedures
Data collation and reporting as requested
Identify and communicate professional development needs and ensure a continuing education program is in place
Direct and provide on-going education support at the clinic level
Compliance/Regulatory
Ensure that DaVita's training programs meet or exceed federal and/or state requirements
Ensure that proper documentation is submitted when required to the appropriate regulatory agencies
Assist in developing action plans and strategies for addressing deficiencies in partnership with operations management
Ensure Right Person/Right Attitude/Right Job (RPRARJ) within Clinical Services Specialist and Clinical Trainer positions
Demonstrated team building and coaching/mentoring skills
Ability to delegate appropriately

104

Clinical Services Supervisor Resume Examples & Samples

Manage Care Coordination team members’ performance through the review of qualitative and quantitative performance results on a regular and ongoing basis. Provide constructive feedback and set improvement milestones when indicated
Regularly assess the clinical performance of staff via documentation audits, live service observations and other performance management tools
Set clear performance expectations with team and communicate how performance goals are linked to organizational goals and values
Motivate and encourage team members to excel. Create a team environment that contributes to a high degree of employee satisfaction
Monitor individual team member reliability patterns and take corrective steps when indicated. Utilize the workforce management system to monitor schedule adherence and other work habits
Recruit, interview, and select qualified clinical and non-clinical team members, take corrective action for team members who do not meet expectations
Conduct the performance review, merit and bonus processes for team members
Lead the clinical team in monitoring and managing care coordination for those members meeting level II or level III behavioral health needs. Oversee program functions such as timeliness of follow-up from the HRA; Completion and timeliness of the comprehensive needs assessment and the development and implementation of the treatment plan, including collaboration and sharing information with providers as needed for joint treatment planning and for transitions in care
Use of reporting to monitor the TAT and completion of duties to meet the contractual requirements
Ensures appropriate clinical supervision and case consultation for clinical staff. Assists, on an as needed basis, in response to peak work periods

105

Adult Clinical Services Manager Resume Examples & Samples

Supervises, guides, and directs counseling staff emphasizing/insuring the provision of qualitative therapeutic services
Provides leadership and support to House of Mercy’s adult clinical programs accreditation and compliance initiatives/activities
Consistently monitors and evaluates the quality and consistency of therapeutic services provided adult clients
Evaluates overall programming to insure that it is researched/best practice based and tied to measurable outcomes
Provides training and education to counseling staff in such areas as clinical skill development (e.g., group facilitation skills), addiction concepts, program enhancement strategies/approaches, etc
Ensures that staff training/development activities address identified clinician and program needs. Monitors and evaluates progress/achievement of related goals/objectives
Coordinates internship options for students in human services related disciplines. Provides oversight to ongoing internship opportunities
Fosters growth in continuing care programming including assisting facilitators and co-facilitators to promote optimum clinical focus
Responds to volatile situations by mediating to resolve issues providing conflict resolution assistance and modeling appropriate crisis intervention/problem solving techniques
Responsible for the maintenance of client files. Assures all needed releases of information and other paperwork are present in the file and up-to-date. Promptly requests new or additional information and paperwork as needed
Coordinates services with community agencies, schools, courts, service providers of significant others, and mental health/other health care professionals to provide an extended, high quality continuum of care for House of Mercy adult clients
Provides leadership and oversight to treatment team in the development of appropriate discharge plans and aftercare programming. Integrates the resident into appropriate post-placement programs including Alumni and Continuing Care groups
Occasionally called upon to assess clients utilizing the American Society of Addiction Medicine Patient Placement Criteria (ASAM) and conduct comprehensive psychosocial evaluations to analyze and synthesize the client’s status and address the client’s strengths, problems, and areas of clinical concern. When necessary provides individual and group therapy/counseling services
Prepares and distributes required reports and other documentation of services according to House of Mercy policies and procedures, applicable laws, regulations and licensing requirements
Provides statistical and research information as requested and/or required by laws, regulations or licensing requirements
Maintains an awareness of applicable laws, regulations and licensing requirements as they relate to resident documentation. Assumes accountability for providing appropriate documentation of all therapy/counseling sessions, significant incident occurrences, phone conversations, etc. consistent with applicable regulatory requirements
Supervises clinical staff creation of treatment plans in accordance with program requirements, state regulations, etc. and communicates pertinent treatment plan information to Resident Counselors, child care staff, Education/Employment counselors, and others as needed
Assists the Director in program/curriculum development as directed
Maintains communications, on a professional level, with all co-workers, department staff, referral sources, vendors, donors, and residents
Master’s degree in a human services related discipline from an accredited program, required
Must be independently licensed Masters level prepared mental health practitioner (or eligible within six months of hire)
Experience with student internship programs and staff training, preferred
Previous experience working with chemically dependent and at-risk clientele is preferred
Valid Driver’s License required, must meet Mercy’s Motor Vehicle Safety Standards, must be at least 18 years of age and be eligible to drive per Iowa state law

106

Clinical Services Technician Resume Examples & Samples

High school diploma (or equivalent) is required
Prefer training or experience in phlebotomy
The employee must have the ability to understand, communicate and

107

Clinical Services Consultant Resume Examples & Samples

Ensuring the quality of prior authorization products for business users by testing cases and doing regression testing
Developing and executing formal test plans to ensure the delivery of quality software
Carrying out procedures to ensure that all information systems products and services meet minimum organization standards and end-user requirements

108

SPV Clinical Services Resume Examples & Samples

Responsible for oversight of day-to-day operations of the Clinical Operations Department; including, but not limited to, benching of cases with staff, NICE audits, conducting daily rounds including ICM rounds
Facilitates and participates in staff training for new and existing staff
Acts as liaison with Account Services Departments, Centralized Night Service and other clinical operations departments
Assists in the development and implementation of policies and procedures
Participates in weekly staff meeting and clinical conferences
Ensures that all performance guarantees are met or exceeded

109

Clinical Services Quality Auditor Resume Examples & Samples

Monitors, evaluates and documents member or provider calls for designated staff to ensure staff responses meet VO’s clinical and quality audit standards, and provides managers, supervisors and clinical care managers with call coaching quality data. Partners with the management team to ensure frequent performance and developmental feedback are provided to the Military OneSource Staff
Compiles/reports monitoring evaluation data and presents call coaching sessions. Provides Military OneSource Staff with an action plan for process improvement, and if needed collaborates with the management team in the corrective action process by gathering documentation regarding non-compliance in meeting required standards. Contributes to performance improvement plans and participates in discussions, up to and including termination
Ensure processes are in place to support compliance with all state and federal laws (HIPAA), regulatory requirements, accrediting agencies (NCQA and URAC) as well as ValueOptions Federal Services Inc. ® clinical criteria and policies and procedures
Audits the timeliness and accuracy of any contractual follow up inquiries made by Military OneSource staff. Measures the ability of staff to successfully meet all client performance expectations and presents final assessments/employment recommendations to management
Identifies improvements or training opportunities and develops/presents quality improvement training materials to improve overall service quality. Identifies trends in inquiry monitoring and applies corrective actions as necessary to meet business needs. Ensures follow through with Military OneSource Staff
Develops ideas for performance improvement, service delivery, and cross-functional initiatives that contribute to department success
Collaborates with the management team on new client implementation activities, including development/presentation of training materials, to ensure all home service center and client performance expectations are met

110

Clinical Services Technologist Resume Examples & Samples

Process client samples using approved standard operating procedures and in accordance with analytical plans
Perform routine and non-routine intermediate to high complexity molecular techniques in a GCLP and CLIA regulated environment
Isolate, quantify and assess quality of nucleic acids using manual and automated techniques
Perform genetic analysis including gene expression and genotyping analysis using technologies such as PCR, real-time PCR, gel electrophoresis, Sanger sequencing, microarray analysis and
Next Generation Sequencing (NGS)
Utilize platforms including Promega Maxwell, Affymetrix, ABI ViiA7, ABI 3730xl, Ion Torrent PGM
And Illumina MiSeq
Assist in identifying and troubleshooting discrepancies and quality control failures
Assist in maintaining equipment logs, maintenance logs, and calibration logs
Assist in laboratory inventory, make common reagents and review reagent quality control
Review documentation for accuracy and completeness
Assist in performing the assay development and validation procedures
Exercise judgment within defined procedures and practices to determine appropriate action
Normally receive general instructions on routine work, detailed instructions on new assignments
Perform other duties as needed
Bachelor’s Degree with a concentration in life sciences, Molecular, Biology, Biochemistry, Pharmacology, or closely related field
Previous lab experience
Good communication skills with the ability to interpret and follow procedures that are given both in writing and verbally
Good organization skills with the ability to multi-task, prioritize, and effectively manage workload within established timelines
Good team player, with the ability to work well and effectively in a diverse, team environment
Strong hand-eye coordination and the ability to work in a laboratory environment

