USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.
Responsibilities:
Performs personnel functions for the department, i.e., recruitment, hiring, disciplinary actions, evaluations, counseling and education and follows university and hospital policies related to personnel functions
Documents all personnel actions appropriately
Supports all personnel as valuable assets to the institution
Demonstrates strong interpersonal skills, coaches and mentors staff
Develops an annual budget that meets the department needs within the framework of available resources
Coordinates with other department heads for effective resource use
Monitors budgetary expense and revenues, identifies variances and adjusts spending accordingly
Utilizes cost effective practices in performing all aspects of the job
Evaluates and recommends space allocation and design for the needs of the department
Develops, implements and updates policies and procedures in a collaborative and interdepartmental process according to JCAHO and hospital standards
Prepares and reviews bids, systems of acquisition, distribution and use of supplies, materials and equipment
Supports the mission of the University of South Alabama by translating and incorporating institutional mission, vision and values to staff and others
Provides an environment that is supportive of medical, nursing and allied health students
Serves as professional role model for all staff
Utilizes a computer and appropriate software to generate reports and correspondence both written and electronic
Abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical manner consistent with the organizations values
Facilitates staff participation in in-services and educational offerings to learn new skills and for continued development
Assures personnel are competent to carry out their essential functions and that competency skills are competed annually
Monitors work performance of staff
Completes evaluations in a timely manner according to policy
Develops a plan of action for employees who are below satisfactory in their evaluation and completes re-evaluation in the appropriate time frame
Participates in the strategic planning activities for the department and institutions overall plan
Translates the department or institution strategic plan to staff, ensuring support of the plan, and modifying the plan in response to changing internal and external factors
Assumes accountability for current standards established by profession, regulatory and governmental agencies
Determines, translates, and implements relevant standards and promotes departmental compliance
Maintains standards of practice consistent with current research findings
Facilitates cooperative and collaborative relationships among disciplines/departments to assure effective delivery of services to support quality patient care
Encourages and participates in planning and program development to facilitate the effective delivery of services that supports quality patient care
Communicates with physicians, patients, families and healthcare team in person and via telephone
Responds to overhead pages and beeper in a timely manner
Develops and maintains a performance improvement program for department utilizing the ICARE methodology
Performs those functions for which they are licensed
Holds twenty-four hour accountability for the operation of the department
Utilizes all available resources to ensure effective performer of the department
Completes all mandatory department, educational and hospital requirements
Adheres to current Infection Control and Safety Standards
Regular and prompt attendance
Ability to work schedule as defined and overtime as required
Related duties as assigned
Additional Information:
Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.
Qualifications:
Bachelor's Degree in nursing from an accredited institution or eligibility for enrollment in the RN to MSN program at the University of South Alabama and 4 years of professional nursing experience, 2 of which were in a supervisory or charge nurse capacity Required
Master's Degree in nursing Preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure in accordance with the Nurse Licensure Compact (NLC) for Alabama Upon Hire Required
BCLS - Basic Life Support Upon Hire Required
ACLS - Advanced Cardiovascular Life Support Upon Hire Required
Comparable combination of education and experience may substitute for the above requirements.
Knowledge, Skills, and Abilities
Ability to plan, organizes, supervise and coordinate medical office operations as member Ability to plan, organizes, supervise and coordinate medical office operations as member
Ability to manage the daily operations of multiple practice locations. Ability to manage the daily operations of multiple practice locations.
Ability to function in a highly complex environment, interprets, analyze and present data Ability to function in a highly complex environment, interprets, analyze and present data
We have a structural heart program that treats the valves and structures within the heart led by a team of physicians with advanced expertise and knowledge of the latest techniques and technologies. We have a structural heart program that treats the valves and structures within the heart led by a team of physicians with advanced expertise and knowledge of the latest techniques and technologies.
Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members.
The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education.
The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting.
Knowledge of utilization management Knowledge of medical benefits adjudication Use of Milliman clinical criteria Some knowledge of appropriate coding requirements. Knowledge of utilization management Knowledge of medical benefits adjudication Use of Milliman clinical criteria Some knowledge of appropriate coding requirements.
Some knowledge of state, federal, NCQA, and CMS regulatory requirements related to pre-authorization. Some knowledge of state, federal, NCQA, and CMS regulatory requirements related to pre-authorization.
Working knowledge of authorization processing procedures and post service claims processing procedures. Working knowledge of authorization processing procedures and post service claims processing procedures.
Thorough knowledge of utilization management and medical benefits adjudication Direct experience using Milliman clinical criteria. Thorough knowledge of utilization management and medical benefits adjudication Direct experience using Milliman clinical criteria.
Thorough knowledge and experience using state, federal, NCQA, and CMS regulatory requirements. Thorough knowledge and experience using state, federal, NCQA, and CMS regulatory requirements.
Equal Employment Opportunity Employer:
The University of South Alabama is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis. EO Employer – minorities/females/veterans/disabilities/sexual orientation/gender identity.