What are the responsibilities and job description for the Regional Manger, Utilization Management position at Alternate Solutions Health Network, LLC?
Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.
Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or have a valid exemption.
HOW YOU'LL MAKE A DIFFERENCE:
At Alternate Solutions Health Network, we care for patients where they spend the majority of their time – in their homes. Today we care for patients who need skilled home care and hospice services. You won’t find our brand in many places because we partner with health systems, jointly running home health and hospice agencies that use their brand. This is part of our strategy. By being part of the health system team, we can ensure each patient has a well-coordinated care plan that remains consistent whether the patient is seeing their primary care physician, receiving treatment in a hospital, or under our care in the home.
WHAT WE OFFER:
We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates receive paid time off and may participate in the 401K, if they choose. Historically the company has matched 401K contributions which helps build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a robust Employee Assistance Program.
HOW YOU'LL WORK:
You’ll work closely and collaboratively with the Regional Director, Quality to ensure the success, accountability and leadership for the Quality department functions of the assigned regional agencies, including QAPI clinical and operational functions. You will oversee the daily operations of the Quest teams by providing the support, leadership, creation and implementation of evidence-based policies, processes and initiatives within the assigned teams.
MAJOR AREAS OF RESPONSIBILITY:
Improvement: Manages progress toward strategic quality goals, readily identifies opportunity trends and works with Regional Director of Quality to facilitate rapid cycle improvement to correct course. Strives for evidence-based clinical service delivery and the achievement of best practice process workflows; quality targets; financial KPI’s & top decile patient experience.
Problem Solving: Applies effective change management skill in performance improvement initiatives and demonstrates a thorough knowledge of our ASHN Quality Model, MDI methodology and accountability reporting cadence. Supports regional teams in addressing barriers to high quality care delivery.
Leadership: Combine strong leadership, coaching and supervision to QUEST Team to meet department objectives. Provide effective communication to collaborate with managers, staff, network agency leadership, and Corporate leadership.
HARD & SOFT SKILLS:
Must possess an understanding of the quality indicators included in Star Rating, Hospital Admissions, HHVBP, and HHCAHPS. Knowledge of Hospice CAHPS preferred.
Extensive knowledge of Home Care support services
Knowledge of Medicare, Medicaid and all State/Federal guidelines for compliance of patient clinical care
Able to create positive impressions and communicate effectively with a variety of people and personalities
Is an active listener and demonstrates ability to lead a team.
Ability to set up work systems and engage in flexible problem-solving behavior
Observant and detail oriented with the ability to multi-task and prioritize
Proficient in Microsoft Office including Excel, Outlook, Power Point, Word and the ability to learn new systems and the ability to train/orient staff during implementation of software
REQUIREMENTS:
Bachelor’s Degree in healthcare or business field, or equivalent experience required; Registered Nurse with a current license in the State of Ohio preferred
Minimum of 3 years Management experience
Capable of all physical demands
We’ll help you put your passion for patient care to work. Apply today!
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
We are an Equal Opportunity Employer.
