Professional Services Director - Healthcare jobs in Hilton Head Island, SC

Professional Services Director - Healthcare oversees the administrative and operational support of the facility's clinical programs. Assists in the development of departmental policies, procedures, and budgets. Being a Professional Services Director - Healthcare ensures compliance with established policies. Requires a Bachelor's degree. Additionally, Professional Services Director - Healthcare typically reports to top management. The Professional Services Director - Healthcare 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 Professional Services Director - Healthcare typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Practice Medical Director
  • Monogram Health Professional Services
  • Savannah, GA FULL_TIME
  • Position: Practice Medical Director

    Monogram Practice Medical Directors are quality driven physicians who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. We partner with the nation's leading clinical specialists to create transformative polychronic care. Monogram Health uses next generation AI algorithms to predict necessary care to promote the delay of complex disease progression, such as chronic kidney disease and the seamless transitions to dialysis, pre-emptive kidney transplant, conservative management.

    The Practice Medical Director is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within their market. The Medical Director oversees the delivery of care management services within their market, ensuring that patient care is high quality, consistent and compliant by continually reviewing patient care plans and notes and providing guidance to field clinicians when needed.

    Roles and Responsibilities
    • Take responsibility for quality outcomes for large panels of health plan members in specified geographic regions
    • Utilize IT and data tools to report, monitor, and improve quality and utilization
    • Conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered
    • Oversee the implementation and continual refinement of the clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency
    • Reduce unnecessary episodes of care, including hospital readmissions
    • Prepare clinical care reports in a timely fashion
    • Apply evidence-based criteria to determine the appropriate / necessary care and lead case rounds with nurse practitioners and care managers
    • Analyze data to build member care plans and ensure care goals are achieved
    • Identify quality of care issues for health plan clients
    • Optimize patient health outcomes and total performance against health plan contracts
    • Lead efforts to share and explain all clinical policies, procedures and guidelines with Monogram employees and our physician partners
    • Represent Monogram as a clinical leader to health plans, providers, and other organizations
    • Oversee the clinical elements of the day-to-day execution of care management and practice operations within your market
    • Achieve clinical metrics and goals for delivering improved health outcomes at a lower total cost of care
    • Create a work environment that fosters fulfilment and personal development for employees and encourages empathy and compassion toward patients
    • Support Monogram as necessary with any tasks required to deliver excellent personalized clinical care and perform all other duties as assigned
    • Uphold the mission and values of Monogram Health in all aspects of your role and activities

    Position Requirements
    • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel
    • Demonstrated experience applying evidence based clinical criteria
    • Experience in renal care and geriatrics
    • Strong management and communication skills
    • Active, unrestricted state medical license required in each state within the market
    • Experience with high need Medicare Advantage and managed Medicaid populations
    • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment
    • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
    • MD (Medical Doctor) or DO degree from an accredited medical school
    • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

    Benefits
    • Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care
    • Competitive salary and opportunity to participate in the company’s bonus program
    • Comprehensive medical, dental, vision and life insurance
    • Flexible paid leave and vacation policy
    • 401(k) plan with matching contributions

    About Monogram Health
    Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

    At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

  • 1 Day Ago

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Direct Support Professional (DSP) / Group Home
  • ATC Healthcare Services of Georgia
  • Savannah, GA FULL_TIME
  • Direct Support Professional (DSP) – Residential Group Home (Full-time) Location: Savannah, GA Shifts Available: Days and Nights Salary: $16/hour (weekdays), $17/hour (weekends) Job Description: Provid...
  • 10 Days Ago

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Part-Time Clerical Services Worker (Business and Professional Services Division)
  • Time Clerical Services Worker (Business and Professional Services Division) - Team Georgia Careers
  • Savannah, GA PART_TIME
  • Savannah Technical College is seeking a part-time Clerical Services Worker for the Business and Professional Services Division. This position will work as-needed, up to a maximum of nineteen (19) hour...
  • 1 Month Ago

