Member Services Director jobs in Gastonia, NC

Member Services Director directs and coordinates all aspects of the health maintenance organization (HMO) member services department. Plans and directs policies and objectives for addressing member inquiries. Being a Member Services Director establishes service quality goals for the department and implements strategies to meet these goals. Typically requires a bachelor's degree. Additionally, Member Services Director typically reports to top management. The Member Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Member Services Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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RN, Director of Clinical Services
  • CCH Healthcare
  • Hickory, NC FULL_TIME
  • Multi state, skilled nursing and healthcare facilities company adding a new position to our NC region, RN, Director of Clinical Services.  

     RN Director of Clinical Services shall develop, maintain, and evaluate an environment of excellence that supports the organizations NC clinical division and shall ensure that nursing services are in alignment with organizational priorities, goals and objectives, as well as State and Federal regulations and provide oversight of the NC Regional Clinical Directors. Maintains 24-hour accountability for leadership responsibilities including evaluation, planning, executing and monitoring operations consistent with the corporate, the division, and departmental mission statement and values.

     Identify and participate in process improvement initiatives that improve the customer experience, enhance workflow, and/or improve the work environment.

     

    Provide evidence-based clinical expertise to regional teams that promote optimum outcomes of patient care.

    Assist District Director of Operations and VP of Operations with strategic planning, existing program revision, and new program design and evaluation.

    Analyze business processes and delivery of care within a specified region and initiate appropriate action based upon results utilizing the QAPI process.

    Guide and mentor CCH Regional Clinical Directors as they provide both clinical support to their assigned facilities.

    Provide onsite clinical observations at 14 facilities throughout the state of NC

    Interpret company policies and procedures to regional teams, facility leaders, and staff to ensure compliance with state and federal regulations.

    Actively participate with the Executive team and regional teams to provide feedback and recommendations for development and implementation of new initiatives, policies, processes, and systems to ensure compliance and successful outcomes.

    Apply management and clinical expertise, education, research, and consultation to optimize clinical outcomes.

    Provide guidance to regional clinical directors, regional teams, and facility leaders in solving problems, refining existing processes, and developing new programs that stabilize or improve clinical, reimbursement, and compliance results.

    Track and trend clinical data monthly; provide findings to the regional team with suggestions/or opportunities to correct when applicable.

    Other special projects and duties, as assigned.

    The qualifications you will need:

    Minimum of five (5) years related experience in regional long-term care/geriatrics

    Active North Carolina RN License

    Knowledge of state and federal regulatory requirements.

    Experience in data analysis, program evaluation and strategic planning.

    Effective verbal and written English communication skills.

    Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet, and Intranet navigation.

    Highest level of professionalism with the ability to maintain confidentiality.

    Ability to communicate at all levels of organization and work well within a team environment in support of company objectives. This includes the process of virtual zooms and regional calls.

    Customer service oriented with the ability to work well under pressure.

    Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.

    Strong analytical and problem-solving skills.

    Available/accessible via phone to regional team members, long term care center Administrator and Director of Nursing during evenings & weekends.

    Ability to work with minimal supervision, take initiative and make independent decisions.

    Ability to deal with new tasks without the benefit of written procedures.

    Approachable, flexible, and adaptable to change.

    Travel required including overnights.

    Function independently, and have flexibility, personal integrity, and the ability to work effectively with team members and vendors.

    Our team members enjoy working in an environment that promotes professional growth and development while offering competitive wages and PTO plans and a full suite of benefit options such as 401K, medical, dental, vision, life insurance and disability plans.

     

     

     

     

     

  • 14 Days Ago

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Social Services Director
  • Highland Heights Nursing
  • Gastonia, NC FULL_TIME
  • Summary: Identify and provide for each resident’s social, emotional and psychological needs, and the continuing development of the resident’s full potential during his/her stay at the facility and to ...
  • 17 Days Ago

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Director of Energy Services
  • City of Shelby, NC
  • Shelby, NC FULL_TIME
  • The Director performs complex administrative work planning, organizing, and directing the installation, operation, maintenance, repair, and expansion of electric and natural gas distribution systems, ...
  • 3 Days Ago

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Social Services Director
  • highlandheights
  • Gastonia, NC FULL_TIME
  • Summary: Identify and provide for each resident’s social, emotional and psychological needs, and the continuing development of the resident’s full potential during his/her stay at the facility and to ...
  • 7 Days Ago

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Dining Services Director
  • Navion Senior Solutions
  • Lenoir, NC FULL_TIME
  • Join our Deerfield Ridge Team!Deerfield Ridge, a community of Navion Senior Living, is looking for a creative and proficient in all aspects of food preparation, Executive Chef. You will be “the chief”...
  • 7 Days Ago

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Social Services Director
  • Shamrock Nursing and Rehabilitation
  • Lincolnton, NC FULL_TIME
  • Summary: Identify and provide for each resident’s social, emotional and psychological needs, and the continuing development of the resident’s full potential during his/her stay at the facility and to ...
  • 9 Days Ago

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0 Member Services Director jobs found in Gastonia, NC area

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Director of Operations
  • Ferretti Search
  • Charlotte, NC
  • Ferretti Search is excited to partner with a premier real estate company in search of a visionary Director of Operations...
  • 4/19/2024 12:00:00 AM

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Director of Operations
  • HC-Resource
  • Charlotte, NC
  • HC-Resource is seeking a well established, experienced and dynamicDirector of Operations. HC-Resourceworks with some of ...
  • 4/18/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/17/2024 12:00:00 AM

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Facilities Director
  • Aramark
  • Charlotte, NC
  • Job Description As a Facilities Director you will plan, manage, and guide multiple contracted services for a client norm...
  • 4/17/2024 12:00:00 AM

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Director of Acquisitions
  • Zucker Investment Group
  • Charlotte, NC
  • Zucker Investment Group (ZIG) is searching for the next teammate to add value to the organization, while allowing the ca...
  • 4/16/2024 12:00:00 AM

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Canvass Director
  • Action for the Climate Emergency
  • Charlotte, NC
  • Multiple positions Temporary April - November Currently Hiring In: WI: Milwaukee County NC:Mecklenburg County This summe...
  • 4/15/2024 12:00:00 AM

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Director, Aquatics
  • Great Wolf Lodge
  • CONCORD, NC
  • Pay: $0 per hour - $0 per hour The Director of Aquatics is responsible for directing all aspects of aquatics services an...
  • 3/30/2024 12:00:00 AM

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Director, Engineering
  • Great Wolf Lodge
  • CONCORD, NC
  • Pay: $0 per hour - $0 per hour At Great Wolf, the Director of Engineering sets the vision and managing the effective fun...
  • 1/4/2024 12:00:00 AM

Gastonia is the largest city in and county seat of Gaston County, North Carolina, United States. It is also the second largest satellite city of the Charlotte area, behind Concord. The population was 71,741 at the 2010 Census. In 2016, the population had increased to 75,536. Gastonia is the 13th largest city in North Carolina. It is part of the Charlotte metropolitan area, officially designated the Charlotte Metropolitan Statistical Area (MSA). Gastonia has experienced steady growth, with a population increase between 2000 and 2010 of nearly 8.2%, according to the U.S. Census Bureau. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Director jobs
$128,465 to $176,127
Gastonia, North Carolina area prices
were up 1.5% from a year ago

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