Care Delivery Resume Samples

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NW
N Willms
Noemie
Willms
71224 Oren Forest
Los Angeles
CA
+1 (555) 889 9679
71224 Oren Forest
Los Angeles
CA
Phone
p +1 (555) 889 9679
Experience Experience
Detroit, MI
Care Delivery
Detroit, MI
Pagac-Shanahan
Detroit, MI
Care Delivery
  • Medical Assistant Certificate as a Certified Medical Assistant/CMA or ARMA Registered Medical Assistant
  • Knowledge of quality assurance and quality improvement models, data collection methods, analysis and reports
  • Teamwork orientation
  • Ensures work schedules and staffing patterns are implemented and recognizes and
  • Bilingual is a plus
  • Directs leadership of supervisory staff and ensures adequate staffing levels
  • Proficient with Microsoft Office applications including Word and Outlook
Phoenix, AZ
Care Delivery Technology Services
Phoenix, AZ
Bernier Group
Phoenix, AZ
Care Delivery Technology Services
  • Enterprise process owner for release and deployment management and project portfolio management
  • Release Management
  • Process improvement
  • Support enterprise wide adoption of Microsoft Online toolset and release management Plutora toolset
  • Tool implementation, adoption and management
  • Project governance coordination
  • Adherence to project processes and overall adoption of standards
present
Phoenix, AZ
Care Delivery Operations External Services
Phoenix, AZ
Denesik Inc
present
Phoenix, AZ
Care Delivery Operations External Services
present
  • Develops workforce planning strategies for future care delivery
  • Leads efforts to improve the health of KPCO employees and physicians, working with Human Resources and others
  • Collaborates with multiple KPCO disciplines, including Resource Stewardship, to evaluate and manage external medical costs
  • Provides leadership for a variety of health plan departments responsible for pre-hospital, hospital and post-hospital care operations and venues
  • Sustains support and engagement throughout KPCO to improve effectiveness and efficiency of surgical, hospital, and other external care operations and venues
  • Responsible for all hospital contracting strategies and relationships. This includes contract modeling and negotiations
  • Along with their team, serves as liaison to the various external provider administrative teams throughout the Colorado region including, but not limited to, hospitals (both contracted and non-contracted), long term acute care facilities, acute rehab, and ambulance services
Education Education
Bachelor’s Degree in Business Administration
Bachelor’s Degree in Business Administration
Central Michigan University
Bachelor’s Degree in Business Administration
Skills Skills
  • A highly motivated and results oriented individual with exceptional customer service orientation and the ability to drive user adoption
  • Strong process centric knowledge in the area of CMMI and Project Management Institute project management methodology
  • Knowledge of implementing and maintaining projects in Microsoft Project Online
  • Strong Negotiation and Influence Skills
  • Excellent communication, relationship building and motivation skills and ability to interact appropriately with colleagues, vendors, and partners across all management levels
  • Excellent verbal/written communication
  • Extensive experience working with business stakeholders in a team-oriented and collaborative environment
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15 Care Delivery resume templates