111

Clinical Services Manager Resume Examples & Samples

Telecommuting role with required Statewide travel to facilities*
Set team direction, resolve problems, and provide guidance to members of own team
Oversee work activities of other supervisors and staff
Influence and/or provide input to forecasting and planning activities
Manage salary, bonus incentives and policies in a manner which reward performance excellence
Ensure effective orientation and development for Clinical Staff
Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards
Promote individual development by providing learning and growth opportunities to clinical staff
Actively participate in local/regional NP, PA, Physician and Geriatric associations with goal of developing clinical and leadership skills
Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate
Participate in site specific strategic planning activities
Develop solutions to problems or barriers by partnering with key stakeholders
Provide clinical and clinical operations expertise on business development efforts
Serve as a role model to internal and external partners
Use knowledge of the business and financial goals to determine and communicate clinical priorities
Actively engage, coach and drive clinical staff in implementing activities to grow same store and new membership (product/payer specific)
Proficient computer skills including the ability to document medical information with written and electronic medical records
3-5 years related leadership experience with focus on managing and developing a clinical team, preferably in geriatric care setting
Proven experience in developing and sustaining internal and external client relationships with healthcare professionals, (DON's, administrators, MDs, RNs, etc.)
Certified nurse practitioner through ANCC/AANP for adult, family and/or geriatrics (GNP preferred)
Masters prepared Nurse Practitioner or PA in compliance with state licensure requirements
Current unrestricted license in state(s) in which practicing
Unrestricted DEA (license to prescribe narcotics/level II info here) per state regulations (unless prohibited in state of practice)
Ability to lift up to 40 pounds
Must possess a valid Driver’s License with the ability to travel between care setting
Prior experience in adult teaching environment
Prior management experience in a virtual environment

112

DIR Clinical Services Resume Examples & Samples

Achieves outstanding utilization management, case management, and Quality management outcomes as measured by common Managed Care utilization and quality management metrics. Facile use and development of relevant performance reports to monitor and report on strategic outcomes
Represents the account on Corporate Clinical Policies and Standards Committee, health plan Clinical and Quality subcommittees, and other workgroups as appropriate
Collaborates with Medical Director to identify complex cases and resolve clinical issues. Emphasis is placed on efficient treatment, outstanding discharge planning, and connection to Community based supports that promote and sustain recovery
Interfaces with the account, internal and external customers, and regulatory agencies in a prompt and professional manner to ensure outstanding quality of service
Collaborates with the Quality Management department to identify and implement quality improvement activities, such as Performance Improvement Projects, and, most importantly, achieves superior Quality scores as measured by HEDIS/QARR measures
Participates on operations committees and projects as needed to address operational matters like system configuration, timely claims payment, and network accuracy and adequacy
Applies Beacon Health Options Medical Necessity criteria and State criteria to complex Psychiatric and Substance Use Disorder cases to render certification decisions that are within the scope of practice relevant to the Clinical condition. Ensures compliance with all regulatory requirements pertaining to utilization management decision making. Participates on internal and external audits, and conducts internal audits of direct reports in compliance with Policies and Procedures
Conducts routine data analysis to monitor utilization and quality trends, and proposes strategic interventions to achieve optimal outcomes. Presents trend analysis and the impact of strategic interventions to the health plan account at Joint Operating Committees and to Beacon Senior Management during internal meetings

113

Outpatient Clinical Services Manager Resume Examples & Samples

Master’s Degree in healthcare or business from an accredited institution is preferred
Current licensure in field of specialty of Physical Therapy, Speech Therapy, Occupational Therapy, Registered Nurse, Dietitian preferred
Specialty credentialing in field of specialty preferred
Plans, organizes, coordinates, monitors and controls daily operations of the assigned clinical areas including the development of job descriptions, policies, procedures, work processes, etc
Analyzes statistics such as quality assurance, workload and financial reports to determine appropriate course of action or alternate solutions to problems, justifies variances
Prepares annual operating budget for assigned departments; recommends capital purchases; manages departments within approved budget
Collaborates with Human Resources on personnel issues including completing requisitions, interviewing, hiring, and following hospital policy on constructive counseling and progressive discipline
Ensures appropriate staff competencies are maintained (licensure, certification, orientation, mandatory training continuing education)
Provides sufficient qualified personnel to meet department needs and develops resources to meet unanticipated needs to ensure timely services

114

Clinical Services Clerk Resume Examples & Samples

Answer telephone and refer calls to appropriate personnel, take messages, and/or answer questions concerning department
Greet or direct patients and visitors; provide directions and/or answer questions
Gather information from patient and other areas to complete necessary forms for department such as registration and requisitions
Maintain related departmental records such as number of patients, types of test, requisitions of tests, billing slips, insurance logs, etc
Type various simple forms, reports, and charts
May enter data such as patient or billing data into CRT verifying for accuracy and making corrections as necessary
Create file for new patients, updates files as necessary to remain current
Strong Word/Excel skills a plus
Location/Facility – Baylor Medical Center at Garland

115

Clinical Services Coordinator Resume Examples & Samples

Knowledge of software programs (Microsoft Office preferred)
Knowledge of the medical field (especially pertaining to primary care facilities)
Knowledge of nursing programs
Ability to work with little supervision
Ability to organize information in a logical manner,
Ability to present information and communicate ideas professionally
Ability to comprehend and communicate established guidelines, policies, and procedures
Ability to develop and implement , and evaluate programs, plan events and coordinate committee actions
Ability to manage programs and staff concurrently who are in different locations
Ability to confidential files, sensitive information, and detailed records
Ability to interpret data and identify patterns

116

Clinical Services Financial Analyst Resume Examples & Samples

Graduation from college with a major in Management, Accounting, Statistics, and/or Finance; and two years of experience in administrative analysis or operations research, preferably three years of experience in financial analysis; or an equivalent combination of education and experience
Experience and knowledge of concepts of accounting principles including fund accounting, internal control standards, and cost accounting. Technical skills to interpret and apply those principles to budgetary and/or accounting tasks
Experience in analyzing large quantities of financial, budget and employee data, summarizing and extracting pertinent data, compiling relevant information in a variety of appropriate formats
Strong demonstrated experience in performing complex analytical research and financial reporting for assigned clinical operating units, programs, and projects
Extensive experience in independently preparing monthly financial statements and project-based financial reports for the clinical services and its providers
Demonstrated experience in developing and implementing management information systems and reporting capabilities
Extensive experience in proactively preparing tracking reports and statistical information and independently compiling budgetary and/or projection data from various internal sources
Strong experience with Microsoft Word, PowerPoint, Sharepoint, and Outlook. Excellent Excel skills, with emphasis in creating new reporting documents, analytics, streamlined & comprehensive reporting tools
Knowledge of University policies and procedures related to accounting, purchasing, contract and grant administration, disbursements, material management and inventory, including cost sharing
Experience using IFIS (PPS, Purchasing, On-line Transfers), Financial Link, Facilities Link, and Darwin
Experience following-up on outstanding budget issues and ensuring reasonable solutions
Some experience in applying advanced computer technology as a problem-solving tool in financial modeling, analysis, budgetary management, and other administrative functions
Demonstrated knowledge of medical billing and collections systems, guidelines, and procedures

117

SPV Clinical Services Resume Examples & Samples

Provides training, supervision and support for assigned staff and evaluates clinical appropriateness of treatment using professional knowledge within Beacon Health Options Clinical Policy and Procedures and benefit requirements
Manages highly sensitive and/or difficult cases assigned by management for investigation and recommendation for appropriate action
Takes on case assignments as needed to assure full coverage of all clinical needs
Maintain a comprehensive understanding of Beacon Health Options Policies & Procedures, Clinical Criteria and Benefit Plan requirements
Evaluate clinical appropriateness of treatment using professional knowledge within Beacon Health Options Clinical Policy and Procedures and Benefit Plan requirements. Clinical Supervisors for field care and utilization review render authorization decisions or refer for decisions of medical necessity non-authorization
Microsoft office
Conflict resolution

118

Director Risk Management Clinical Services Resume Examples & Samples

At least 15 years of experience in a similar position or comparable role with advanced level of operational experience related to the healthcare industry
Operational experience and knowledge about managing clinical operators
Master’s degree ( Healthcare Administration or equivalent)
Proven abilities in taking ownership and executing high quality deliverables according to strict timetables and global processes
Business savvy and familiar with the dynamics of a multinational organization and group environment
Consistent and balanced behavior and leads by example
High Integrity, flexible and stress resistant
Highly motivated, team player and able to build strong networks both internal and external independently
Able to receive and provide constructive feedback and coach others to address sensitive matters
Appreciates and understands demands of the role requiring flexible working hours
Excellent written and spoken English is a must
Consultancy background preferred

119

Admin Dir-clinical Services Resume Examples & Samples

Masters degree required
Current RN licensure with Missouri Board of Nursing or current RN Missouri temporary work permit
3 - 5 years experience in Hospital management/leadership is required. Prefer management experience with clinical oversight
Must have a current American Heart Association Healthcare Provider card and ACLS certification or complete the appropriate courses within their probation period

120

Clinical Services Associate Resume Examples & Samples

Proven organizational skills with exceptional attention to detail
Must become proficient in multiple computer systems (example: EPIC, Navinet, MedView, ChartOne, Microsoft Word, Microsoft Outlook)
Required to complete all UPHS competency requirements for position
Must be self-motivated, have ability to adapt to change and capable of working under stressful circumstances

121

Clinical Services Manager Resume Examples & Samples

1-3 years of Nurse Practitioner Experience
Past experience working in a nursing home or with seniors in other settings
Masters prepared Nurse Practitioner in compliance with state licensure requirements Current unrestricted license in state(s) in which practicing

