- Category: Management
- Location: Wisconsin Rapids, WI
- Job Schedule: FULLTIME
- Job Number: 38272 Apply To Job
- Knowledge of patient care standards and management practices in a healthcare environment normally acquired through completion of a bachelor's degree in Nursing.
- Master's Degree required in business, health care administration, or nursing.
- Extensive knowledge of payer mechanisms and clinical utilization management is required.
- A minimum of five years of experience in care management or utilization review
- A minimum of five to seven years of leadership experience in care coordination, case management, or utilization review, in an integrated healthcare delivery system and/or health plan.
- Possesses an active Wisconsin or Michigan RN nursing license.
- Nationally recognized certification preferred, i.e., Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP)
- Knowledge of HEDIS, MIPS, Core Measures, NCQA.
- Possesses working knowledge of clinical systems, outcome measures, and processes required along with various patient information systems including Pathways, HEDIS, etc.
- Knowledge and understanding of hospital information systems and their potential uses and benefits.
- Possesses facility for data analysis and interpretation. Must be data driven with a passion for medical management. Possesses ability to organize and present data in a concise and easily understood manner to peers, physicians, and other stakeholders.
- Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.
- Full benefits packages available for part- and full-time status.
- PTO accrual from day one
- Generous retirement plan with match available.
- Wellness program for employees and their families.
-
Care Coordinator
3 weeks ago
Brown & Brown Wisconsin Rapids, United StatesBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. · The Care Coordinator I will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resou ...
-
Full Time Care Coordinator
3 weeks ago
Northwest Counseling and Guidance Clinic Wisconsin Rapids, United States Full timeJob Type · Full-time · Description · Do you want to be a part of the fast growing and fast moving mental health field? Do you have a desire to help children in the communities around you? Join our team today · Northwest Journey provides a community-based treatment option for c ...
-
Care Coordination Specialist
2 weeks ago
Navvis Wisconsin Rapids, United StatesAbout Us: · Navvis is a Real-Person Care company with a transformative approach to population health. Our groundbreaking approach responds to how people really live their lives, day in and day out. Navvis Real-Person Care is integrated and holistic, physician-led and person-cent ...
-
Patient Care Coordinator
1 week ago
Marshfield Clinic Health System (MCHS) Stevens Point, United States Full timeDescription · : JOB SUMMARY · The Patient Care Coordinator completes patient care and Appointment Coordinator functions in addition to assisting a designated area with setting goals and ensuring best practice. This individual may assist with referral dispositions to ensure pro ...
-
Seller closing function
3 weeks ago
Cascade Innovations Wisconsin Rapids, United StatesLocation: 28215 Bremen | Employment type: Full-time, permanent | Job ID: 835675 · What you'll be doing with us: · You love it when your guests feel right at home and you can give them your full attention? With ease, you convey to our customers in sales and at the cash register th ...
-
Resident Physician
3 weeks ago
Velocity Enterprises Lake Wazeecha, United StatesFor a client in the Ruhr area, we are currently seeking an Assistant Doctor (m/f/d) for the Cardiology Clinic at Lake Wazeecha. · The clinic is a major provider with approximately 100 beds. The Medical Clinic for Internal Medicine and Cardiology performs all invasive and non-inva ...
-
Associate Childcare Director
4 days ago
YMCA of the USA Wisconsin Rapids, United StatesJob Description · This position supports the work of the Y, a leading nonprofit charitable organization committed to strengthening the community through youth development, healthy living, and social responsibility.The Associate Childcare Director at the South Wood County YMCA cr ...
-
Patient care coordinator
3 weeks ago
Solaris Solutions Marshfield, United StatesWe are a leading medical technology company in northern Germany, providing devices for respiratory therapy to chronically ill patients in the areas of home ventilation, sleep apnea, long-term oxygen therapy, and monitoring. Our focus on customer proximity and excellent customer s ...
-
Regional Clinical Specialist
1 day ago
MedElite LLC Wisconsin Rapids, United StatesAbout MedElite: · MedElite provides innovative solutions for skilled nursing facilities by partnering with long-term care providers and clinicians for the benefit of not only the facilities but also the specialists and most importantly, the patients. MedElite's vision is to revo ...
-
Aveanna Healthcare LLC Wisconsin Rapids, United States Part timePosition Overview · Aveanna Healthcare has grown tremendously during the past year through a series of exciting acquisitions and we are currently looking for an Occupational Therapist (OT) to join our dynamic home health care team. In this position, you make it possible for pati ...
-
Sawyer County Public Health Specialist
1 week ago
AmeriCorps Wisconsin Rapids, United StatesSawyer County AmeriCorps Public Health Specialist · The Public Health AmeriCorps member will increase their knowledge of public health needs by engaging in various activities related to patient outreach and education, follow-through in care, and patient retention in care. · Mem ...
-
supervisor- imaging services
4 weeks ago
Aspirus Health Wisconsin Rapids, United StatesCompassion. Accountability. Collaboration. Foresight. Joy. · These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. · Aspirus Riverview Hospital in Wisconsin Rapids, WI is seeking a SUPERVISOR - IMAG ...
