9 Health Care Services Manager Jobs in Dubuque, IA
SORT BY
A
A
D
M
M
t
T
T
T
Health Care Services Manager
$102k-137k (estimate)
Full Time | Hospital
3 Weeks Ago
Medical Associates is Hiring a Health Care Services Manager Near Dubuque, IA
Medical Associates Health Plans is hiring a Health Care Services Manager based out of the Health Plans in Dubuque, Iowa.
Where You Will Be Working:
Medical Associates Clinic is a physician owned multi-specialty group practice. Our 200 providers and 900 health care professionals lead the way in providing quality healthcare in Northeast Iowa, Southwest Wisconsin and Northwest Illinois.
What You Will Be Doing:
As the Health Care Services Manager you will manage the day-to-day operations and oversee Utilization Management and Case Management staff. You will work in partnership with the other managers at the Health Plan along with the Director of Quality and HealthCare Services to support our members in obtaining cost effective quality healthcare.
In this leadership role, you will be responsible for developing and implementing strategies to improve health outcomes, increase patient safety and enhance care delivery. You will support the Utilization and Care Management staff in managing and reviewing health care services to ensure they meet quality and cost-effectiveness standards, optimizing utilization, and facilitating appropriate care delivery.
Schedule:
Core business hours for this position are Mon-Fri, between the hours of 8:00-5:00 with flexibility to attend meetings outside core business hours on occasion. 40-45 hours/week, salary position.
Core business hours for this position are Mon-Fri, between the hours of 8:00-5:00 with flexibility to attend meetings outside core business hours on occasion. 40-45 hours/week, salary position.
Skills You Bring:
- Clinical background required (various backgrounds acceptable including nursing, EMT, etc. )
- Strong leadership skills
- Positive, energetic personality with ability to make quick, tough decisions
- Strong communication skills
- Organization skills, multitasking, and follow-through
Essential Functions & Responsibilities:
- Manage hiring selection, training, development, performance evaluations, and performance issues for direct reports. Provides oversight of the day-to-day activities and ensures appropriate levels of staffing. Implements changes to effect continual improvement in services provided and ensure high level of quality is consistent with organization standards.
- Ensure that evidence-based criteria are being applied to determine member utilization outcomes are at the most cost-effective level of care for the Health Plan. Develop and maintain policies and procedures utilizing evidence based, up to date information for services outside of the standard criteria. Assure compliance with departmental and operational policies and procedures by providing direct guidance in their interpretation. Initiate/revise policies and procedures to maintain compliance with external accreditation bodies and regulatory bodies. Complete audits of referrals, authorizations, part C validation, Medicare Universe reporting, denials, appeals, grievances that are completed by Healthcare Services staff.
- Maintain skills in case management, utilization management and pharmacy management and acts as a resource for health plan staff. Assist with coordinating utilization management, pharmacy management and case management responsibilities including telephone duties, physician referrals, admissions, and utilization review updates. Ensure case management and utilization management staff investigates alternatives to services to provide care at the most cost-effective level by utilizing the assessment process and obtaining accurate vital data including pertinent patient history, patient and family needs, and benefit eligibility. Manager will ensure staff are facilitating crisis interventions when necessary and sharing information with co‑workers verbally and by providing accurate documentation.
- Perform administrative duties which include, but are not limited to preparing annual budgets, attending meetings, compiling and analyzing data such as telephone stats, inpatient analysis, cost savings reports, providing reports to the Director of Quality and Health Care Services on a scheduled basis. Identify and report problems and problem resolutions, action plans and communication to appropriate co‑workers and the Director of Quality and Health Care Services.
- Assist in the activities of external review/regulatory agencies
- Complete all other assigned projects and duties.
Knowledge & Skills:
Experience: Three to five years of similar or related experience. Leadership experienced preferred.
Education: Equivalent to a two-year college degree or completion of a specialized course of study or certification at a business or trade school, Bachelors Degree or Masters Degree in healthcare related fields. RN license required.
Interpersonal Skills: Strong interpersonal relationship skills with ability to build solid rapport and workplace relationships with staff, physicians, and all support personnel.
A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others inside and/or outside the organization, and/is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important (vendor reps, labs, offices, hospital, etc.) and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.
Other Skills: Strong leadership skills, quick learner, ability to multi-task. Microsoft Office products including Outlook, Word, and Excel.
Job Summary
JOB TYPE
Full Time
INDUSTRY
Hospital
SALARY
$102k-137k (estimate)
POST DATE
05/31/2024
EXPIRATION DATE
08/25/2024
HEADQUARTERS
INDIANAPOLIS, IN
SIZE
25 - 50
FOUNDED
2001
CEO
CHRISTIAN H BURKE
REVENUE
$5M - $10M
INDUSTRY
Hospital
Related Companies
Show more
Similar Jobs
Popular Articles
Top 10 Things to Avoid Putting on a Job Application
Read Article
How to Describe Your Education in a Resume
Read Article
How to Write a Memorable Cover Letter in 5 Ways
Read Article
4 Personal Finance Tips to Make During Job Transition
Read Article
4 Best Camera Setups for Interview
Read Article
Keeping a Job Search Journal: 9 Types of Journaling You Can Do
Read Article