122

Director of Clinical Services Resume Examples & Samples

Makes routine employment decisions in hiring, orienting, supervising, and training program therapists and adjunct group leaders
Schedules and assigns staff as needed for effective patient care or oversight of delegate
Assists in preparing an annual budget and operating the department within defined limitations reports and exhibits variances
Develops programming and clinical services in accordance with the mission and goals of Highlands Behavioral Health
Coordinates unit activities, planning of patient care services and patient care plan with the Medical Staff and other departments of the Hospital
Maintains optimal standards of clinical care and constantly evaluates results, maintains quality assurance program
Directs, Supports and participates in hospital-wide Quality Improvement activities
Promotes a clean, safe and secure environment for patient care on assigned units
Assists in administering the unit philosophies of clinical services and in defining and developing overall long and short range objectives
Coordinates the provision of social services to patients and families
Provides consultation to members of Hospital staff, community agencies and other persons or groups seeking guidance in efforts to solve patient problems
Provides clinical and administrative leadership
Maintains optimal standards of clinical care and constantly evaluates results, maintains a performance improvement program
Promotes a working environment for patient and staff comfort and safety
Assumes and/or performs additional duties as requested and makes sound decisions within the range of expectation for the job
Promotes a positive working environment and guest relations
Organizes findings of Hospital-wide performance improvement activities for presentation at Hospital Quality Council meetings
Attends appropriate committee meetings to provide assistance and to disseminate and obtain pertinent information
Correlates, prepares and distributes reports for appropriate committees and departments
Completes relevant aspects of Hospital-wide performance improvement activities
Maintains a confidential record-keeping system
Monitors and correlates information concerned with performance improvement

123

Manager Genetic Clinical Services Resume Examples & Samples

Hires, orients, coaches, evaluates and facilitates conflict resolution for clinical genetics staff, including genetic counseling supervisor/genetic counselors, support staff, computer administrator
Identifies opportunities for growth and provides additional training
Serves as liaison between genetics clinical services and other business and operational departments such as business office, data communications, patient registration, and other clinical departments
Coordinates programs between departments and services
Creates and maintains department trends and statistics
Assesses recurrence risks and recommends medical or genetic testing based on analysis off the risk, benefit, and cost
Develops and manages departmental safety regulations and training
Previous supervisory/management experience preferred

124

MGR Clinical Services Resume Examples & Samples

Direct supervision of Utilization and Case Management clinicians, including serving as an immediate resource to the team to assist with problem solving
Monitor productivity standards and identify opportunities to streamline workflows that result in accurate, high quality production standards
Establishes goals and objectives for the CM/UM Team and individual team members
Oversees quarterly audit process and reporting
Maintain thorough knowledge of Beacon’s level of care criteria and CM protocols
Oversees development, training and implementation of policies and procedures
In conjunction with the UM/CM Clinical Directors, identify, monitor and interpret quality metrics
Provide in-service trainings to both clinical staff and/or health plan staff as needed
Establish workflows for overall management of high risk members including CM referrals, discharge planning and aftercare follow-up
Work with clinical leadership to support on-going development and implementation of care management programs for the health plan
Collaborate with client Fallon Health on integrated case rounding and care coordination
Presents recommendations to Program Director in support of problem resolution
Participate in provider meetings as needed or assigned
Work closely with clinical and quality leadership on NCQA, URAC, and HEDIS accreditation and initiatives
Respond to all clinical audit requests from the State, Health Plan, or other regulatory agencies
Complete monthly and quarterly reporting, as assigned
Leadership skills and supervisory experience, including the ability to develop team performance
Self-motivated, able to prioritize multiple issues, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed
Demonstrated understanding of CQI
If the Clinical Manager has supervised the case management process for three years or more, s/he will be required to hold a certification as a case manager

125

VP of Clinical Services Resume Examples & Samples

Degree in Nursing (and licensure in state of residence) required
5 years of nephrology experience preferred
Health system CNO experience ideal
Ability to utilize resources to accomplish all key metrics
Background in or knowledge of formal process improvement techniques
In-depth understanding of the roles of direct caregivers in mission accomplishment
Ability to collaborate across functions
Solid reasoning, critical thinking, problem-solving abilities

126

Cardiovascular Clinical Services Coordinator Resume Examples & Samples

Leads clinical improvement and process improvement initiatives to drive quality care delivery for patients with specific and complex conditions
Reviews, analyzes and interprets data from various sources to determine opportunities for improvement and identify causative factors that reveal variation in care
Works closely with physicians, administration, clinical staff and the Clinical Integration team on clinical pathway development, implementation and monitoring
Ensures ongoing compliance with all regulatory and accreditation standards to ensure a state of continuous survey readiness through the Chest Pain Center and Heart Failure Accreditation
Ensures timely data and application submissions are entered electronically for the accreditation organizations
Oversees the updating of standardization tools, pathways, protocols, and order sets needed for the cardiovascular program
Leads a multidisciplinary committee to discuss patient outcomes and facilitate continuous improvement efforts
Assists in education of nursing and ancillary staff on best practices in the treatment of cardiovascular patients. Serves as a resource to other facilities seeking accreditation support related to areas of responsibility

127

DIR Clinical Services Resume Examples & Samples

Supervises and directs the nursing service department, as well as its programs and activities in accordance with current rules, regulations and guidelines that govern a long-term care facility
Develops, maintains and periodically update written policies and procedures that guide the day-to-day functions of the nursing service department
Coordinates nursing services with other resident services to ensure continuity of resident care
Maintains an ongoing quality assurance program
Trains nursing staff in the proper provision of direct care to residents
Assists in planning the nursing services portion of resident discharge plans
Serves on and participates in care-related committees as needed
Lead others through actions consistent with and serve our culture
Participates in facility surveys by government agencies
Work closely with the Administrator to lead the building in all matters, both clinical and financial
Must possess an active license to practice as an Registered Nurse (RN) in the state of California
At least 4-5 years clinical supervision and leadership experience in the skilled nursing/post acute/long term care setting
Management and leadership experience is necessary for success in this position

128

Regional Director of Clinical Services Resume Examples & Samples

Must be a registered nurse with an active state license
Must have at least three years of experience in skilled nursing care or related industry
Must have knowledge of state and federal guidelines governing post-acute and long-term care services
Must be able to assist in the evacuation of patients
Must be able to read, write, speak, and understand the English language

129

Director of Clinical Services Resume Examples & Samples

Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes
Capable of working within established policies, procedures and practices prescribed by the organization

130

Clinical Services Assistant Resume Examples & Samples

Prepares for and conducts social skill building and other therapeutic activities in order to meet the goals of each individual Treatment Care Plan, which is designed to meet the age-specific needs of each client
Provides direct care, under the supervision of a licensed/credentialed clinician, by co-leading therapy groups and performing assigned case management activities to assist in achieving established client outcomes
Observes clients and communicates to the Treatment Team about the effectiveness of the Treatment Plan. Documents client/family responses as well as collateral contacts. Identifies variances and contributes suggestions to the revision of the Treatment Plan. Initiates further interventions as determined by the Treatment Team
Implements established behavioral management plans for a program or for individual clients. Ensures a safe environment, ensures client’s agreement with and adherence to the plan, implements rewards and consequences, and provides appropriate clinical support to patients/families to meet established goals of the plan
Assists with transportation arrangements, as approved by the Program Manager, to help clients attend program and meet aspects of their treatment plan which can’t be met on site
Utilizes community resources and makes appropriate referrals in support of the treatment plan and the continuing care plan a client begins after the discharge process and afterwards
Connects with area resources through service, health and employment agencies, professional groups, committees, and consortiums in order to be well-versed in accessing necessary services for each client upon discharge
Participates in treatment conferences, staff meetings, and in-service training as required to ensure a quality care experience for clients
Participates in the facilitation and coordination of education groups, and community meetings
Performs other duties as may be assigned by the Program Manager
Provide translation for clients
Referral
Reports & Record keeping
Consultation
Education and Training groups
Minimum of 1 year experience working with age specific population, in either a mental health or other related setting required

131

Clinical Services Specialist Resume Examples & Samples

Transports and operates PACS equipment and performs specified salvage procedures which may include Platelet Rich Plasma (PRP) sequestration
Assesses patient/surgical procedure for suitability for PACS
Monitors blood loss, assesses appropriate time for washing of salvaged blood, and communicates to anesthesia and/or nursing staff the blood volume processed and available to be returned to patient. Maintains knowledge of steps of applicable surgical procedures. Notifies surgeon and/or anesthesiologist in charge if problems occur with the procedure
Maintains accurate, complete and legible records pertaining to the patient and the PACS or Platelet Rich Plasmac (PRP) procedure. Labels for reinfusion the autologous product, as appropriate
Removes disposable and cleans equipment at end of the procedure. Ensures that necessary equipment and disposable are available for the next cell salvage procedure
Reports and removes defective equipment from operation. Assists supervisor in assuring equipment is maintained and adequate supplies are stocked
Reports incidents and adverse reactions and completes appropriate paperwork
Collects samples of the salvaged blood product for quality assurance purposes
Supports Supervisor in review of department paperwork and monthly reports. May assist in training new staff
May assume “designee” duties at direction of Supervisor/ Medical Director. These duties may include but are not limited to: retrieval and confirmation of requests for service, scheduling and assigning cases, and coordinating the importing of operators from other ARC facilities

