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in Irvine, CA

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Hours Full-time, Part-time
Location Irvine, California

About this job

Directly and through subordinates, plans, organizes, directs, and controls the operation of assigned areas (e.g., general administrative, patient care, professional services and/or a combination of these and other services). Contributes toward the overall development of programs and services to provide for the needs of members, physicians and staff. Assists Administrator in providing strategic leadership to management to ensure equitable distribution of resources and delivery of high quality, cost-effective health care and efficient management of staff in accordance with goals, objectives, policies, and applicable regulatory agency rules and regulations. [This position is a generic position designed to serve in Executive Director or Medical Group Administration. This position is the top operations management level in the Medical Center].

Essential Functions:

* Responsible for the day-to-day operations by facilitating the development, implementation and monitoring of service, quality and utilization standards.

* Continually evaluating and improving the delivery of service by initiating and promoting best practice models.

* Engages physicians and staff in problem solving.

* Plans, directs, staffs, organizes and evaluates service and/or care delivered by staff.

* Develops, monitors, and controls payroll, non-payroll, and capital budgets and expenditures for assigned service areas.

* Hires, fires, performs disciplinary actions, employee training and development, and conducts performance assessments for assigned staff.

* Contributes to effective and accurate communications, operations, and planning by conducting studies and reporting findings, and participating in special committees and/or projects.

* Directly and with subordinate managers, establishes and maintains operational and performance standards.

* Monitors and evaluates the overall system of service delivery in terms of ability to meet established targets.

* Develops short and long term plans to improve service level of department efficiency for each area managed.

* Directly and with Administrator, develops and administers appropriate policies, standards, practices and procedures.

* With subordinate managers, establishes goals and objectives for each department.

* Assures compliance with administrative, legal and regulatory requirements of the Health Plan Contract and government/ accrediting agencies.

* Works with management and physicians-In-Charge to identify and establish programs and practices which are cost effective and provide quality service to members, staff and physicians.

* Participates in community relations activities to enhance the image and reputation of the organization in local customer service areas.

* May represent the organization in activities involving leaders in business, government, labor, the community at large, Health Plan Members and health care providers in the area.

Basic Qualifications:

Experience

* Minimum five (5) years of general management experience in a complex, multi-faceted health care setting and in working with a large physician group practice managing through influence and collaboration, required.

* Minimum three (3) years of supervisory experience to include, but not limited to: disciplinary actions, training, employee development/ assessment, and wage and hour regulations.

* Three (3) years of experience in financial management, budget development, program development, quality improvement and project management.

Education

* Bachelor's degree in health care, public or business administration, or related field required.

License, Certification, Registration

* N/A

Additional Requirements:

* Strong communication, presentation, leadership, analytical and problem solving skills required.

* Significant knowledge of applicable federal and state laws and regulations related to health care (e.g., Knox-Keene Act, Federal HMO Act, Public Employees', TJC, NCQA, and all applicable Medicare and Medi-Cal regulations and NURSE PRACTICE ACT.

* Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

* Master's degree preferred.

* Clinical Experience (RN or MSW) preferred.

* Operational and Strategic Management experience with Utilization Management, Home Health / Hospice Care and Palliative Care departments.

* Experience with Patient Throughput, Performance Improvement, and Population Care Management Models.

* Contracting and Regulations knowledge preferred related to SNF, Acute Rehab, HH, SNP and Inpatient Mental Health Services.

* Knowledge of Plan of Care and Care Pathways.

* Strong Physician relations.

Notes:

* 50 % Travel.