Utilization Management Director jobs in Rochester, MN

Lead the way to exceptional healthcare as a Regional Director of Clinical Operations in Senior Housing! Are you a passionate nursing leader with a drive for improving the lives of seniors? Join our dynamic team and oversee a region of excellence in senior care. As a Regional Director of Clinical Operations, you'll empower and mentor a team of dedicated Regional Nurses, Clinical Nurse Managers, and caregivers, ensuring the highest standards of clinical care and compassion are met. Your expertise in healthcare management, staff development, and resident advocacy will make a profound impact on the well-being of our cherished seniors. If you're ready to elevate healthcare standards and lead with compassion and expertise, apply now and embark on a rewarding journey where your leadership transforms lives!

Regional Director of Clinical Operations

Job Summary:

The Regional Director of Clinical Operations supports our senior living communities through clinical leadership and direction. To ensure that all senior communities are in adherence to policies and procedures. In addition, to monitor and assure compliance to all clinical regulations per state guidelines. To implement and evaluate home care program policies, procedures, and delivery of care. This position provides clinical oversight to the assigned campus and requires excellent communication skills. This position works with and takes direction from the Corporate Director of Clinical Operations.

Responsibilities:

• Provides clinical support of home care operations to all Senior Living Communities and Staff.
• Provide training and education when deemed necessary.
• Assess and provides clinical support for your assigned communities.
• Works with regional and corporate leaders to support the system wide Quality Assurance Program, including developing means to collect data or implement plans to support goals of the Quality Assurance Program.
• Responsible for assisting with the mock survey process and ensure compliance in documentation, MARS, staff observation, training, etc.
• Ensures the availability and success of organizational programming for quality resident services.
• Audits, revises, implements, supports and guides company policy and procedure.
• Maintains awareness of variety of clinical equipment used at each location in assigned region (i.e. mechanical lifts) to assure site has proper training and safe patient handling/safe medical devices.
• Supports companies lift policies and workplace injury reduction program.
• Educates staff as needed on working safely such as gate belts, following policies, infection control and exposure control.
• Ensures the education of all nurses of health care regulations affecting their Senior Living Community.
• Carry out and Support senior living Electronic Medical Record implementation and enhancements and electronic form development.
• Conducts in-service training, on the spot training, and delegation of services as necessary to aides.
• Manages on-line learning system to ensure annual compliance, new hire compliance as well as consistent practices and state-specific regulations.
• Manages HIPAA compliance to include training and investigations.
• Manages the comprehensive RN license in the state of residency and works with the operations team to support the licensure in all states within company's reach.

Requirements:

• Bachelor of Science – Nursing
• Minimum three years of related work experience in Home Care, Assisted Living and Memory Care.
• Experience with Federal/State regulations/on-site inspections and significant compliance understanding.
• Knowledge of relevant regulations and quality standards.
• Be of good moral and ethical character with a positive and energetic attitude.
• Must be able to read, write, and communicate in English

Abilities:

• Ability to establish and maintain credible relations with Community Directors.
• Comfort and ability to work self-directed.
• Ability to embraces change, respond to urgent matters quickly, calmly.
• Ability to drive and possess a valid driver’s license, daily travel required.
• Solid knowledge of basic Microsoft applications; organizational skills; high level of accuracy and attention to detail and customer service and interpersonal skills.

Physical Requirements:

• Ability to drive and flexibility to travel up to 75% to various sites as needed.
• Prolonged periods of sitting at a desk and working on a computer.
• Prolonged periods of standing and moving.
• Must be able to lift up to 50 pounds at times with or without assistance.

Essential Behaviors of the Employee

It is the expectation that the employee complies with applicable standards of behavior and conduct, including but not limited to, standards of conduct, customer services standards, and professional code of ethics.