1

Care Delivery Resume Examples & Samples

  • Participates in the formulation, implementation and interpretation of nursing policies and procedures
  • Promotes adherence to the facility and nursing policies and procedures
  • Ensures that emergency policies and procedures are executed (i.e.; Medical alert drills, hurricane properness, fire drills, disaster drills, etc
  • Reviews plan of care to the patient to maintain the ongoing nursing process that includes assessment, intervention, implementation and evaluation of patient care
  • Ensures adequate nursing care and patient satisfaction
  • Supervise, prepares and conducts midyear reviews of nursing staff
  • Prepares reviews and evaluates the schedule of nursing personnel and takes appropriate action to ensure optimal patient care
  • Counsel’s staff in matters pertaining to clinic facility policy and procedure and disciplines when necessary according to facility rules and regulations
  • Provides assistance and direction to nursing personnel in assessing patient, families and meeting their needs
  • Assesses learning needs of Nursing Staff and arranges for staff development including appropriate in-service education
  • Evaluates performance of staff and recommends transfer or promotion
  • Participates in the interviewing selection and upgrading of nursing personnel in conjunction with the Director of Nursing and center’s Administrator
  • Inform to the Director of Nursing on any unusual events
  • Assures that Infection Control and OSHA regulations are implemented at the center
  • Conducts Bloodborn Pathogens, Biohazardous Waste, Respiratory Precautions yearly trainings for the associates at the Medical Center
  • Performs yearly Exposure Control Meetings in collaboration with Center Administrator and Medical Director
  • Orients Medical Assistant, and other nursing personnel
  • Performs proficiently in a calm and professional manner during crisis or emergency situations
  • Documents patient care in the Electronic Medical Record
  • Maintain effective and efficient use of equipment and supplies
  • Performs related duties, when assigned and/or when needed
  • Shares professional knowledge and learning with other team members
  • Identifies own learning needs and seeks opportunities for self-growth and career advancement
  • Respects the dignity and confidentiality of patients, serving as an advocate and providing a clean, secure and quiet environment
  • Requests medical supplies through Iprocurement utilizing cost effective measures
  • Maintains or delegate properly, logs and follow up on patients (i.e. coumadin, abnormal mammograms, colonoscopies, biopsies on pap smears)
  • Provide education to patient about abnormal results of Mammogram, Colonoscopy, Colonoscopy, Endoscopy, Biopsy and Pap smear
  • Maintain daily quality control logs of Refrigerator Temperature, Oxygen, AED, Wheelchair, Medical Alert Box, Glucometer, Eye Wash station, Equipment Cleaned and Aerosol Filter change Log
  • Attends to monthly nurse’s supervisor meeting and other meetings as required
  • Conduct monthly nursing staff meeting for direct reports at the Center
  • Makes weekly Nursing Schedule. Tracks staff PTOs/FMLAs and send staff request to Corporate
  • Performs Payroll biweekly
  • Participates in Hiring process, place requisition to open position in Taleo and follows up on candidates interviews
  • Interviews candidates for open positions
  • One year of recent clinical management supervisory experience
  • Minimum Associate's Degree in Nursing valid in the state of Florida with no restrictions
  • Possession of valid state driver’s license, current auto insurance and access to an automobile
  • Solid community and professional reputation
  • Effective communicator
  • Enthusiastic, positive thinking
  • A collaborator with experience in a team-based approach to client care
  • Knowledge of community based long term care services and methods of delivery
  • Knowledge of regulations and understanding of meeting state and federal requirements for respective services
  • Knowledge of quality assurance and quality improvement models, data collection methods, analysis and reports
  • Evidence of leadership skills to ensure high quality, appropriate service delivery
  • Excellent verbal and written communication skills, comfort with speaking publicly
  • Sensitivity to cultural diversity and to making accommodation available to provide services to a diverse population
  • Ability to work well under pressure; critical thinker
  • Bachelor’s Degree in Nursing (BSN)
  • Bilingual a plus
2

Care Delivery VSP Cardiovascular Ultrasound Technologist Resume Examples & Samples

  • Working knowledge of human anatomy, hemodynamics, physiology, and pathology
  • Completion of an accredited ultrasound training program
  • Echo Certification: ARDMS Registered Diagnostic Cardiac Sonographer (RDCS) or CCI Registered Cardiac Sonographer (RCS)
  • Vascular Certification: ARDMS Registered Vascular Specialist
  • Minimum one year of ultrasound experience in cardiac and vascular imaging required. An experienced, high-level sonographer without current certification will be considered
  • Current BLS certificate
  • Computer proficiency with knowledge of MS Office products, specifically Word, Excel, and Outlook
  • Experience with electronic health record documentation
  • This role is patient facing, so a TB test and a fingerprint background check are required
  • Current ACLS certification
  • Candidates with leadership experience who could participate in the future growth of the echo lab, along with Quality Assurance/Quality Improvement (QA/QI) activities, and ICAL/ICAVL accreditation is ideal
  • Bilingual: English, Spanish and other languages are beneficial
3