132

Clinical Services Leader Resume Examples & Samples

Active RN License
Valid driver’s license and ability to travel to provider locations in the assigned areas
A minimum of 4-6 years of hospital patient care experience combined with experience in a SNF, LTAC, rehab, hospice or other similar type of environment
Utilization or Case Management Experience
Physician Practice clinical/management experience with Multiple Sites
Computer proficient with EMRs, Excel, and Outlook
Excellent communication, customer service and telephone skills
Strong desire/interest to provide telephonic patient care
Leadership and team building skills
Bachelor’s in Nursing or Management preferred
Managed Care/Health Plan- Medicare/Medicaid experience
Prior Medicare/Medicaid experience
Quality and HEDIS knowledge or experience

133

Administrative Director of Swedish Heart & Vascular Institute Clinical Services Resume Examples & Samples

Baccalaureate degree in Nursing from an accredited school of nursing or a baccalaureate degree in a related healthcare field
Master’s degree healthcare administration, business administration or related field
Current license to practice as a Registered Nurse in the State of Washington or license to practice as a Healthcare practitioner in another specialty
Must have at least seven to ten years of recent administrative experience in a hospital environment; a tertiary medical center preferred
Experience with surgical services and heart and vascular services preferred
Experienced health care executive with proven track record in clinical operations and clinical program development with a major institution or market leader
Financial, business development, marketing, analytical, teambuilding and collaborative working skills essential
Knowledge and skills in hospital inpatient and outpatient and related physician practice operations and reimbursement are highly desired
Knowledge of Pacific Northwest market helpful
Relevant background and experience in strategic planning, project management, financial/quantitative analysis and budgeting
Experience in healthcare business development activities including business plan preparation and presentation
Experience working with physicians in a business environment. Line management experience in a healthcare organization
Must demonstrate knowledge of administrative concepts, organizational behavior, management process, legal and ethical principles, health care economics, health and public policy, and consumer health care issues
Must have knowledge of current technology and trends in healthcare
Demonstrates leadership skills with a focus on accountability, building and developing highly functional teams, and continuous improvement
Proven leadership ability, including staff development, critical thinking, long range planning, change management, and ability to build support and achieve consensus form diverse groups across complex organization. T
He ideal candidate’s critical leadership attributes will include integrity, honesty, collaboration, shared decision making, flexibility, maturity, clinical business and political awareness, stamina, courage in making tough decisions, and strong interpersonal skills
Promotes collaboration while working when making decisions that affect operations
Communicates effectively orally and in writing, is flexible, initiates and leads change
Demonstrates a strong performance orientation and skillful strategic thinking
Establishes clear expectations, and continuously measures performance. Has a highly organized, self-directed approach to work
Balances multiple responsibilities and demands
Maintains a commitment to quality and service in all aspects of his/her work, and strives for continuous organization improvement
Takes responsibility for personal growth

134

Associate Director OF Clinical Services Resume Examples & Samples

1) Experience in a college or adolescent/young adult mental health treatment setting
2) Experience with personnel supervision
2) Expertise in consultation and collaboration within an interdisciplinary mental health treatment setting
3) Evidence of service delivery model creation, implementation, and maintenance
4) Experience monitoring and adjusting service delivery flow related to utilization
5) Knowledge of electronic health record systems
6) Extensive knowledge of state and federal legal and ethical confidentiality requirements
7) Evidence of quality improvement initiatives
8) Evidence of self-motivated, self-directed, personal, and professional commitment to
10) Experience in mental health crisis assessment, triage, and brief intervention
11) Experience in conducting assessments in the areas of eating disorders, substance use and Attention Deficit/Hyperactivity Disorder
12) Supervision of trainees; and
13) Interest in Behavioral Health consultation to primary care providers
3) Ability to manage and resolve conflict
4) Strong oral and written skills
5) Commitment to professionalism
6) Ability to bring staff together toward teamwork and collaboration
7) Attention to detail
8) Ability to accommodate large quantities of information, think critically, and act decisively
9) Commitment to evidence-based practices

135

HIV Clinical Services Specialist Resume Examples & Samples

Equivalent to Bachelor's degree in counseling, social services, psychology, sociology, social work or a related field required
At least two years of professional work experience as a counselor, Mental Health treatment professional, social worker, or therapist
Two years of experience working in the HIV service delivery field is highly desired
Master's Degree preferred
Work well with gay, lesbian, transgender, bisexual and other minority communities as well as local social services organizations
Work well with disenfranchised HIV+ populations who have co-morbidities such as mental illness, substance abuse, cognitive impairment, homelessness, etc
Complete client related charting, referrals and other paperwork on the same day service was provided
Exhibit traits that reflect the County's culture, including cross-cultural sensitivity, a customer service orientation, trustworthiness and integrity, openness to change, and effective leadership and team building skills
Understand and interpret procedures, regulations and legal implications of program services and other various program offerings for clients
Evaluate problems interfering with recovery or rehabilitation, and recommend approaches and techniques to solve those problems
Act as a resource and assist others on complex medical and psychological terminology and reports
HIV prevention and harm reduction
HIV disease progression and its impact on behavior and mental health
Local HIV care system and social service resources
Casework methods and consultation
For veterans qualified for veterans' preference: If you believe you have skills that would transfer well to this position and/or special qualifications that relate to this position, please list those skills and/or qualifications in the relevant education and/or work experience portion(s) of your application. Clearly explain how those skills and/or qualifications apply to this position
Responses to the supplemental questions
Initial review of minimum qualifications
Supplemental question review
Language assessment (if applicable)
Background, reference, and education checks

136

Clinical Services Coordinator Resume Examples & Samples

Serve as the primary CDL contact to provide internal and community referral information
Intake coordination for CDL families prior to their appointment, including review of screening assessments, coordinating the receipt of background forms and previous evaluations, assigning referral to appropriate clinic and providing resources for families while they await an appointment
Responsible for the daily planning, management and monitoring of patient flow through assigned clinics. Addresses scheduling problems, answers patient/family questions related to services being provided, resolves administrative or operational issues for clinical staff and ensures an efficient and smooth clinic operation
Screen, channel and prioritize patient and family phone calls to other KKI professionals including Nursing, Social Work and therapeutic disciplines, according to CDL protocols and clinical requirements
Responsible for ensuring all follow up calls to patients and families are addressed and documented according to CDL medical Clinic protocols and clinician requirements
Collaborates with Care Center staff and clinicians to ensure that appointment reminder calls are confirmed, cancellations are rescheduled, “no shows” are addressed, and that every attempt is made to consistently maintain a full clinic schedule
Work directly with clinicians and support staff to grow the patient population served and increase patient show rate
Attend and participate in CDL clinical meetings such as clinical chart review in preparation for clinic and outpatient scheduling staff meetings
Enter, maintain and track patient related data in clinical documentation repositories used to support clinicians and Institutional requirements
Maintain and report statistics related to documented treatment of patients
Minimum of 2 years of previous administrative support experience required
Administrative support experience in a medical office or clinic setting is preferred
Some experience with developmentally disabled patients is preferred

137

Clinical Services Coordinator Resume Examples & Samples

Complete and track day-to-day office operations, primarily at one site (inpatient or outpatient)
Schedule patients for Audiology, Speech-Language, or Assistive Technology evaluation and treatment appointments. Verify that patients have been cleared financially, prior to their appointments
Make confirmation calls to patients/families, where the automated service has not made direct contact
Maintain and review clinical evaluation and treatment waiting lists. Handle follow-up databases, as requested by clinical staff
Schedule outpatient clinical appointments, as specified
Complete patient registration and check-out process for Audiology, Speech-Language, Assistive Technology, and other outpatient appointments assigned to the Communication Sciences and Disorders Care Center. Registration process includes: registering patients on arrival, preparing billing paperwork, and notifying clinicians of patient arrival. Checkout process includes: processing completed charge tickets, collecting any payments due, scheduling future appointments with our departments or others at KKI, and enters charges
Prepare and track paperwork for complex patient appointments (e.g., sedated Auditory Evoked Potential testing, augmentative-alternative communication equipment ordering)
Assist clinical staff in preparing materials for patients
Notify managers of situations needing their attention and assist in addressing concerns, as requested
At least three years of secretarial experience, preferably with some in a health care setting where scheduling appointments and interacting with patients and families was a requirement

138

Director of Clinical Services Resume Examples & Samples

Promotes and models Maryhaven's behavioral philosophy
Supervision of clinical staff inclusive of BIS, BCBA, Speech and Social Work
Coordinates Psychiatric and Psychological Clinical Services between Residential and Day services to ensure consistency of approach
Supervises Board Eligible BCBA candidates
Oversees individual and group social skills therapy to students of the Academic program
Facilitates communication between in-house clinical staff and outside clinical consultants and hospitals
Provides consultation to staff to aid in developing social skill strategies that develop in in positive behavior and social communication
Serves as representative and/or student advocate at outside school district meetings; e.g. District Committee on Special Education and on adult placement screenings
Assists Special Education, Residential and BIS/BCBA staff in development of individual behavior modification intervention program inclusive of Functional Behavioral Analysis (FBA)
Authors, reviews, evaluates and approves psychological reports and behavior program development. Ensures timely implementation and documentation of progress
Conducts observations of behavior plan implementation on a routine basis and provides feedback
BCBA-D/LBA strongly preferred
PhD in Developmental Clinical or Behavioral Psychology considered
Experience working with the Intellectually Disabled/ Autistic population

