The Assistant Director is responsible for working with the department director relative to implementation of the strategic plan of the Health Services Department. This includes providing direction and management of all utilization management, case management and disease management activities for all Security Health Plan (SHP) products, (i.e. fully insured, third party administrative service, BadgerCare/Medicaid, Medicare Advantage and Family Health Center Program) to assure that health care services are delivered to Plan members as efficiently and cost effectively as possible. Works collaboratively with the Security Health Plan Medical Directors.
Education: Registered Nurse Bachelor's Degree is required, Master's Degree preferred. (Education qualifications must be from a school whose accreditation is recognized by Marshfield Clinic).
License/Certification: Current valid, unrestricted Wisconsin registered nurse license is required.
Experience: Seven years of experience with patient care and/or managed care activities. Knowledge of business metric development and measurement processes. Three years of management experience required.
Exclusion from Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Clinic’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
**You may submit your Cover Letter and Resume along with the online employment application. After submitting your application, you will be prompted to upload a Microsoft Word -OR- PDF version of your Cover Letter and Resume.**
Marshfield Clinic - 2 years ago