Career Opportunities

PLANNING: Plans department's clinical services and operations including review of tracking and trending data to assess need for performance improvement targeting the requirements of all stakeholders. 

1. Develops distinctive strategies to achieve and sustain competitive advantage for top performers. 

2. Aligns the organization and allocates resources according to strategic priorities. 

3. Translates broad strategies into clear objectives and practical action plans to provide guidelines to meet goals. 

4. Promotes collaboration and removes obstacles to teamwork across the organization.

QUALITY:Utilizes patient focused, continuous improvement techniques to reach key performance targets. 

1. Provides report card of key metrics to administration. 

2. Seizes opportunities to resolve/improve processes. 

3. Ensures interdepartmental collaboration, customer services, and positive working environment with physician advisors. 

4. Ensures regulatory compliance and monitoring of key systems, including review and actions towards key performance management indicators related to strategic imperatives of entire system.

FINANCIAL: Develops and meets department budgets. 

1. Oversees expense and revenue management including resource utilization for supplies and staff. 

2. Oversees relationship management with payers and network providers. 

3. Establishes and maintains communication with financial services. 

4. Provides oversight to reduce denials through proactive utilization and case management.

OPERATIONS: Directs the development of policies, procedures, and staffing patterns essential to the day-to-day operation of multiple departments. 

1. Conducts annual reviews, revisions to meet current trends and organizational needs. 

2. Oversees and supports managers in hiring, transferring, suspending, promoting, terminating, assigning and rewarding employees. 

3. Participates as needed in discipline and grievances.

COMMUNICATION:Maintains multi-directional communication network across the system with administration, faculty, house staff, clinical chairs, managers and employees. 

1. Support the needs of the physicians to provide care for his/her patients in the most clinically appropriate setting by developing and implementing clinical care coordination and outcomes management practices. 

2. Builds, establishes, fosters, develops, and nurtures relationships with multiple internal and external stakeholders to garner satisfactory customer results. 

3. Establishes systems, processes, people, and education that will improve customer satisfaction and BILH results.

REGULATORY COMPLIANCE: Oversees and maintains accountability for compliance with all regulatory standards including Centers for Medicare and Medicaid (CMS), The Joint Commission, the Massachusetts Department of Public Health and Massachusetts licensing requirements as well as organizational quality improvement programs.

PROFESSSIONAL DEVELOPMENT:Maintains continuing education to remain current in trends and major advances. 

1. Participates in local, regional, and national programs to stay current in trends, major advances, and business strategies related to healthcare. 

2. Mentors and encourages membership in local, regional, and national associations 

3. Encourage submission and participation in professional journal articles. 

4. Encourage participation in presenting at professional organizations

Education:

• Required:   Bachelor’s degree, RN licensure in the state of Massachusetts 

• Preferred:  Master’s degree, certification in InterQual®, ACM, CCM or CMAC

• Specify Degree(s):  Master’s in nursing or comparable clinical degree, Business, or Health Care Administration 

Experience:

• Required:  6-10 years of previous job-related experience

• Preferred:  Previous experience in leadership 

Managerial Experience:  3+ years