139

Division VP, Clinical Services Resume Examples & Samples

Oversees all aspects of implementing quality clinical service programs in the assigned Division
Assesses, develops, coordinates, implements, and evaluates clinical service and quality improvement systems in the areas of nursing, dietary, activities, rehabilitation, social services and clinical information management
Analyzes and makes recommendations to enhance work efficiency and information flow processes along with suitability and accuracy of Clinical Informatics
Works with staff to identify deficiencies and takes proactive steps to remedy potential impact to resident care
Monitors case mix reports and anticipates professional and supportive staffing needs
Ensures compliance with Federal and State regulations, local and JCAHO requirements
Works with legal staff and key departments provide facilities with appropriate privacy and confidentiality, consent, and authorization forms
Monitor facilities to ensure all staff maintain detailed documentation, accurate utilization reviews and meet reimbursement requirements
Oversees rehabilitative and quality of life programs
Directs quality standards and ensures appropriateness of resident care meets or exceeds company and industry standards
Ensures all Division rehabilitative services are in compliance with state, federal, regulatory, accreditation and reimbursement guidelines
Manages and monitors staffing levels in all assigned programs; ensures appropriate levels of professionalism and paraprofessional staff possess the requisite clinical skill levels needed in accordance with budgetary and company guidelines
Registered Nurse, Bachelor’s Degree or other Clinical degree
Ten (10) or more years of long-term care experience, including five (5) years of multi-region experience and oversight
Organizational leadership and communication skills

140

Clinical Services Assistant Resume Examples & Samples

Responsible for maintaining phone coverage through answering incoming calls and triaging calls to appropriate clinical personnel
Assist providers with requests for authorization of treatment through entering ITR and ORF forms
Responsible for assisting with queue maintenance as well as monitoring fax servers
Assist clinical staff with documentation to prepare for hearings
Provide professional greeting to visitors in the office and assist in meeting set up as needed
Assist MD staff with scheduling, hearing assignments and other administrative tasks as assigned
Other duties as assigned to allow Care Managers to focus on reviews

141

SPV Clinical Services Resume Examples & Samples

Interviews applicants for Care Manager position and makes recommendations for hiring
Conducts individual and team meetings with assigned staff in support of care management services and maintains documentation of meetings for quality management
Monitors staff productivity and conducts phone/chart audits regularly. Completes performance Improvement Plan Reviews (including documentation) when required and completes annual staff performance appraisals in a timely manner. Responsible for ongoing staff development
Assist CCM in reviewing of complex cases
Apply utilization management policies and procedures for determintation of intial, concurrent and retrospective reviews for levels of care in the Public Behavioral Health System of Maryland, within the scope of practice that is relevant to the clinical areas under review; seeking clinical consultation with Clinical Management and Peer Advisors when appropriate
Make appropriate utilization management decisions by evaluating the clinical appropriateness of the requested treatment plan; using sound clinical judgement and the State of Maryland Public Mental Health System’s Medical Necessity Criteria. Collaborate with providers, Core Service agencies, Local Addictions Authorities, designated liasisons and Managed Care Organizations to determine alternate levels of care and to assure continuity of care
Must be proficient in Microsoft Office (Word, Excel, Powerpoint and Microsoft Project)
Must posess analytical and problem solving ability, interpersonal communication skills , verbal and written communication skills, group presentation and public speaking skills as well as a collaboration and team-oriented work philosophy
Must posess knowledge of evaluation and treatment of mental health and substance abuse disorders
Must have an understanding of the concepts of managed health care
Must posess excellent communication skills-verbal and written
Must demonstrate the ability to relate effectively to beneficiaries, treatment providers, facility staff and other professionals
Must posess an ability to work cooperatively with co-workers

142

Assistant Director of Specialty Clinical Services Resume Examples & Samples

Licensed or licensure eligible as a mental health provider in Texas
Experience working with college students
Previous work experience in a multidisciplinary setting which provide services in the area of addiction, AOD, eating disorders, DBT, or online therapy
Licensed as a psychologist in Texas
Previous administrative experience in a mental health setting
Prefer administrative experience in college/university counseling center
Experience the culture of working for an institution consistently ranked as a “Great College to Work For” by The Chronicle of Higher Education
Experience a mission driven organization based on a strong Christian commitment (www.baylor.edu/about)
Experience Baylor academics with outstanding tuition remission for eligible staff and qualified dependents
Experience our beautiful campus with access to libraries, museums, and recreational facilities such as our fitness center, athletic courts, an indoor swimming pool, and the Baylor marina to name a few
Experience our great dining facilities and enjoy an employee discount
Experience Baylor athletics with reduced admission or free access to athletic events
Experience Baylor through many more wonderful events and programs that take place on campus each year
Conveniently located in Waco, Texas, Baylor University is approximately 90 miles from both the Dallas-Fort Worth and Austin areas. To learn more about life in Waco, visit http://wacochamber.com/community/about-waco

143

Regional Director of Clinical Services Resume Examples & Samples

Implements policies and procedures for Clinical Services in the Region. Monitors achievement of goals and objectives for the facility clinical services departments consistent with established philosophy and standards of practice
Monitors the implementation of current policies and procedures, which reflect adherence to corporate and external regulatory guidelines. Reviews new regulatory directives and implements changes as needed
Monitors Quality Improvement Process, Standards of Care, Weekly Wound Reports, etc. and reports them to the V.P. of Corporate Compliance
Reviews and instigates resident complaints/Hotline Complaints as directed by the regional VP of Operations. Ensures compliance with resident rights policies and works to resolve resident grievances
Conducts compliance surveys at facilities. Assist in coordinating actions plans to minimize liability and risks as a result of compliance surveys
Participates in State and Federal surveys and compliant investigations. Supports and follows up with facilities in identifying trends and assists in the development of corrective action plans and troubleshooting resolutions. Reports findings of State and Federal surveys to the Regional VP of Operations and VP of Corporate Compliance
Gathers performance improvements indicators and survey data to identify trends. Develops Plans of Corrective Actions with the Regional VP of Operations, Executive Directors and Director of Clinical Services
Schedules periodic site visits to provide supervision, clinical expertise, ensure communication, and to monitor the overall operation the clinical services department. Conducts facility reviews based on operational needs, changes in management and commitment to regulatory compliance
Provide in-service training and orientation to facility staff regarding survey process, risk management, corporate compliance, performance improvement, etc
Provide facility information and clinical expertise to Regional VP of Operations, Regional VP of Marketing and Regional VP of Human Resources
Attendance required at all meetings at the discretion of your Manager or Regional Supervisor
Must be computer literate, excellent working knowledge of all pertinent software
Timely information reporting
Must stay in compliance with all state, federal, and government agencies
May be requested to serve as temporary Interim Director of Clinical Services

144

Senior Manager, MR Clinical Services Resume Examples & Samples

Bachelor’s degree or equivalent combination of experience and education
5+ years in technical service environment with demonstrated results in customer experience
Proven experience mentoring and developing team on relationship management, customer influencing and problem solving
Self-starter with the ability to manage competing business priorities and tolerate ambiguity in a demanding environment
Proven ability to set priorities, make decisions, and resolve conflicts
May travel up to 75% of the time

145

ASD Clinical Services Liaison Resume Examples & Samples

Position Responsibilities
Support of the Autism Services Division’s case management by monitoring and reviewing authorizations and new inquiries and referrals
Completing administrative tasks to support case management and Member/family’s connect to care
CL activities are documented appropriately in the care management system along with notes regarding the Member’s progress, ICM meetings and clinical rounds
Timely monitoring and reviewing of case activity through daily queue monitoring
Contact both medical and behavioral health providers to ensure coordination of aftercare and services. This
Includes ensuring appropriate follow-up and follow through for members being discharged from higher levels of care
Basic knowledge of Microsoft Office, Excel and/or Access and Word
Basic Keyboard/typing skills

146

Finance Director, Horsham Clinical Services Resume Examples & Samples

Support the General Manager & leadership team to set and deliver the business plan and meet key operating & financial goals
Manage the Annual Operating Plan process, Quarterly & Monthly Business Reviews and weekly forecasts in collaboration with the local leadership team and Site General Manager
Manage the site Sourcing and Procurement Team
Ensure the site meets the monthly corporate reporting deadlines and complies with UK statutory accounts and US GAAP
Prepare and signoff on HRMC declarations
Partner with colleagues within the site, Business Unit, and division to drive both functional and business process improvements and productivity projects
Provide performance reporting tools and metrics plus analysis and recommendations to operating management to optimise business results
Prepare and present analysis and authorization for significant capital investments and commercial opportunities
Develop analytical models and tools to drive growth initiatives and improve business decisions
Lead and coach the local finance teams and operating partners to develop enhanced skills and business acumen
Maintain strong internal controls to safeguard company assets
Degree in Accounting, Finance, Economics, Business or other relevant analytical background
Qualified Accountant
Relevant work experience within a global matrix organisation
Experience of Leading & Managing teams
Demonstrated expertise in the following areas: operations accounting, financial reporting, internal control, financial planning and analysis, financial modeling, project management, and technical accounting knowledge, within a P&L accountable business
History of business partnering as well as the ability to develop and implement robust financial processes to drive effective decisions
The ability to identify and champion productivity improvements and create an atmosphere of continuous improvement through PPI (Lean Process Improvement)
The ideal candidate will have the proven ability to obtain buy-in at the executive level
Proven experience of leading cross functional / country teams and building organisational relationships with customers, peers and operating partners across functions & geographies
The ability to handle multiple assignments, work flexible hours and cope with the complexity of tracking and managing multiple, disparate moving parts
Experience working with Hyperion Financial Management (HFM) is preferred