Care Delivery Process Manager Resume Examples & Samples

  • Identify departmental objectives and drive process methodology that will achieve all desired business outcomes
  • Model business consultation capabilities to align required needs with executable business solutions
  • Articulate a realistic vision that incorporates continuous operational improvements into daily business practice. Key Competencies
  • Accountability: Meets established expectations and takes responsibility for achieving results; encourages others to do the same
  • Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first
  • Interpersonal Effectiveness: Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships
  • Leads Change: Guides and energizes others, models adaptability, and inspires strong organizational performance through periods of transformation, ambiguity, and complexity
  • Bachelor’s degree in Business or related field
  • Prior business consulting and/or operational leadership experience; preferably for an auditing function
  • Exceptional presentation skills (both verbal and written) with the ability to communicate, consult, and present ideas to Director level and above
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Project and Visio
  • Demonstrated relationship building skills
  • Six Sigma Black Belt
  • Prior experience in Healthcare Delivery industry
4

Care Delivery Resume Examples & Samples

  • Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit plan design
  • Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally
  • Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols
  • Examine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria
  • Conduct admission review, post-discharge calls and discharge planning
  • Active RN license in the state(s) in which the nurse is required to practice
  • Ability to be licensed in multiple states without restrictions
  • Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
  • Ability to work independently under general instructions and with a team
  • Valid drivers license and/or dependable transportation necessary (variable by region)
  • Education: BSN or Bachelor’s degree in a related field
  • Health Plan experience
  • Previous Medicare/Medicaid Experience a plus
  • Call center or triage experience
  • Previous experience in utilization management, discharge planning and/or home health or rehab
  • Bilingual is a plus
5

Care Delivery Analytics Analyst Resume Examples & Samples

  • Bachelor’s Degree in Accounting, Finance, Business Administration, Computer Science, Mathematics, or a related field
  • Knowledge of MS Excel, SQL,
  • Strong data interpretation and analysis experience
  • Quick learner with a strong work ethic
  • Experience working in SAS
6

Care Delivery Analytics Consultant Resume Examples & Samples

  • Bachelor’s Degree in Finance, Accounting, Mathematics or a related field
  • 2 -3 years of experience performing data analytics
  • Knowledge of and experience with SQL; writing queries, including joins
  • Ability to analyze financial, clinical and operational data and determine program status and impact to short and long-term program goals
  • Demonstrated strategic thinking as well as roll up your sleeves action
  • Generates insights through thought leadership. Leverages business intelligence, data, insights, and other research to drive differential value and expand our capability to compete. Identifies gaps in processes or organization and challenges self and others to develop implement solutions
  • Willingness to manage and prioritize diverse projects
  • Previous exposure to Actuarial pricing, finance or network contracting
  • Experience with relational databases
  • Familiarity with data modelling concepts
7

Care Delivery Resume Examples & Samples

  • Prior experience working in a physician’s office
  • Experience using medical terminology
  • Proficient with Microsoft Office applications including Word and Outlook
  • Working knowledge of computers with an ability to quickly learn new systems
  • Strong organizational skills with ability to prioritize and multi-task
  • Teamwork orientation
  • 2 years or more of experience, with Primary care Physician/Medical office processing outside referrals
  • Experience with Electronic Medical Records/EMR
  • Medical appointment scheduling experience
8

Care Delivery Resume Examples & Samples

  • Assist in developing the centers budget and review of company financial reports. Assures adherence to budgetary goals and proper allocation of resources. Monitors center expenses and budget to ensure cost effectiveness
  • Directs leadership of supervisory staff and ensures adequate staffing levels
  • Ensures work schedules and staffing patterns are implemented and recognizes and
9

Care Delivery / Health Data Coordinator Resume Examples & Samples

  • Bilingual English/Spanish; must be able to read, write and speak English
  • HIM experience
  • Knowledge of EMR
10

Care Delivery Resume Examples & Samples

  • Proficiency in all Microsoft Office Programs, including Word, PowerPoint, Excel, and Access
  • Ability to type 50-55 wpm
  • Capacity to maintain confidentiality
  • Associate’s or Bachelor’s Degree
  • Previous inbound call center or related customer service experience
  • Fluency in Spanish
11

