- Careers
Looking for greener pastures? This is the place to start if you are a nurse and want a new career challenge.
Employers can benefit here as well.
Post your opportunities here by simply emailing your position and
requirements here.
Available positions:
- Health Service Director – Phoenix, AZ
- Quality Compliance Coordinator
- Chief Nursing Officer - Gila, NM
Health Service Director
UnitedHealth Group
The Health Services Director affords you the opportunity to use your clinical and management expertise to develop and manage a strong team of clinical and support staff to facilitate and coordinate the care of the elderly and disabled patient population. United Healthcare Community and State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. As part of the Health Care Plan, you will facility the delivery of care, across all clinical settings, coordinating Medicare and Medicare benefits to meet the member's needs, in the least restrictive environment, and in the most cost effective manner. This is a wonderful opportunity to showcase your expertise in the roles of member advocate, staff development, quality of care and cost effective management.
Location: Phoenix, Arizona
Responsibilities:
- Develop, implement and evaluate the annual Medical Management Plan for a Medicaid population in regions across the state
- Oversee clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluation) for Prior Authorization, Utilization Management and Discharge planning)
- Ensures local clinical processes, policies and procedures meet regulatory/NCQA/CMS standards and are consistent with the national clinical model
- Works collaboratively with the Medical Director, providers, delegated entities and health plan management to oversee the management of a health services department with the objectives of improving the quality of care deliver to members, improving cost efficiencies and developing an environment of operational excellence
- Collaborate with other Plan staff to identify and resolve technical, operational and organizational issues to promote growth, achieve organizational goals in accordance with the organizational values
- Regularly monitor member and provider activity to identify potential over utilization or underutilization of covered services
- Maintain productivity reports that measure department staffs work volume and efficiencies
- RN required, BSN or MSN preferred; undergraduate degree with equivalent experience
- 5+ years of managed care or UM Medical management required: Medicaid experience preferred
- Solid project management skills: planning, implementation, and evaluation of objectives and goals; budgeting and personnel management
- Ability to build and manage a team of local office-based and telecommuting employees
- Excellent leadership, communication and interpersonal skills
- Computer skills required in MS work, Excel, Power Point, Share Point
- UM or UR certification is desired
- NCQA, URAC and HEDIS experience is beneficial
Please submit your resume in word format to diane_wunsch@uhc
UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Quality Compliance Coordinator
Hospice of the Valley
Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.
Position Profile
The Quality and Compliance Coordinator assists with the development and implementation of a performance improvement program. This position also advises leadership of regulatory requirements; supports maintenance of the compliance program; provides guidance regarding creation of, and assures maintenance and distribution of, current policies and procedures.
Responsibilities
- Maintains and supports HOV's quality and risk management programs.
- Assures HOV compliance program meets regulatory standards.
- Oversees HOV Policy and Procedure Committee.
- Maintains professional knowledge and enhances professional skills.
- Adheres to high standards of personal and professional conduct.
Minimum Qualifications
- BSN required.
- Minimum two years quality and performance improvement experience.
- Current state of Arizona license as a registered nurse.
- Supervisory principles related to interviewing and performance management.
- Exceptional verbal and written communication skills. Ability to communicate with tact, diplomacy and authority and interpret and explain complex information. Strong presentation skills.
- Highly developed interpersonal skills and ability to meet people with ease and build rapport.
- Strong coaching/mentoring and conflict management skills.
- Possess professional image, enthusiasm and self-motivation.
- Advanced critical thinking skills including the ability to interpret a variety of information furnished in multiple ways, to assess accurately and to choose a reasonable action.
- Ability to manage time well, meet deadlines and perform with attention to detail, speed, accuracy and follow-through.
- Ability to calculate figures and perform basic mathematical functions.
- Ability to deal with confidential information in a professional manner.
- Proficient computer skills.
Preferred Qualifications
- Masters preferred
- Hospice or home health experience preferred.
- Prior leadership experience in a health care environment preferred.
- Knowledge of hospice federal and state regulations preferred.
Hospice of the Valley offers competitive salaries and excellent benefits that include medical, dental and vision plans, generous paid time off, a matching 401k, tuition assistance, an award winning wellness program and a host of employee recognition and rewards. Employees also receive comprehensive orientation, training and development opportunities.
Hospice of the Valley is an equal employment opportunity employer.
Click to apply today!
You may also
email to apply: egertz@hov.org
Eileen Gertz, Human Resources Assistant
Hospice of the Valley
602-287-6679
Chief Nursing Officer
Gila Regional Medical Center Silver City, NM
For more information call Lauri Higgins at 800-401-6739 or if you are interested in applying, please email your resume to talent@besmith.com
Position Focus
- Improve the quality of care delivered across units and shifts providing consistency
- Strengthen and realign to create a strong nursing team
- Inspire and re-energize the nursing component of patient care
- Support the journey to a paperless environment
Organization
- One of the newest and most modern health care facilities in New Mexico
- A non-profit, 68 bed JCAHO Accredited hospital
- Southwest New Mexico's medical hub that provides services to 40,000 people in 4 counties
- The only Planetree designated hospital in the state
- On the journey to winning the prestigious Baldrige Award
Community
- Voted Best Place to live in 2008
- Western New Mexico University is located in historic Silver City and at the foot of the Gila National Forest
- The award winning downtown area promotes the Silver City Arts and Cultural District, which hosts events such as art fairs, festivals, cook-offs, rodeos, golf tournaments, and the Taste of Downtown Silver City
Qualifications
- Previous CNO experience required. Previous experience with Planetree, Baldrige, and Magnet preferred
- Master's degree highly preferred
- Excellent interpersonal skills and team player
- Knowledge of EMR a plus