147

DIR Clinical Services Resume Examples & Samples

Ensure contract compliance and execution of all deliverables
Day-to-day management of client relationship, including evaluation of current priorities, allocation of resources to support health plan’s daily and strategic objectives, and communication of client expectations to the account management and operations teams
In conjunction with the State Director define and execute on strategic goals for NY and the industry at large, ensuring contractual, regulatory and delegation agreement compliance
Actively cultivate key stakeholder relationships to advance Beacon’s standing on behalf of its current client base and to support business expansion efforts
Foster new business development opportunities and strategic relationships in the region
Proven ability to manage through financial and clinical data analytics, trend analysis and strategic planning
Demonstrated leadership skills and supervisory experience, including the ability to deliver outstanding team performance metrics
Outstanding client relations skills with demonstrated accomplishments in account management responsibilities

148

Clinical Services Coordinator Resume Examples & Samples

One (1) or more years clinical experience preferred
One (1) or more years correctional experience
One (1) or more years supervisor/scheduling experience
Coordinate work of all assigned staff by scheduling the health assessments, sick calls, etc
Reviews nursing plans to ensure data collected, nursing diagnoses, and proposed nursing care plans are relative and confirm with authorized policy and procedures
Reviews medical records to ensure nursing practice provided is within boundaries of State guidelines and all nursing recordings are in legible SOAP format to include the date, time, signature and discipline
Ensures all referrals for consultation, treatment or resolution of problems are valid and applicable to the documented nursing plans
Monitors the nursing service, ensuring the provision of progressive patient care plans, employing the total team approach including patient teaching and self-care
Respond to a code or health emergency within standard guidelines
Assists the Health Services Administrator to ensure that the technical and clinical skills of all assigned staff are current; that they function within the scope of their licensure; and, nursing actions are not delegated to another provider for which that person is not prepared or qualified
Follows through and documents all findings, corrections or counseling for all nursing incidents, medication errors, inmate complaints and forwards to the Health Services Administrator for disposition
Identifies potential problems, establishes priorities, initiates effective problem solving based on clinical knowledge and informs Health Services Administrator of proposed corrective actions
Ensures Health Services Administrator is informed of any issues that might interfere with the delivery of services
Assumes administrative and clinical call on a scheduled basis when requested
Develops monthly staffing schedule for review and approval by the Health Services Administrator. Ensures the staffing levels adhere to the contractual requirements and staff requests for vacation or special time off are granted whenever possible
Assists the H.S.A. as needed to ensure an accurate account of monthly staffing and statistics as required by contract
Assists in the orientation and on-the-job training for all new employees assigned to the unit
Ensures employees are assigned duties and responsibilities to the level of their expertise, licensure or certification
As delegated by the Health Services Administrator, annually evaluates performance of supervised staff according to established policy and procedure
As assigned conducts staff meetings for all supervised health care providers to identify problems, propose solutions, set goals
Assists in the collection of monthly statistics as assigned
Reviews, monitors, and maintains perpetual inventory of all contraband and tool counts; investigates and reconciles any discrepancies and reports findings to the Health Services Administrator
Cleanliness, maintenance, sanitation and appearance of unit and appropriately notifies security of any infractions needing correction or attention
Coordinates patient care with other departments, to include but not limited to, intake admission, transfers, infirmary admissions, off-site hospital admission, in-house referrals, off-site referrals, periodic and annual physicals, mandatory release, parole, and patient teaching
Assists the H.S.A. in ensuring that appropriate levels of stock for pharmacy, medical supplies and laboratory supplies are maintained
Provides for preventive maintenance for all medical equipment as appropriate, and initiates procedure for repair as indicated
Assists in the maintenance of a professional atmosphere on the nursing unit as well as a high standard of patient care
Sets good example for the staff through regular attendance, arriving promptly on time for duty, being appropriately dressed well groomed, adhering to the dress code, and displaying the identification badge appropriately and being neat and well groomed
Attends monthly institutional staff meetings as directed by the Administrator

149

VP, Clinical Services Operations Resume Examples & Samples

Perform management responsibilities including, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority
Ultimately accountable for leading and executing the Clinical Services vendor strategy.Identify potential vendors, and partner with senior leaders in Clinical Services, Med Econ, and other areas of the Health Plan to determine whether those partnerships would benefit the organization. Lead the vendor management team and matrix partners to evaluate vendors, and as appropriate contract, negotiate rates, and hold vendors accountable to SLAs post-implementation
Oversee Clinical Services operational reporting to ensure that all leaders' operational reporting needs are met. Lead team responsible for all reporting and analytics support
Lead the Clinical Services compliance team, which ensures that all Clinical Services leaders and employees (1) understand compliance standards and requirements and (2) meet all CMS, NCQA, and other applicable requirements. The compliance team, which includes auditors, will monitor compliance in an effort to ensure that all systems and processes meet appropriate regulations
Work with Clinical Services staff to understand and define system requirements including establishment of STI's, oversight of operational readiness, and system implementations. Partner with HM Solutions and other internal partners to drive team who will ultimately identify the necessary system updates and work with the technical team to deploy system updates/enhancements
Lead Workforce Management strategy in partnership with Clinical Services leadership. This includes workforce analytics, onboarding, training, employee licensure oversight & management, and employee engagement
Oversight for project management team that supports initiatives across Clinical Services
Bachelor's Degree in Business Administration/Management, Health Administration, or Operations Management
5 - 7 years of expereince working in the Healthcare Industry
5 - 7 years of Vendor Mangement experience
3 - 5 years of Compliance experience
3 - 5 years of Process Improvement experience
5 - 7 years of Leadership experience
Leading Change
Business Strategy
Budget Management
Team Leadership
Written & Oral Presentation Skills
Vendor Relations
Strategic Partnerships
Strategic Relationship Building
0% - 25%

150

Patient Clinical Services Coordinator Resume Examples & Samples

Bilingual fluency, English/Spanish
One year of work experience involving public contact and customer service
Experience in a team-oriented atmosphere
Experience with computer software packages, including word processing, scheduling, spreadsheets, e-mail, internet
Excellent communication and organizational skills
Ability to be self-directed and proactive on clinic flow trouble-shooting
Certification or verifiable training in medical interpretation
Prior experience in the safety net health care environment
BLS certified
Prior use of electronic chronic disease management system or EMR
Experience taking vital signs, taking patient history, and/or phlebotomy

151

Team Leader Clinical Services Resume Examples & Samples

Provide training specific to the assessment and management of offending behaviour to local staff of both government and non-government organisations. This will be either generic training unrelated to a particular client or highly specific staff/carer training related to an intervention
Ensure that actions pertaining to allocated cases and the keeping of records concerning those cases comply with departmental standards as measured by a quality assurance process
Periodically present case examples of best practice to the Department’s clinical network
Ensure the quality of reports produced by the clinical team members
Undertake key administrative and budget monitoring responsibilities
Please describe your experience in developing and managing a team. What strategies did you use to engage staff to ensure they delivered a high standard of client service?
Please comment on your experience in providing support to a team to develop and implement meaningful and appropriate Lifestyle Plans for the people we support?
A prescribed sexual offence as defined under the Criminal Procedure Act 1986(or equivalent law in other states or territories)

152

Clinical Services Rep Resume Examples & Samples

Obtains accurate and complete registration for all patients for services by: interviewing the patient and/or family, in person and/or by telephone, to collect demographic and insurance data
Documents the obtained demographic and insurance information in the automated registration system
Reviews and ensures the accuracy of patient information. Retrieves referrals and identifies referrals and eligibility of patients
Greets patients in a friendly manner and assists with directions to other areas in facility. Faxes outgoing documents and retrieves incoming documents for billing and clinical departments
Responsible for understanding details for Fee for Service and Managed Care insurance requirements
Responsible for providing customer service in conjunction with patients, employees, and third party carriers. Confirms eligibility of patients through the module within our Practice Management system, WebMD and NaviNet, etc . If necessary, calls insurance to confirm eligibility
Uses professional, efficient and effective communications skills with patients, families, medical/dental staff, other departments, and the public
Performs within specified standards for productivity, accuracy and attendance. *Maintains a standardized work station and reference manuals to not only promote efficiency with the verification of patients current insurance coverage, but also to promote effective patient relations
Promotes organizational values of patient and visitor satisfaction by demonstrating courtesy and respect for patients and their families, visitors and other employees. Routinely uses customer service oriented judgment in dealing with the public
All patient information should be considered confidential and must be protected in a responsible and professional manner at all times
Responsible for recording all patient demographic and insurance data accurately into the computer system(s). Performs follow-up with insurance companies, as necessary, on issues concerning eligibility and claim address