Business Intelligence Analyst, Care Delivery Resume Examples & Samples

  • Scope and generate data analyses to support Care Delivery division business needs
  • Automate analytic insights into scalable client-ready deliverables using various tools
  • Administer and act as content expert for multiple large SQL database comprising hospital charge, utilization, and quality data
  • Proactively advise Advisory Board staff on data analyses on SQL Server Reporting Services (SSRS) platform
  • Work directly with internal clients (from technical peers to senior delivery leadership) to execute against project milestones throughout the requests lifecycle Solution-focused problem solving for data-driven custom requests from internal & external clients
  • 1+ years of relevant work or internship experience OR a Master’s degree
  • Proven communication and technical project management skills
  • Strong quantitative, analytic and logical reasoning skills
  • Significant interest in working with and extracting insights from data
  • Drive to consistently meet deadlines and maintain focus, even under pressure
  • Technical experience, including at least 1 of the following
  • Advanced knowledge of Microsoft SQL syntax
  • SSRS (SQL Server Reporting Services)
  • Microstrategy Developer
  • Degree in computer sciences, healthcare informatics, statistics, or other quantitatively oriented fields
  • Experience with SQL Server 2008
  • Experience with Business Intelligence Reporting: Microstrategy developer & SQL Server Reporting Services (SSRS) Query optimization and performance tuning
  • Experience working in a team environment, as well as independently and autonomously
  • Proven ability to communicate effectively with executives, in both oral and written formats
  • Statistical analysis of data in large databases
  • Proven quantitative skills
  • Experience conducting root-cause analysis and creative problem solving
  • Experience working in health informatics
  • Experience working in health care industry
  • Experience working in computer programming (C#, VB.Net, Java or similar object-oriented programming language)
12

Care Delivery Operations External Services Resume Examples & Samples

  • Sustains support and engagement throughout KPCO to improve effectiveness and efficiency of surgical, hospital, and other external care operations and venues
  • Leads efforts to improve the health of KPCO employees and physicians, working with Human Resources and others
  • Collaborates with national and inter-regional partners and other regions to develop and implement innovative best practices in care delivery, especially surgical and hospital venues
  • Leads Network Development and Provider Contracting team and, in conjunction with Care Delivery operational counterparts, develops and executes upon strategy for provision of care in external venues in all markets
  • Develops workforce planning strategies for future care delivery
  • Along with their team, serves as liaison to the various external provider administrative teams throughout the Colorado region including, but not limited to, hospitals (both contracted and non-contracted), long term acute care facilities, acute rehab, and ambulance services
  • Responsible for all hospital contracting strategies and relationships. This includes contract modeling and negotiations
  • Partners with the various hospital administrative teams to lead Joint Operating Committee and/or Joint Executive Committee meetings as well as other care collaborative teams
  • Along with the Quality department, partners with contracted hospitals on various hospital quality programs, initiatives, and hospital quality dashboards to include, but not limited to: National and State quality reporting programs, patient flow processes, unique quality metrics related to the hospitals’ patient populations served
  • Partners with CPMG and other health plan departments to set strategic direction for surgical, hospital, and continuing care services
  • Provides leadership for a variety of health plan departments responsible for pre-hospital, hospital and post-hospital care operations and venues
  • Collaborates with multiple KPCO disciplines, including Resource Stewardship, to evaluate and manage external medical costs
  • Participates on a variety of KP teams to develop infrastructure, data, and reporting mechanisms that support various operational needs
  • Assures that KPCO achieves and maintains a level of quality outcomes consistent with being the best place to receive care. Seeks out opportunities for innovation and assists others in developing executable strategies. Directs the design, monitoring and reporting of performance metrics for this area
  • Plans for long term changes to optimize existing systems and looks for ways to enhance or develop systems for future capabilities, including operational optimization of new products. Leverages KP HealthConnect, HealthTRAC and other technology within core and network delivery systems
  • Minimum ten (10) years of experience in senior leadership roles with depth of knowledge in inpatient and hospital operations
  • MD/RN preferred
13

