Frontline Leader Sub-Acute Team - Louisville, KY
Location: Louisville Kentucky
Description: Humana is at the momment seeking for Frontline Leader Sub-Acute Team - Louisville, KY right now, this vacancy will be placed in Kentucky. For complete informations about this vacancy opportunity please give attention to these descriptions. Be part of a clinical leadership team, where we provide innovative health solutions to members and providers.
Humana is s! eeking a Sub-Acute Frontline Leader who will hire, lead, and develop clinical and non- clinical professional associates. The Frontline Leader will collaborate with other health care givers in reviewing actual and proposed medical care and services against established Guidelines. As a Sub-Acute Frontline Leader you will:
Report trends
Develop system-view recommendations
Implement appropriate actions to control trend
Create and conducts provider outreach initiatives
Ensure compliance with regulatory requirements
Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally
Recommend alternatives if appropriate using your knowledge of clinical protocols
Identify members for specific case management and / or disease management activities
Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective ! admissions
Key Competencies
Interpersonal! Effectiveness:
Understands oneself, effectively manages emotions, listens and communicates with respect, and builds trusting relationships.
Leads Positively
: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Assesses, selects, recognizes, develops, and empowers diverse talent.
Accountability
: Meets established expectations and takes responsibility for achieving results; encourages others to do the same.
Qualifications
Role Essentials
Current RN license in the state in which the nurse is / will be required to practice
Ability to be licensed in multiple states without restrictions
Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
Prior supervisory experience
Ability to work independently under general instructions and with a team
Valid drivers license and/or depend! able transportation necessary
Role Desirables
BSN or Bachelors degree in a related field
Health Plan experience
Prior Medicare / Medicaid experience
Call center or triage experience
May substitute equivalent education and/or experience for degree
Previous experience in utilization management, discharge planning and/or home health or rehab
Bilingual is a plus
Reporting Relationships
You will have 15-25 direct reports, and you will report to a director. This area is under the leadership of the SVP & Chief Operating Officer.
Additional Information
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place! for you at Humana.
After applying, we encourage you to join o! ur Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.
Schedule
:
Full-time
Primary Location
:
US-KY-Louisville
Role
:
Clinical Innovations and Health Practitioners
Work Environment Type
:
Office
Travel
:
Yes, 20 % of the Time
- .
If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Humana.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Thu, 13 Jun 2013 23:59:11 GMT
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