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Business Development Professional - Healthcare
  • Georgia Hospice Care
  • Savannah, GA FULL_TIME
  • Overview: Become a Hospice Liaison with Georgia Hospice Care Do you have a knack for coordinating, organizing, and making connections? Are you ready to make a difference in the lives of others and in ...
  • 11 Days Ago

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Certified Registered Nurse Practioner (CRNP)
  • Koniag Professional Services LLC
  • Savannah, GA FULL_TIME
  • KPS Job ID 2475007 Koniag Professional Services, LLC, a Koniag Government Services company, is seeking a Certified Registered Nurse Practitioner (CRNP) to support KPS and our government customer in Sa...
  • 1 Month Ago

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Healthcare Facility Security Officer
  • DSI Security Services
  • Rincon, GA FULL_TIME
  • Overview You gain more than just a paycheck when you are employed with DSI. From our biggest clients to our newest security officer, the values of DSI and our motto, Do What You Say You Will Do, are a...
  • 26 Days Ago

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0 Professional Services Director - Healthcare jobs found in Hilton Head Island, SC area

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Insurance Customer Service Agent
  • MCI Military Recruitment
  • Savannah, GA
  • POSITION OVERVIEW: INSURANCE CUSTOMER SERVICE AGENT We are hiring insurance customer service agents to support inbound c...
  • 4/24/2024 12:00:00 AM

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Insurance Customer Service Agent (P&C Licensed)
  • MCI Careers
  • Savannah, GA
  • LOCATION: Savannah, GA JOB TYPE: Full-Time PAY TYPES: Salary + Bonus SALARY: Commensurate BENEFITS & PERKS: LOCAL REPRES...
  • 4/24/2024 12:00:00 AM

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Insurance Customer Service Agent
  • MCI Jobs
  • Savannah, GA
  • POSITION OVERVIEW: INSURANCE CUSTOMER SERVICE AGENT We are hiring insurance customer service agents to support inbound c...
  • 4/24/2024 12:00:00 AM

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Full-Time Customer Service Representative ($15/hr)
  • MCI Jobs
  • Savannah, GA
  • POSITION OVERVIEW: FULL-TIME CUSTOMER SERVICE REPRESENTATIVE We are looking for customer service representatives to supp...
  • 4/24/2024 12:00:00 AM

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Entry-Level Collections Agent (Full-Time)
  • MCI Careers
  • Savannah, GA
  • LOCATION: Savannah, GA SALARY: $11.10 - $16.10 / hour POSITION OVERVIEW: ENTRY-LEVEL COLLECTIONS AGENT (FULL-TIME) Join ...
  • 4/24/2024 12:00:00 AM

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Bilingual Call Center Representative
  • MCI Careers
  • Savannah, GA
  • LOCATION: Savannah, GA JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $15.00 - $19.00 / hour BENEFITS...
  • 4/24/2024 12:00:00 AM

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Bilingual Customer Service Representative
  • MCI Careers
  • Savannah, GA
  • LOCATION: Savannah, GA JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $15.00 - $19.00 / hour BENEFITS...
  • 4/24/2024 12:00:00 AM

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Call Center Representative (Full-Time & Part-Time)
  • MCI Careers
  • Savannah, GA
  • LOCATION: Savannah, GA JOB TYPE: Full-Time & Part-Time PAY TYPES: Hourly + Bonus SALARY: $11.10 - $16.10 / hour APPLICAT...
  • 4/24/2024 12:00:00 AM

Hilton Head Island, sometimes referred to as simply Hilton Head, is a Lowcountry resort town and barrier island in Beaufort County, South Carolina, United States. It is 20 miles (32 km) northeast of Savannah, Georgia, and 95 miles (153 km) southwest of Charleston. The island is named after Captain William Hilton, who in 1663 identified a headland near the entrance to Port Royal Sound, which mapmakers named "Hilton's Headland." The island features 12 miles (19 km) of beachfront on the Atlantic Ocean and is a popular vacation destination. In 2004, an estimated 2.25 million visitors pumped more t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Professional Services Director - Healthcare jobs
$195,897 to $281,872
Hilton Head Island, South Carolina area prices
were up 1.5% from a year ago