Care Delivery Data Analyst Resume Examples & Samples

  • Bachelor’s Degree in mathematics, statistics, finance or a related field
  • Familiarity with concepts of coding and data manipulation; particularly in SAS, SQL, or similar programming language
  • Humana SQL/SAS Certification
  • Understanding of healthcare industry
14

Care Delivery Technology Services Resume Examples & Samples

  • Process improvement
  • Project governance coordination
  • Tool implementation, adoption and management
  • Project demand planning
  • Large program execution
  • Adherence to project processes and overall adoption of standards
  • Maintain an understanding of the software development lifecycle processes and advocate adherence and adoption across the organization
  • Enterprise process owner for release and deployment management and project portfolio management
  • Support enterprise wide adoption of Microsoft Online toolset and release management Plutora toolset
  • Experience implementing and maintaining in Microsoft Project Online
  • Demonstrated strong customer focus and client relationship building skills
  • Strong interpersonal skills to gain cooperation, acceptance or approval in resolving problems with strong negotiation skills to arrive at an agreement with other parties
  • Ability to work and lead in ambiguous situations
  • Strong communications skills with the ability to actively manage expectations and influence decisions in potentially difficult and mission-critical situations
  • MS or MBA preferred
  • Experience leading large-scale, complex IT projects
  • Experience working in large complex organizations
  • Advanced knowledge of portfolio and program management and full knowledge of multiple related IT functions
  • Extensive experience working with business stakeholders in a team-oriented and collaborative environment
  • Strong process centric knowledge in the area of CMMI and Project Management Institute project management methodology
  • Knowledge of implementing and maintaining projects in Microsoft Project Online
  • A highly motivated and results oriented individual with exceptional customer service orientation and the ability to drive user adoption
  • Excellent communication, relationship building and motivation skills and ability to interact appropriately with colleagues, vendors, and partners across all management levels
  • Strong Negotiation and Influence Skills
  • Ability to translate between business user needs and technology provider services
  • Excellent verbal/written communication
15

Digital Product Management Iv-care Delivery & Health Engagement Resume Examples & Samples

  • Planning and execute on digital product evolution throughout the product lifecycle, including: gathering and prioritizing product and customer requirements, defining the product vision, product roadmap and working closely with the engineering, support, and business teams to ensure customer satisfaction goals are met
  • Define capability requirements and partner with IT and business to elicit robust feedback around needs and support to drive the work forward
  • Develop deep customer understanding, particularly around how our customers use various digital channels, then identify new and innovative solutions to solve unmet or unsatisfied customer needs
  • Define, prioritize, and drive realization of capability roadmaps and/or product backlogs
  • Synthesize consumer needs, organizational needs, market data, competitor and customer trends, metrics, and various consumer feedback loops to develop appropriate and actionable capability vision
  • Serve as digital product subject matter expert for areas of unmet/underserved consumer needs
  • Socialize the product vision with a wide variety of senior regional and national leaders and other stakeholders
  • Collaborate with a cross-functional team of designers, business analysts, developers, testers and others to develop and execute against Product Roadmaps and Release Plans
  • Provide consistent transparency and socialization around planning and execution of the Digital Product Capability Roadmaps
  • Identify and track key performance indicators (e.g., financial metrics, adoption, usage and customer satisfaction) for each digital product and utilizing each product’s metrics to
  • Make informed decisions to show paths to success and continuous improvement
  • Leverage deep knowledge of online design principles, work trends, competition, and technical limitations in order to design products and relationships between suites of related products appropriately
  • Understand the broad ecosystem of online and offline touch points, synching the consumer experience across channels (web, mobile, IVR, phone, in person, etc.) and supporting multi-channel experiences
  • Follow best-in-class industry standards to ensure the digital product functionality is appropriately documented throughout the development and support lifecycle
  • Minimum five (5) years of relevant experience
  • Digital and/or health care work experience preferred
16

