Recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, their mission is to provide high-quality, affordable health care services and to improve the health of their members and the communities they serve. Currently serving 11.8 million members in eight states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Their expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management.
Plans, organizes, directs, evaluates and coordinates inpatient nursing services and/or integrated outpatient- inpatient nursing services across the continuum of care within a Service Area or within a single medical center. Works with hospital and the Medical Group staff developing strategic plans, providing quality care, cost effective services which are aligned with federal, state, and local regulations.
Collaborates with other Service Directors in identifying and implementing innovative models and best practices, emphasizing service improvements and cost reduction.
Directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, customer focused delivery of services and cost effective utilization of necessary services.
Ensures compliance with administrative, legal and regulatory requirements of the Health Plan contract and governmental and accrediting agencies. Oversees the development of department standards as identified by regulatory agencies.
Develops services that achieve a high level of customer satisfaction with emphasis on customer service, highest standards of quality and innovation.
Manages and resolves human resource, labor relations, employee and department safety and risk management issues. May act as site administrator.
Utilizes research data to implement clinical changes and the delivery of patient care and member services.
Directs the budget and resource allocations.
Manages the financial performance and identifies and implements strategies to reduce costs and improve quality of care and services.
Minimum eight (8) years of nursing experience in patient care.
Minimum five (5) years of management experience required.
BSN or BA in healthcare related field required.
Graduate of accredited school of nursing.
Current California RN license required.
BLS certificate required.
Demonstrated strong interpersonal communication skills.
Demonstrated knowledge of Nurse Practice Act, The Joint Commission, and other local, state, and federal regulations.
Must be able to work in a Labor/Management Partnership environment.
Master's degree preferred.
As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:
generous vacation, holiday, and sick leave
medical care (including prescriptions), vision, mental health, & dental care
disability and life insurance coverage
educational opportunities and tuition reimbursement
employee assistance programs
health care, dependent care, and transit spending account options