Health Insurance Operations Director jobs in San Diego, CA

Apreva Hospice

$7,500 sign on bonus!

Relocation assistance available!

The Director, Clinical Operations is responsible for the overall direction of hospice clinical services. The Director, Clinical Operations establishes, implements, and evaluates goals and objectives for hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy.

Our comprehensive benefits include:

Medical and dental benefits
• Short- and long-term disability
• Life insurance
• Paid time off
• 401(k) program
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Vendor discounts

• Coordinates and oversees all direct and indirect patient services provided by clinical
  organization personnel
• Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of hospice care services, provided through organization personnel
• Assists Clinical Supervisors in managing clinical teams and planning
• In the absence of the Executive Director/Administrator, the Director, Clinical Operations will become the acting Executive Director/Administrator and will be vested with authority to act in behalf of the Executive Director/Administrator
• Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated
• Assists the Executive Director/Administrator in the preparation and administration of the organization's budget
• Interprets operational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses
• Evaluates performance of Clinical Supervisors
• Assists Clinical Supervisors to develop skills and techniques in evaluating the performance of clinicians
• Hires, evaluates, and terminates organization personnel
• Conducts annual evaluations on clinicians, or more frequently if indicated
• Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities
• Assures proper maintenance of clinical records in compliance with local, state and federal laws
• Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services
• Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, directly or delegated
• Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel
• Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews
• Assures for the quality and safe delivery of hospice services provided through the Organization
• Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures
• Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and maintains compliance to the CHAP Home Care standards
• Stays informed about changes in the field of nursing and hospice care, shares information with appropriate organization personnel
• Promotes hospice referrals in the health care community
• Other duties as assigned by the Executive Director/Administrator

• Registered nurse in the State with current licensure to practice professional nursing in the State
• Bachelor's degree in Nursing from an accredited program by the National League for Nursing
• Three years of management experience preferred
• Experience in a hospice or related health care organization
• Demonstrated ability to supervise and direct professional and administrative personnel
• Ability to market and deal tactfully with customers and the community
• Has excellent observation, verbal and written communication skills
• Knowledge of business management, governmental regulations and CHAP standards