153

Clinical Services Supervisor Resume Examples & Samples

Hiring and training staff
Process improvement measures at all sites
Coordinating consistency among all CKRA locations
Nurse leadership to multiple locations that include Coon Rapids, Golden Valley, Plymouth, and Woodbury

154

Director of Clinical Services Resume Examples & Samples

Licensed to practice in the State of Michigan in respective mental health discipline
Minimum of three to five years' experience in supervision of a clinical team. Supervision of a multi-disciplinary team with appropriate clinical supervision preferred. Completed training and ongoing education in various treatment modalities and administrative techniques related to mental health, substance abuse and/or eating disorder issues of adult and adolescent persons suffering acute psychiatric disorders
CPR/Handle with Care certification preferred

155

MGR Clinical Services Resume Examples & Samples

Provides direct supervision and administrative oversight of Clinical Care Managers, including timekeeping and annual reviews
Assists with screening and hiring of CCM level staff, participates in interviews, and provides hiring opinions to the Clinical Director
Provides training and ongoing mentoring and development to the clinical staff, in conjunction with the CCM Team Lead. This includes NICE reviews and documentation audits per Beacon policy and departmental procedures as determined by the Clinical Director
Works with the Clinical Director and CCM Team Lead to create and maintain procedural workflows for CCM staff, and assists with maintaining department SharePoint site
Ensures NOA letters are reviewed for quality and completeness prior to mailing as part of the clinical management team, and provides backup supervision to the NOA process as needed, including maintenance of the CAP requirements
Utilizes available reporting for phone stats, productivity and quality monitoring, and assists the Clinical Director to monitor and ensure efficient and appropriate staff workloads, and development of new reports as needed

156

MGR Clinical Services Resume Examples & Samples

Education:A minimum of a B.S.Degree in mental health field or an Associate’s Degree in Nursing with related psychiatric nursing experience
Licenses:Current, valid and unrestricted license in a State or territory of the United States in a mental health field (RN, Ph.D., LCSW/LMSW, MHC, LPC, etc.)
5 years behavioral healthcare experience and 3 years managed care experience with a minimum of 1 year supervisory experience is preferred

157

Clinical Services Associate Resume Examples & Samples

Complete all necessary paperwork and documentation including member comments and follow-up action if required; ensure quality of care
Document and communicate actions, irregularities, and continuing needs to maintain care continuity
Store and retrieve files in accordance with established procedures to ensure the timely access of information and records
1-2 Years Managed Care Experience: Preferred working knowledge of Managed Care/Health Insurance concepts and regulations
Minimum 1 Year Customer Service Experience: Ensure appropriate interactions with customers
AA/AS - Associates Degree or equivalent preferred
1 to 2 years related experience required
2 to 5 years related experience preferred

158

Clinical Services Leader Resume Examples & Samples

Strong care management or transitional case management/care experience
Bachelors in Nursing
Experience working in a multi-physician office/clinic setting

159

Director of Clinical Services Resume Examples & Samples

Ensure an adequate system of communication and reporting is maintained between all staff members, as well as other departments involved in the ongoing operation of programs
Ability to staff personnel in accordance to acuity, hospital census, and budgetary guidelines
Meet on a regular basis with the DCS
Attend and comply with annual mandatory in-service training
Use time constructively and in an organized manner to accomplish assigned responsibilities, delegates duties to other personnel as appropriate, and demonstrates good judgment ability
Demonstrates a professional attitude and works collaboratively with physicians/licensed practitioners, staff, patients, visitors and allied health providers
Show evidence of ongoing education in clinical or health care management
Act as a behavioral model of clinical and procedural expertise to other staff members through demonstration, teaching and mutual consultation
Continue professional development in individual, family, and group therapy and maintain professional development in personnel file
Knowledge of psychiatric and medical procedures is essential
Knowledge of all procedures as related to facility codes
Knowledge of external review organizations
Knowledge of state abuse reporting laws
Knowledge of HIPPA
Knowledge of management theories and techniques
Knowledge of managed care philosophy related to mental health services
Knowledge and application of crisis intervention techniques
Excellent leadership skills
Excellent organizational and interpersonal communication skills
Skilled in interacting with multiple individuals with diversified roles and perspectives
Skilled in organizing and prioritizing workloads to meet deadlines
Skilled in telephone etiquette and paging procedures
Effective and strong oral and written communication skills
Ability to direct changes or corrective actions related to regulations or survey outcomes
Ability to interact effectively with the community and local market and network with other mental health providers
Ability to communicate effectively with patients' and staff, verbally and in writing
Ability to adhere to safety policies and procedures
Ability to use good judgement and to maintain confidentiality of health information records
Ability to manage multiple tasks in emergencies
Ability to pay attention to small details
Ability to handle conflicting situations
Ability to accept direction and adhere to policies and procedures
Ability to recognize high risk behaviors and documents supporting observations in the patient's medical record
Responsible for meeting with staff on an as needed basis, as determined by DCS/DSS, to train staff on processes that are currently not meeting regulatory standards
Responsible for training staff on new requirements and documentation being rolled out to Social Services department
Complete monthly PI reports to include, but not limited to (All are due before the last Thursday of every month)
Responsible for serving as a back-up to inpatient Social Services personnel staffing and transport coordination during DCS absence from the hospital on official duties and PTO.Shared personnel staffing responsibilities may be subject to change based on DCS/DSS availability, i.e. PTO, illness, etc
Responsible to ensure staffing coverage for all units.In the event a unit does not have coverage during staffing assignment, DCS/DSS, will be responsible to ensure coverage of a unit, potentially requiring DCS/DSS to work direct care
In the absence of DCS, DSS will be responsible for being back up to all DCS responsibilities
Ability to lift, push, pull, twist, and stoop, as required, to meet the needs of patient care.May be required to lift or hold a patient without assistance
Ability to be stand, walk or sit for long periods of time
Ability to work inside a cold environment in the summer and hot in the winter, i.e. a fluctuating temperature
Visual acuity is necessary for accuracy in reading and documenting in patient medical charts
Ability to provide crisis intervention while maintaining focus on patient care and rights
Telephone and paging systems
Cell Phone and facility allowed texting systems (Tiger Text)
Copy and Fax machine
Program equipment and supplies
Policies, procedures, plans and program manuals

160

VP Clinical Services Resume Examples & Samples

Development of value-added strategies to enhance client performance on operational metrics, thus improving EmCare longevity and profitability at existing contracts
Supervises and supports Division Manager for Recruiting and Scheduling
Responsible for development and tracking of operational metrics
Implementation of Studer group rollout at region level
Coordinate service team at high-profile client sites; working collaboratively with RMD, DCEO, and Senior hospital leaders
Develop processes, job descriptions, and strategies to effectively manage multi-hospital healthcare systems and develop future business in these systems
Develop, plan, and implement strategies that will better deliver, direct, and support contracted services at client hospitals
Personally serve as account manager at certain strategically important client sites fulfilling DCS/DO/DCA level responsibilities as needed
Provide input , training and support of educational offerings and annual conferences

161

Assistant Director of Clinical Services Resume Examples & Samples

Assists with developing specific goals, standards, and objectives which directly support the strategic plan and vision of the organization
Manages staff relations including performance management, staff satisfaction and conflict management. Performs and oversees scheduling, recruitment, and payroll
Monitors departmental budgets, regulatory compliance, departmental contracts and vendor relations
Screens, interviews candidates for residential services providing clinical evaluation of new admissions
Develops, coordinates, and implements staff development education for staff
Represents Community Residential Services at community agency and committee meetings
Responds to critical/emergency residential incidents on a 24-hour on call basis as scheduled
Performs crisis intervention including assessment/coordination for care during emergency incidents
Assists in managing daily operations of department, including the administration of grant funded programs; oversees implementation of departmental policies and procedures; prepares and maintains program and departmental reports

162

Reg VP Clinical Services Resume Examples & Samples

Participates in development of the organization's vision, policies and short- and long-term objectives
Develops, implements and monitors operating budgets for areas of responsibility
Maintains knowledge of industry trends and recommends cost effective and efficient solutions
Serves as liaison between Board of Directors, executive leadership, management, stakeholders, financial institutions, and regulatory agencies
Position is a dyad leadership function with the Regional VP of Operations of the medical group. Responsible for executing strategies for Hospital based patient care services of Ascension Medical Group including the development and implementation of organizational goals and action plans in coordinationwith the strategic planning process.Collaborates in management of clinical, support and professional functions.Works in partnership with management leaders and physicians and others in ensuring that areas of responsibility are aligned with the Mission, Vision and Values.Ensures that policies, procedures, and practices result in clinical, service and operational excellence.Functions as a key liaison between the leadership, physician partners and staff.Establishes and improves systems and processes to support continuous learning and improvement based on quantitative and qualitative information regarding patient outcomes and experiences
Negotiates terms and conditions and manages contractual services for third party vendors for clinical, support or professional services in the medical group. Resource for third party vendors in managing the request for proposal process, inventory management, audit resolution, equipment servicing, information technology/clinical engineering project management and invoicing reconciliation in the medical group. Resource for capital planning, evaluation and analysis of capital requests, prioritization, budget justifications, and proformas in the regional medical group
In coordination with the appropriate leadership, clinical staff and the information services function, participates in preparation of technology plans and evaluates clinical and management technology in the medical group. Reviews and advises on the needs for clinical and management information and works in conjunction with appropriate leadership and the information services function to meet technology needs.Ensures that technology and work processes are aligned so maximum benefit is derived for physicians, leadership and staff
In accord with the overall financial planning process and guidelines of the medical group, ensures the preparation of budgets. Reviews periodic financial statements and reports, and makes changes in resource allocation, spending, and other relevant business activity, to ensure the financial viability and budget compliance of the medical group. Supports and adheres to the financial controls and related policies and procedures of the medical group, and ensures that administrative and business activities are conducted in support of operational excellence
Seven to ten years of progressively responsible leadership in a related field required