Payment & Care Delivery Innovation Resume Examples & Samples

  • In conjunction with MassHealth leadership, provide support in the development, testing, evaluation, adoption and promotion of performance measurement systems (i.e., quality, access and patient experience measures) to evaluate care provided to MassHealth members impacted by ACOs, Community Partners, and DSRIP
  • Support the management of day to day activities of the ACO/CP/DSRIP quality project work plans and implementation plans
  • Support MassHealth leadership in the specification and operational refinement of an integrated quality information system for the MassHealth ACO, CP, and DSRIP programs
  • Support the development of project plans and programs in conjunction with senior MassHealth leadership for assigned program areas
  • Assist with measure validation from a data perspective
  • Conduct the appropriate level of research and/or information gathering on specific quality measure questions/topics, synthesize information/data into a succinct report/presentation
  • Work with the internal data and analytics team to implement data collection and integration of ACO quality measures
  • Assist with the implementation of the quality measures from a data perspective (performance measure calculation, scoring and payment)
  • Support formal communications and meetings between the MassHealth ACO/CP/DSRIP teams and the providers participating in these initiatives
  • Summarize findings of data analysis and incorporate pertinent information into project presentations
  • Demonstrated experience/skills in appropriate computer, statistical or
  • Demonstrated ability to research issues and resources; basic record-
  • Demonstrated ability to write reports, journal articles and/ or other technical documents
  • Excellent communication, both oral and written
  • Familiarity with Medicaid program, especially in the Massachusetts
  • Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines
  • Education toward a degree will be prorated on the basis of the proportion of the requirements actually completed
17

Program Manager Big Data & Care Delivery Resume Examples & Samples

  • Day to day management and leadership of the OptumCare portfolio for Care Delivery, Housecalls, and CCM, with our business partners, engagement/account management teams, BDP (Big Data Platform) teams and the OCIO (Office of the CIO) partners
  • Provide leadership to and accountability for the performance and direction through multiple layers of management and senior level professional staff
  • Manage multiple function organization/teams and provide work direction or indirectly manage international employees
  • 10+ years of working with senior level leaders across multiple platforms and cross-matrixed parts of an organization both internally and externally
  • 5+ years of technical experience with Data Warehousing/Analytics/Reporting (either direct hands on development experience or having direct reporting responsibility of developers in those functions)
  • 1+ years of experience with Big Data initiatives
  • 8+ years of extensive project / program oversight and implementation experience
  • Agile Methodology experience
  • Available position location: Minnetonka, MN
18

Care Delivery Data Analyst Resume Examples & Samples

  • Bachelor’s Degree, preferably with a quantitative or business focus
  • Proficiency with Excel, SQL and SAS
  • Understanding of various data sources including Service Fund, EDW, claims data, etc.
19

Care Delivery Finance Analyst Resume Examples & Samples

  • Bachelor’s Degree in Finance, Accounting or a related field
  • Prior financial reporting experience
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, Access and PowerPoint
  • Previous health insurance industry experience working in a Finance/Accounting department
  • Knowledge of Hyperion Essbase
  • Service fund experience
  • Knowledge of SQL
20

Care Delivery Revenue Cycle Director Resume Examples & Samples

  • 8+ years of revenue cycle management in an integrated healthcare environment with experience in all phases of the revenue management cycle
  • 5+ years of managerial experience in healthcare environment
  • Experience with electronic medical records software (ECW preferred)
  • Hands-on participation in process/workflow design
  • Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control
  • Leadership skills to motivate teams and achieve performance goals
  • Ability to communicate clearly and effectively in person, in writing or by phone
  • Understanding of Medicare Advantage and Risk Adjustment model
  • Master’s Degree in Business or Healthcare
  • Microsoft Excel advanced knowledge
21