-
Licensed Practical Nurse
1 week ago
River's Bend Health Services Wisconsin Rapids, United States#LI-SA1 · Licensed Practical Nurse (LPN) - Starting at $36.00/hr · REFER A FRIEND BONUS · River's Bend Health Services is a proud provider of skilled nursing and rehabilitation in our community. As a member of the North Shore Healthcare family, we are part of the largest post- ...
-
Outpatient Psychiatrist
1 week ago
Aspirus Health Wisconsin Rapids, United StatesAspirus Health is seeking an Adult Psychiatrist to join our robust Behavioral Health Service Line. Work with our multi-disciplinary team to bring mental health services to our central Wisconsin communities · OPPORTUNITY: · Flexible, hybrid telehealth position · No nights, no week ...
-
Youth Group Home Case Manager
3 weeks ago
Positive Alternatives Wisconsin Rapids, United StatesJob Description · Job DescriptionSalary: Starting at $ $21.75 per hour · As a Group Home Case Manager you will be a member of a care-team responsible for leading and maintaining a safe, supervised, and structured living environment for adolescent residents that is conducive to th ...
-
Licensed Practical Nurse
6 days ago
Wisconsin Rapids Health Services Wisconsin Rapids, United States Full time#LI-MJ1 · Licensed PracticalNurse (LPN) - $10K Bonus · Up to $39.50 per Hour Based on Experience, including shift differentials · $10,000 Sign-on Bonus for Full-Time - $5,000Sign-on Bonus for Part-Time · As amember of the North Shore Healthcare family, we are part of the lar ...
-
manager: medical laboratory
3 weeks ago
Aspirus Health Wisconsin Rapids, United StatesCompassion. Accountability. Collaboration. Foresight. Joy. · These are the Aspirus Core Values ; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. · Aspirus Riverview Hospital · is seeking a · Manager of Laboratory · to join ...
-
Psychiatrist/Medical
1 week ago
Aspirus Health Wisconsin Rapids, WI, United StatesAspirus Health is seeking an Adult Psychiatrist to join our robust Behavioral Health Service Line. Work with our multi-disciplinary team to bring mental health services to our central Wisconsin communities · Flexible, hybrid telehealth position · No nights, no weekends, no holi ...
-
DevOps Analyst
1 week ago
Quartz Wisconsin Rapids, United StatesOverview · Quartz is a provider-sponsored health plan dedicated to delivering high-quality care and innovative solutions to our members. The DevOps Analyst - EDM position will play a pivotal role in revolutionizing healthcare care data management for our organization. Come Find ...
-
Veterinary Technician
4 weeks ago
Progressive Veterinary Services Wisconsin Rapids, United StatesJob Description · About · Progressive Veterinary Services is a leading provider of comprehensive and advanced veterinary care for animals. With a deep commitment to the well-being and health of all creatures, Progressive Veterinary Services offers a wide range of services, from p ...
director- system care coordination - Wisconsin Rapids, United States - Aspirus Health
Description
BackDIRECTOR- SYSTEM CARE COORDINATION - CARE COORDINATION
Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus is seeking a Director - System Care Coordination to join our team at the Aspirus Wausau Corporate Office
Description: The Director – System Care Coordination is responsible for system-wide Care Coordination functions (Utilization Review, Social Work, Navigation, and Case Management) including the execution of the care coordination strategic plan for the health system and the health plan, which includes organizing and directing an integrated cross-continuum care management and transitions of care program that monitors (on both an individual case and aggregate level) and directs actions to ensure achievement of health system and health plan goals, initiation of change management processes, and implementation of best practices, policies, and procedures. The position is responsible for all Aspirus entities (hospitals, clinics, post-acute care, and contracted care coordination services provided through Aspirus Business Health and the Aspirus Health Plan) and has accountability for the overall supervision of all Registered Nurses, Social Workers, and other healthcare providers in the area under their direction. The Director – System Care Coordination is responsible for recruitment and retention, performance reviews, professional development, and delivery of care management and transition services.
Hours: 1.0 FTE, 80 hours every two weeks, Monday - Friday (Standard Businesses Hours)
Experience/Qualifications:
Employee Benefits
Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. To learn more about Wausau click the following link: Wausau, Wisconsin
Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.
Our Mission : We heal people, promote health and strengthen communities.
Our Vision : Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a non-profit, community-directed health system based in Wausau, Wisconsin. Its 11,000 employees are focused on improving the health and well-being of people throughout Wisconsin and Upper Michigan. Aspirus serves communities through four hospitals in Michigan and 13 hospitals in Wisconsin, 75 clinics, home health and hospice care, pharmacies, critical care and air-medical transport, medical goods, nursing homes, and a broad network of physicians. For more information visit
Click here to learn more.
Credentials:
Essential:
* REGISTERED NURSE LICENSE
director- system care coordination professionals in Wisconsin Rapids
-
Pushpit Singh
Software Developer Engineer