Health Insurance Operations Director jobs in Binghamton, NY

JOB TITLE: Director of Operations

GENERAL SUMMARY OF DUTIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Director of Operations is responsible for the allocation and completion of assigned functions in daily operations. Interprets departmental philosophy, objectives, policy, and procedure.

REPORTS TO: Regional Vice President of Operations

ESSENTIAL FUNCTIONS*:

• Assistance to surgeons through provisions of adequately prepared service team members.
• Delegation of responsibilities and duties to professional, technical, and ancillary personnel.
• Responsibility for performance evaluation of all department personnel.
• Coordination of administrative duties to ensure the proper functioning of the staff.
• Coordination of the provision and control of materials, supplies, and equipment with the supply.
• Risk Manager Designee.

• Monitors budget compliance in the daily assessment of services activity.
• Provides input into the preparation of the service’s budget.

• Monitors compliance of staff members in the daily practice of nursing care.
• Communicates compliance with nursing standards to RVP of Operations
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide care appropriate to the age of the patients served. He/She shall be able to interpret data about the patient’s status in order to identify each patient’s age-specific needs and provide the care needed by the patient group.
• Cultural practices will be addressed and supported as long as such practices do not harm others or interfere with a planned course of medical therapy.

• Monitors staff compliance with policy and procedures.
• Interprets policy and procedures to staff members.
• Enforces compliance with policy and procedures.
• Communicates non-compliance to the RVP of Operations
• Provides counseling and disciplinary measures to Ambulatory Care Services personnel for non-compliance with policy and procedures.

• Assigns services personnel based on levels of competency and the needs of the patient.
• Assures equitable staff assignments.
• Participates in selection of services personnel after consulting with RVP of Operations as needed.
• Completes and posts services personnel schedule.

• Actively participates in weekly nursing/clinical staff meetings.
• Evaluates the orientation program of all new nursing/clinical services personnel.
• Communicates educational needs of nursing/clinical personnel to RVP of Operations
• Monitors staff compliance with annual re-certification

• Monitors service environment daily and assures surveillance of safety issues and infection control program.
• Reviews monthly reports of radiation detection badges and takes appropriate action necessary.
• Assures staff participation and knowledge of fire and disaster safety.
• Reviews electrical safety and assures all equipment is inspected every six months.
• Reviews temperature and humidity controls and takes corrective action as necessary.
• Reports environmental problems to the RVP of Operations.

• Reviews results of monthly Improvement activity and reports to the staff at regular meetings.
• Communicates with and provides input to the RVP of Operations regarding corrective action for performance improvement deficiencies.

REQUIREMENTS:

• 2-4 years of experience leading a multi-site clinical operation
• Education: Bachelor’s degree (B.A.) or equivalent; or two to four years related experience and/or training; or equivalent combination of education and experience.
• Travel, as needed (Locations include PA, OH, DE, NJ and NC)