Jobs Companies Highmark Health Director Clinical Programs

About this Director Clinical Programs role at Highmark Health

Highmark Health · Onsite · Pittsburgh PA, 15222, FAP, 5th Avenue Place

Company :

Endorsed

Job Description : 

JOB SUMMARY

This position will lead the palliative and supportive care function of Well in Place. This role is responsible for the implementation of the clinical program and staying aligned with Medical Directors to ensure best practice and clinical quality.
 

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

  • Develop and monitor clinical quality programs in partnership with Medical Directors and direct reports.

  • Act as Executive Sponsor for continuous improvement initiatives.  Lead a team to develop new processes and workflows to enhance program efficiency, staff satisfaction and patient clinical outcomes.

  • Collaborate with Management and Risk Assessment leader to work toward shared outcomes.

  • Collaborate with Workforce Operations team. Ensure decisions are driven by data and follow an agreed upon problem solving methodology.

  • Partner with departments in the enterprise on projects related to care delivery, shared savings, and organizational goals.

  • Assess readiness for strategic growth including but not limited to increased caseload geography, and care delivery model.

  • Provide vision for incorporating population health strategies into workflow.

  • Other duties as assigned or requested.


EXPERIENCE

Required

  • 5 years in a PA-C or CRNP role

  • 5 years in a management or leadership role

  • 5 years of Project/workgroup Leadership


Preferred

  • 1 year in Palliative Care/Hospice

  • 1 year in Community Based Healthcare


SKILLS

  • People Leadership

  • Continuous Improvement or Project Work

  • Quality Assurance

  • Interdisciplinary Team Work

  • Oral and Written Communication

  • Leading different disciplines to achieve shared goals

  • Delivery of Virtual Healthcare Visits

  • Customer service skills

  • Ability to establish and maintain effective relationships

  • Ability to work in collaboration with Medical Director(s)


EDUCATION

Required

  • Physician Assistant or Master's Degree in Nursing

Preferred

  • None

LICENSES or CERTIFICATIONS

Required

  • Current Physician Assistant License or Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) and CRNP license.

Preferred:

  • None


Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Non-office based

Teaches / trains others

Frequently

Travel from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Additional Employment Requirements:

  • Basic Life Support (BLS)

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.


As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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About Highmark Health

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutio

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