Regional Claims Manager jobs in Santa Ana, CA

Fountain Valley Regional Hospital is proud of the full range of quality services we provide. Since 1971, we have dedicated our efforts to meet and serve the medical needs of our growing community. We were the first hospital in Orange County to offer residents an accredited Chest Pain Center and a Thrombectomy Receiving Center certified by The Joint Commission. We are one of only two certified Pediatric ICUs in Orange County and the only hospital in Fountain Valley and Huntington Beach with a Level III Neonatal ICU. We're proud of the efforts of our physicians, nurses and staff who strive to provide you with the best care possible.

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions.

Position Summary:

The manager has a 24-hour, 7 day a week responsibility to provide leadership, management, administration and supervision for the cost center(s). This includes planning, organizing, staff development, performance management, quality fiscal and information management, regulatory compliance, daily operations, building and enhancing relationships through customer relations and appropriate professional involvement. The manager is accountable for the management of the cost center(s) within the established budget. The manager will work closely with directors, ancillary staff, managers, medical directors, medical department chairs, physicians and other disciplines to develop services and ensure quality. Manager will have access to all pertinent patient health information.

Qualifications

Required:

Current California RN license, or the ability to obtain California RN license before start date.
BSN
Three (3) years clinical experience
At least two (2) years in a healthcare leadership role
Current American Heart Association BLS Certification (maintained current at all times)
Excellent customer service skills.
Demonstrated experience in leading patient experience initiatives.
Effective verbal, written and listening skills
Ability to independently manage priorities
Current knowledge of the field with evidence of ongoing continued education
Proficiency in multiple standard healthcare computer programs (e.g., CERNER, KRONOS, etc.)
WCC & HBO Certified (for Wound Care Nursing Manager only)

The hospital, in its sole discretion, reserves the right to combine any of the above required experiences, or to consider applicants other work related experience in order to meet the above mentioned requirements.

Preferred: Masters preferred

Pay Range: $ $90.28

Individual wages are determined based upon a number of factors including, but not limited to, an individual's qualifications and experience

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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