Senior Director of Health Care Services
Health Care Services
Improves the health of Community Health Group’s members and ensures 100% compliance with all regulatory and operational requirements by: • Incorporating appropriate monitoring of all utilization patterns in all aspects of the company’s health care delivery systems • Providing oversight of all health care services activities and of utilization patterns • Establishing and maintaining staffing structure necessary to ensure that the functional responsibilities of all health care delivery systems are conducted in a timely and efficient manner • Coordinating and collaborating with other departments to ensure services are performed in accordance with established policies and procedures. • Effectively leading all of the departments in Health Care Services including the Utilization Management, High Risk Case Management, Pharmacy, Behavioral Health and Quality Improvement. Requirements for this position are: • Seven years of administrative/supervisory experience in health care field required. • Master’s degree in Public Health Administration or Master’s degree in Business Administration or equivalent required. OR • BSN/RN with a minimum 3 years of clinical experience and 5 years of administrative experience preferred (with an unencumbered CA RN license). • Master’s degree in Public Health Administration or Master’s degree in Business Administration or equivalent preferred.