Bachelor's Degree in nursing or equivalent experience required
Master's Degree preferred
Seven years of technical experience preferred
Five years of leadership experience preferred
Registered Nurse (RN) licensure in the state of practice required
Responsibilities
Direct operations to ensure high-quality, cost-effective medical services
Manage budgets and oversee clinical team performance
Strategize with senior staff on program expansion and new care models
Provide leadership and guidance to managers and staff
Analyze complex data sets for operational insights
Develop and update medical management work plans to ensure compliance
Benefits
Opportunity for professional development and leadership growth
Engagement in strategic decision-making and program expansion
Collaborative work environment with senior staff
Focus on quality improvement and innovative care models
Comprehensive compliance with regulatory and accreditation standards
Full Job Description
Job Summary:
Directs operations of the facility to ensure provision of high quality, cost-effective medical services. Directs overall clinical, quality, administrative and fiscal aspects of the organization. Provides leadership and oversight of the performance of Clinical Service Managers and/or senior level clinical professional staff. Supervises and directs the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgement.
Job Requirements:
Education and Work Experience:
Bachelor's Degree in nursing or equivalent combination of education/related experience: Required
Master's Degree: Preferred
Seven years' technical experience: Preferred
Five years' leadership experience: Preferred
Licenses/Certifications:
Registered Nurse (RN) licensure in the state of practice: Required
Essential Functions:
Works with the site medical expense team to provide direction for actions to control targeted costs for inpatient and outpatient services. Conducts regular agenda driven meetings with staff to address issues, concerns, and to communicate mission of organization. Directs, organizes, and plans the operation of assigned clinics. Identifies and resolves technical, operational and organizational problems.
Develops and manages budgets. Directs and develops the health services leadership team and maintains accountability for clinical team development and performance. Plans, monitors and maintains staffing, capital, and operational budgets. Reviews clinic systems, concerns, budgets and goals with physicians, including cost reduction and revenue enhancement.
Strategizes with the senior staff regarding program expansion, business development and new care models. Focuses on quality improvement, utilization and reducing medical costs while incorporating the skills of provider partners whenever possible.
Provides leadership to staff, giving direction and guidance to managers and staff as appropriate. Plans, budgets, organizes and manages the department to accomplish operational and strategic objectives. Analyzes and interprets complex data sets and reports, i.e., variance analysis, financial/quality, population specific reports.
Develops and updates comprehensive medical management work plans/programs to ensure revenue accuracy. Coordinates quality program and contractual requirements while maintaining compliance with regulatory and accreditation requirements.
Performs other job-related duties as assigned.
About Adventist Health System Sunbelt, Inc
Adventist Health System Sunbelt, Inc. is a non-profit healthcare organization that operates hospitals and other healthcare facilities in the southern United States. The organization is affiliated with the Seventh-day Adventist Church and is one of the largest non-profit healthcare providers in the country. Adventist Health System Sunbelt, Inc. was founded in 1973 and is headquartered in Altamonte Springs, Florida.