Director, Care Delivery Resume Examples & Samples

  • Partners with Area Physician in Chief (PIC) to provide strategic planning, decision making and direction to ensure quality programs and provide a cost effective integrated delivery system. Models the KP partnership in all leadership activities
  • Develops area Health Plan infrastructure, standards, policies and procedures to optimize performance and financial results
  • By working with local and regional financial planning staff, PIC and VP HP DSO, develops, monitors, and evaluates operating and capital budgets to ensure optimal financial performance
  • Is accountable for performance of HP across all areas of the Medical Center Operations. Analyzes and reports on the status of MOBs, functional services, and care provided outside the KP system regarding budgetary, service, and tactical deployment of strategic initiatives. Provides counsel, assistance and direction to center and department leadership on financial and operational performance
  • Utilizes effective performance management processes to ensure high performing leadership and staff in all areas of the Medical Center
  • Supports MAPMG in providing effective and efficient ways to maximize internalization of care and access to our own services
  • Oversees Health Plan functions that support appropriate use of hospitals, SNFs and other outside providers in coordination with Contracting, UM, MAPMG and other stakeholders
  • Develops and implements programs and services that support achievement of established patient satisfaction targets. Recognizes member and patient service as a critical market differentiator and models customer service in all interactions
  • Works with regional quality leadership to insure that the performance of care delivery is measured against quality goals and standards including NCQA, HEDIS, MDQR, and local reporting or regulatory agencies
  • Engages in delivery system planning activities including operational delivery models, facilities master planning, expansion planning, network models, and hospital strategy
  • Ensures that HP Operations is accountable and organized to oversee and own implementations of new facilities, new services and other improvements within the Medical Center. Accountable for HP assets within the Medical Center
  • Hires and develops highly skilled and qualified direct reports. Provides leadership development opportunities and counseling for direct reports and other potential delivery system leaders
  • Creates positive and constructive relationships with labor partners; achieve a thorough understanding of the National Bargaining Agreement/local contracts and the role of the regional Labor Management Partnership Council to effectively operationalize the spirit and intent of the Partnership
  • Builds and maintains community based relationships to increase community awareness of Kaiser Permanente's commitment to the community a well as products and services. Works with marketing and sales to promote KP and increase membership. Serves on Community or Business related Boards as appropriate
  • This job description is not all encompassing
  • Minimum ten (10) years of healthcare business management experience required
  • Minimum seven (7) years of experience managing direct reports required
  • Experience in a healthcare environment with integrated healthcare delivery systems, inpatient, ambulatory, and ancillary services preferred
  • Experience in a managed care environment preferred
  • Clinical experience and knowledge preferred
  • Skill and experience working in a labor Management partnership environment preferred
22

Director, Care Delivery Resume Examples & Samples

  • Collaborates with Medical Group leadership to execute department vision and strategy and to ensure an effective health care team
  • Is responsible for department performance in providing outstanding quality of care, service and access to care for our patient
  • Is responsible for managing projects within the department to internalize care, improve service and increase department efficiency
  • Is responsible for Clinical Operations Managers performance and evaluations
  • Collaborates with Chief (s) to establish staff competencies and responsibilities, determine payroll budget, staffing ratios and staffing guidelines
  • Determines optimal workflows and best practices and shares those best practices to improve the department's use of technology
  • Is responsible for effective recruiting and retention in collaboration with Clinical Operations Managers
  • Collaborates with Chief (s) to Set supply levels, preferred products, par levels, etc
  • Working in partnership with other leaders to share accountability for the welfare of the entire area
  • Ensures compliance with all applicable regulatory rules, laws and policies
  • Minimum five (5) years of experience as a line manager in a health care delivery organization required
  • Previous experience in a managed care setting preferred
23

Project Coordinator, Care Delivery Resume Examples & Samples

  • 2 Years Project Coordination or commensurate experience
  • Previous experience in cooperating with Team Managers for the delivery of projects
  • Excellent client-facing and internal communication skills
  • Solid organizational skills including attention to detail and multitasking skills
  • Demonstrated experience in exercising good judgment with and without defined procedures
24

Patient Care Delivery Manager Resume Examples & Samples

  • Bachelor’s degree in business or a healthcare related field of study or a comparable combination of education and experience
  • Minimum 2 years experience managing a medical group office or outpatient facility
  • Staff supervision and operations management experience
25