163

Coordinator Marketing Clinical Services Resume Examples & Samples

Initiate, coordinate, and implement internal/external public relations activities such as community information/education opportunities, open houses, employee events etc. for MHHS including ad campaigns
Coordinate production of internal/external marketing, public relations and communications collateral such as newsletters, brochures, directories, fliers, etc., for MHHS clients
Expresses excellent judgment, discretion and decision making abilities. Demonstrates the ability to be flexible, organized and function under stressful situations
Demonstrates initiative to research problems independently and defer to the Director of Marketing and/or the Director of Nursing for final decision making
Demonstrates proficient computer skills including PowerPoint, Word, Excel, and Access in particular processing spreadsheets, database management, formalizing letters, power point, and various other software
Coordinate marketing events including invitations, room reservations, meal planning, reminder calls, and organization
Plan and execute on-site employee events including: JTE forums, employee recognition events, service awards, open houses, grand opening activities, department receptions. Duties include planning event, planning and coordinating food and supplies, setting up and implementing event
Asist in organizing and conducting external health screening, executive physicals, and hospital information events at businesses, community events, clubs and organizations including development of screens, coordinating with outside agencies, obtaining staffing, procuring equipment, developing collateral materials, transporting and overseeing implementation of event
Attend team and committee meetings lead and supported by Marketing. Serve on Wellness of Women committee and manage the “cuddle” crew volunteers
Work collaboratively to execute special projects as assigned
Track and keep an accurate record of hospital earned media (newspaper, other print, and television coverage) and special event activities in the Earned Media Tracker. Maintain photo records and other reports of marketing activities including DeMinimus
Assist in coordinating and conducting hospital tours of visiting physicians and special visitors as requested
Coordinate onsite photography sessions for physicians, staff, featured patients and new service offerings. Manage photo files and releases
As directed, attend affiliate and health system meetings to provide Marketing support and develop pertinent internal communication
Type correspondence, reports, memoranda and special projects as requested
Maintains and orders office supplies
Serves as inter-departmental communication resource

164

Clinical Services Assistant Resume Examples & Samples

Record member/provider inquiries into CareConnect and complete administrative functions as necessary. Conduct provider searches and record findings including provider status
Responsible for placing follow up phone calls to facilities and providers confirming reviews, aftercare and verifying appointment attendance. This may also include discharge planning coordination calls and distribution of outreach letters
Responsible for sending distributing clinical faxes per contract requirements and HIPAA policy
Other duties as assigned to all Care Managers to focus on assessments and reviews

165

BH Clinical Services Assistant Resume Examples & Samples

Assist with transportation requests, scheduling appointments to meet directives, and researching claims
Maintain database for transportation requests
Minimum 1 year experience in a medical and/or healthcare environment or customer service role required
Must be able to handle multiple tasks, interruptions, set priorities, and adapt to change
Excellent telephone and communication skills

166

Regional Director of Clinical Services Resume Examples & Samples

Requires a minimum of five years RN experience in a surgical service setting
Requires a minimum of two years of supervisory experience, preferably in a surgical center environment
Demonstrated leadership skills (decision making, problem solving, delegation, prioritization) and/or supervisory experience required

167

Director of Clinical Services Resume Examples & Samples

A registered nurse or licensed practical nurse licensed to practice as required by New York state regulations
Experience in direct patient care and assessments/observation of clinical conditions
Experience in recruiting, training and managing people in the healthcare field
Experience at a supervisory level in homecare
CPR certified and knowledge of basic first aid
Experience coordinating educational events
Must successfully complete the Atria management training, and all agency specified training programs
Must complete all state required training to maintain licensure or certification
Able to work flexible work hours due to demands of position

168

Director of Clinical Services Resume Examples & Samples

1 year of Home Care experience
Knowledge of NYS DOH regulations and Joint Commission standards
Ability to problem solve and make sound decisions regarding patient care
Experience supervising, coaching, mentoring and supporting Home Health Aides
Outstanding customer service skills and commitment to the delivery of quality care

169

Clinical Services Director Resume Examples & Samples

Identifies, develops, implements and evaluates clinical guidelines and education for care. Guides clinical departments in the development of quality guidelines and operationalizes measures of compliance with those guidelines
Administers annual operating budget and capital equipment budget for the department. Assists supervisors in the preparation of department budgets. Ensures pm/pm costs are continually improved. Prepares monthly reports and specialized reports with analysis to depict the financial position of the department. Develops plans to optimize revenue
Manages the day to day supervisory, professional, technical and clerical activities of department; provides leadership and support to supervisors and health plan staff, including hiring and performance review of supervisors. Provides coaching in leadership, labor-management practices
Minimum five (5) years of leadership experience
Preferred licensed in the state of Colorado as a Registered Nurse, Nurse Practitioner, Physician Assistant or any other health care related license

170

Supervisor, LVN Clinical Services Resume Examples & Samples

Supervise the daily operations of the team, including but not limited to: establishing mutual goals, assigning tasks and maintaining schedules
Ensure all employees within the assigned team(s) understand and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations; establishing and maintaining effective internal systems and controls to promote compliance
Supervises/directs daily operations of subordinates to complete assignments using established guidelines, procedures and policies (to include management of staff attendance, time cards, time off requests, dress code policy etc.). Provides immediate supervision of a unit or group of employees, assigning tasks, checking work at frequent intervals, and maintaining schedules
Assures an orderly placement of patient appointments with specialist within insurance parameters
Develop innovative strategies and initiatives to maximize staff productivity and reduce/eliminate waste. Standardize and implement clinical workflows to promote clinical efficiency and excellence
Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations
Interacts daily with subordinates and/or functional peer groups. Interaction normally involves the exchange or presentation of factual information
2 – 3 years’ nursing experience in health care delivery or acute care setting required
2 – 3 years of cardiology clinical services manager and operations, preferred
Demonstrated proficiency in computer skills, such as EHR, data entry, Windows, Microsoft Word, Excel, E-Mail and Internet access
Knowledge of healthcare quality Assurance/Quality Control program and Federal and State regulations pertaining to quality and utilization management
Familiarity with evidence-based practice and ACC/AHA best practice guidelines and algorithms
Innovative, creative, excellent people skills, organized with excellent time management
Excellent customer services skills a must
Ability to demonstrate excellence in verbal and written communication and assessment skills, as well as analytical critical thinking
Strong problem solving skills and ability to organize and prioritize work, and multitask. Demonstrated ability to work independently and self-directed
Spanish speaking strongly preferred

171

MGR Clinical Services Resume Examples & Samples

Oversight of the day-to-day Clinical operations and staff providing Clinical Services: denials, appeals, and production of letter generation to ensure compliance with all State, Federal, Plan rules, URAC and NCQA requirements
Conduct periodic clinical audits; Assist with client and accreditation audit preparation and presentations
Insure High level of audit ready clinical cases for plan account as well as lead all prep activities for regular clinical audits
Facilitates weekly staff meeting and clinical case conferences
Understands the clinical team’s standard operating procedures and works with the clinical team to develop clinical training materials, (job aides, FAQs, etc.) as needed
Works closely with Director of Clinical Services in the development of clinical models and workflow and other operational clinical functions (new and existing business)
Provides assistance with clinical system enhancement request, testing and training
Knowledge of benefit procedures codes and collaborates with business solutions, system configuration, business architecture, and claims on adjudication logic development
Collaborates with Business Intelligence with development of clinical reporting requirements
Ability to Travel as needed
Valid State Clinical License required (RN, LCSW, LMFT, PhD or PsyD)
Current, valid and unrestricted licensure for independent practice required with proof on date of hire. Re-verification will take place no less than every 3 years
The ideal candidate will be organized, creative, and have strong verbal and written communication skills and will be experienced in managing cross-functional/cross-departmental priorities
Strong background operations management and supervisory experience preferred
Self-motivated, able to effectively prioritize in a fast paced environment
Can-do attitude and ability to work collaboratively with internal staff and external partners

172

Director of Clinical Services Resume Examples & Samples

Doctorate in Clinical/Counseling Psychology, Marriage and Family Therapy or related field
Utilization and incorporation of social media and online venues in the delivery of clinical services and programs
Teaching experience in medical contexts, particularly with medical students and residents
Qualitative and quantitative research experience and expertise, which includes study design, implementation and analysis
Understanding of and interest in the biopsychosocial-spiritual model/approach and its application in medicine and medical education
Must demonstrate skills in mediation and negotiation
Comprehensive understanding of behavioral health and related issues
Excellent analytical skills necessary for preparing financial, legal, and administrative tasks

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