Reimbursement Services Director jobs in Pierre, SD

Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Additionally, Reimbursement Services Director develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

S
Director of Clinical Services
  • SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES
  • Winner, SD FULL_TIME
  • Join Our Compassionate Team!

    Southern Plains Behavioral Health Services (SPBHS) is seeking a dynamic and experienced professional to fill the position of Director of Clinical Services. As a leading provider of mental health and wellness services in the Southern Plains region, we are dedicated to fostering a supportive environment for both our clients and our team members.  SPBHS is affiliated with the SD Department of Social Services and one of 11 accredited community mental health center in the State of South Dakota.  SPBHS provides services for Gregory, Todd, Tripp and Mellette Counties in South Dakota.

    Responsibilities:

    1.    Clinical Leadership:

    • Provide leadership and supervision to the clinical services team, ensuring the delivery of high-    quality mental health care.  
    • Oversee the development and implementation of evidence-based clinical programs and interventions.
    • Participates in screening of clients and supervising others who are involved in the screening of clients to determine medical necessity and appropriate diagnosis.
    • Will attend Board meetings at the request of the Executive Director, Business Manager, or Board of Directors.

    2.    Strategic Planning:

    • Collaborate with executive leadership to develop and execute strategic plans for the enhancement and growth of clinical services.
    • Identify opportunities for program development and expansion to meet the evolving needs of our communities.

    3.    Staff Development:

    • Recruit, train, and supervise a team of licensed mental health professionals, ensuring a high standard of care.
    • Foster a culture of continuous learning and professional development among clinical staff.
    • Establishes and maintains regular communication with all staff and provides weekly staff supervision.
    • Participates in screening of clients and supervising others who are involved in the screening of clients to determine medical necessity and appropriate diagnosis.
    • Participates in the on-call schedule.

    4.    Quality Assurance:

    • Monitor and evaluate the effectiveness of clinical programs through regular assessments and outcome measurements.
    • Implement quality improvement initiatives to enhance the overall impact and efficiency of clinical services. 
    • Reviews staff charts to ensure compliance with state/federal guidelines.

    5.    Collaboration and Community Engagement:

    • Establish and maintain collaborative relationships with community partners, stakeholders, and other mental health organizations.
    • Represent the organization at relevant community events and participate in advocacy efforts to promote mental health awareness.

    6.    Budget Management:

    • Work closely with the finance department to develop and manage the clinical services budget, ensuring financial sustainability and efficiency.

    Qualifications:

    • A master’s degree in Psychology, Counseling, Nursing, or Social Work, and currently holding a South Dakota license in that field REQUIRED
    • At least two [2] years of supervised postgraduate clinical experience and have an additional two [2] years of experience in a mental health setting.
    • Strong understanding of evidence-based clinical practices and mental health treatment modalities.
    • Excellent communication, interpersonal, and organizational skills.
    • Demonstrated ability to lead and motivate a diverse team of mental health professionals.
    • Commitment to the mission and values of the Southern Health Behavior Health Services.

    Competitive wage and benefit programs.  Relocation assistance available.

    If you are passionate about making a positive impact on the mental health and well-being of individuals and communities, please submit your resume and a cover letter detailing your relevant experience. 

    Southern Plains Behavioral Health Services is an equal opportunity employer, and we encourage candidates of all backgrounds to apply. 

    Visit our website at https://spbhs.net to learn more about our organization and the services we provide. Join us in our mission to promote mental health and empower individuals on their journey to wellness.

     

  • 22 Days Ago

P
Childcare Director
  • PorchLight Services
  • Highmore, SD FULL_TIME
  • Our mission at Little Pirates Childcare Center is to create a safe place to learn and grow. We provide accessible, dependable, Hyde County-based childcare services in a caring, safe environment, with ...
  • 19 Days Ago

L
Social Services Director
  • Legacy Healthcare
  • Pierre, SD FULL_TIME
  • Are you looking for a rewarding career in Skilled Nursing? We are currently searching for a Social Services Director to join our friendly, caring and supportive team! Avantara Pierre is rapidly growin...
  • 17 Days Ago

A
Social Services Director
  • Avantara Redfield
  • Redfield, SD FULL_TIME
  • Are you looking for a rewarding career in Skilled Nursing? We are currently searching for a Social Services Director to join our friendly, caring and supportive team! Avantara Redfield is rapidly grow...
  • 9 Days Ago

L
Social Services Director
  • Legacy Healthcare
  • Redfield, SD FULL_TIME
  • Are you looking for a rewarding career in Skilled Nursing? We are currently searching for a Social Services Director to join our friendly, caring and supportive team! Avantara Redfield is rapidly grow...
  • 11 Days Ago

W
MDS -Clinical Reimbursement Coordinator
  • Winner Regional Healthcare Center
  • Winner, SD FULL_TIME
  • Description: Position Summary: The Registered Nurse or LPN in long term care must adhere to the RN legal scope of practice. The RN role is responsible for utilizing the nursing process to provide qual...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Reimbursement Services Director jobs found in Pierre, SD area

S
Area Business Director, Nashville
  • Sanofi Group
  • Pierre, SD
  • Sanofi Group Area Business Director, Nashville Pierre , South Dakota Apply Now Travel: Ability to travel up to 75% of th...
  • 4/24/2024 12:00:00 AM

S
Area Business Director, Denver
  • Sanofi Group
  • Pierre, SD
  • Sanofi Group Area Business Director, Denver Pierre , South Dakota Apply Now Travel: Ability to travel up to 75% of the t...
  • 4/24/2024 12:00:00 AM

S
Area Business Director, Phoenix
  • Sanofi Group
  • Pierre, SD
  • Sanofi Group Area Business Director, Phoenix Pierre , South Dakota Apply Now Travel: Ability to travel up to 75% of the ...
  • 4/24/2024 12:00:00 AM

H
Director, Systems Engineering
  • Humana
  • Pierre, SD
  • Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City an...
  • 4/24/2024 12:00:00 AM

S
Director Paid Media
  • Sedgwick
  • Pierre, SD
  • Sedgwick Director Paid Media Pierre , South Dakota Apply Now Taking care of people is at the heart of everything we do, ...
  • 4/23/2024 12:00:00 AM

S
Area Business Director, Florida
  • Sanofi Group
  • Pierre, SD
  • Sanofi Group Area Business Director, Florida Pierre , South Dakota Apply Now Better is out there. Better medications, be...
  • 4/23/2024 12:00:00 AM

S
Area Business Director, Chicago
  • Sanofi Group
  • Pierre, SD
  • Sanofi Group Area Business Director, Chicago Pierre , South Dakota Apply Now Travel: Ability to travel up to 75% of the ...
  • 4/23/2024 12:00:00 AM

F
Creative Director, Copy
  • Ford Motor Company
  • Pierre, SD
  • We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better...
  • 4/22/2024 12:00:00 AM

Pierre (/pɪər/; Lakota: čhúŋkaške, "fort") is the capital of the U.S. state of South Dakota and the seat of Hughes County. The population was 13,646 at the 2010 census, making it the second-least populous state capital in the United States, following only Montpelier, Vermont, and the eighth-most populous city in South Dakota. Founded in 1880 on the east bank of the Missouri River opposite Fort Pierre, Pierre has been the state capital since South Dakota gained statehood on November 2, 1889. It was challenged by Huron for the capital and won because of its location in the geographic center of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$126,825 to $180,602
Pierre, South Dakota area prices
were up 0.8% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020