Home Care Delivery Tech CDL Resume Examples & Samples

  • Pick, stage, process, package, document and prepare for delivery or shipping all patient orders accurately and timely to meet patient care needs
  • Coordinate with Operations Manager, Dispatch Coordinator and home care team to ensure patient orders are processed accurately and timely to facilitate delivery of equipment, medication, and supplies for home care patients
  • Complete all deliveries and documentation as assigned/required to provide accurate and timely patient care with ongoing communication as necessary to the home care team
  • Maintain oxygen vehicle, complete vehicle tank filling and record keeping, and provide patient home oxygen filling of liquid O2 per policy and procedures and CDL/Hazmat guidelines
  • Complete all delivery paperwork per policy and procedure and hazmat regulations
  • Maintain neat, clean, safe, and secure work environment, warehouse facility and vehicle, in accordance with all CHHC/CHOP policy and procedures and all accrediting and regulatory agencies and guidelines
  • Adhere to all warehouse operations and documentation requirements in accordance with all CHHC/CHOP policy and procedures and all accrediting and regulatory guidelines
  • Communicate all unsuccessful deliveries to home care team per policy and procedure Operate warehouse equipment as required
  • Receive and stock product and equipment per policy
  • Process “dirty” equipment HME per cleaning and disinfecting policy
  • Assemble and repair HME per manufacturer guidelines
  • Perform other duties as assigned by Operations Manager and Home Care Management
26

Cancer Care Delivery Research Coordinator Clinical Research Resume Examples & Samples

  • Current Basic Life Support (BLS) certification from the American Heart Association
  • 6 years relevant research experience in a clinical setting or 3 years of research experience in a clinical setting with a Bachelor of Science degree
  • Experience working independently, organizing work, and setting priorities
  • Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications
  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
  • Must have computer skills and dexterity required for data entry and retrieval of information
  • Must be proficient with Windows-style applications, various software packages specific to role and keyboard
  • Critical thinking skills to apply to the process of trial evaluation and submission, particularly the development of study related budgets, contracts and patient consent documents
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Enterprise Clinical Performance Care Delivery Aprn Resume Examples & Samples

  • Conduct annual physical exam & wellness assessments within the clinical setting with strong emphasis on senior conditions
  • Confirm, disagree or mark resolved chronic conditions from patient-specific lists of historical conditions; confirm plan of care developed for patients seen in the primary care clinic
  • Discuss and provide health coaching and health education to engage patients to be an active participant in maintaining good health
  • Provide guidance to patient questions about health care plans and care issues
  • Document senior assessment in Lifeprint assessment form and plan of care in a stand-alone medical record
  • Document collaborative guidance from the physician as needed
  • Emphasize and review preventive measures per evidence-based medicine
  • Review medications for polypharmacy compliance and educate patients on medications
  • Collaborative review of chronic preventative measures for seniors for quality review
  • Provide health screenings as indicated by a Focus on Care Screening Recommendation report that is provided for each patient
  • Coordinates care with the patient
  • Current, unrestricted NP license in the state of assignment or the ability to obtain
  • Minimum of one year clinical experience in highest level of education OR 3+ years’ experience as a Registered Nurse
  • Nurse Practitioner national certification as ANP, FNP, or GNP required or the ability to obtain
  • A clinical background in adult, family or geriatric specialties
  • Past experience working in a nursing home or with seniors in other settings
  • Computer literate and able navigate the internet
  • Ability to spend at least 1hour with a member in their home, which may be in understaffed or remote areas, in the presence of pets, or members/family members that are tobacco users
  • Ability to lift 30 pound bag in and out of car and up and down steps
  • Ability to navigate stairs and a variety of dwelling conditions and configurations
  • Ability to sit, stand and kneel as needed to perform physical assessment
  • Experience in gerontology, cardiology, internal medicine, or endocrinology
  • Ability to obtain DEA licensure/Prescriptive Authority post-hire in states where applicable
  • Home care or home visit experience
  • Knowledgeable in regards to standard of care of common chronic health conditions as well as health promotion and prevention guidelines
  • Ability to follow established dress code
  • Effective communication skills with the geriatric or Medicare population
  • Ability to navigate on the internet and work with personal computer
  • Dependable and reliable