Duke Health Values Jobs in Usa

Director Home Health

Houston office

A growing, clinically led home health organization is seeking an experienced Director of Clinical Services (DCS) to support one of its Houston regions. This role is ideal for a strong, thoughtful clinical leader who understands high-acuity home health, values collaboration, and knows how to build trust with seasoned clinicians in a complex market.

About the Organization

This organization is led by a seasoned clinical executive team, including nurse leaders and therapy professionals who have worked together for well over a decade. With a strong foundation in both Home Health and Hospice (operated as distinct service lines), the organization has expanded rapidly in recent years while maintaining a patient-first, clinician-supported culture.

They are known for:

• Serving high-acuity patients and complex referral needs
• A strong belief that taking care of employees leads to better patient outcomes
• Transparent leadership with an authentic open-door philosophy
• A service mindset rooted in accountability, quality, and continuous feedback

Position Overview

The Director of Clinical Services provides clinical and operational leadership for a defined Houston territory (geographically split north/south). The DCS partners closely with an Executive Director and fellow clinical leaders to ensure high-quality care delivery, regulatory compliance, staff engagement, and strong interdisciplinary collaboration.

Key Responsibilities

• Provide clinical leadership and oversight for assigned branches and patient census
• Lead and facilitate case conferences and interdisciplinary collaboration
• Ensure regulatory compliance and strong clinical documentation standards
• Review and scrub OASIS for accuracy and quality (strong OASIS expertise required)
• Support clinician development through education, coaching, and performance feedback
• Address employee relations, scheduling challenges, and clinical escalations as needed
• Partner with office and field leadership to support patient flow, start-of-care completion, and continuity of care

Team Structure & Support

The Director of Clinical Services is supported by:

• A Licensed LVN Clinical Coordinator managing orders, assignments, and clinician coordination
• Office Support Coordinators with clinical backgrounds who act as liaisons between field staff, the office, and referral sources
• A collaborative leadership structure designed to reduce administrative burden and allow the DCS to focus on clinical quality and leadership

Compensation & Incentives

• Base Salary: $95,000 – $105,000 (flexibility possible for the right candidate)
• Quarterly Bonus Program: Targeting up to ~20% of annual salary
• Based on performance metrics
• Expected Total Compensation: Typically $110,000 – $120,000

Ideal Background

• Registered Nurse with strong home health leadership experience
• Deep knowledge of OASIS and Medicare home health regulations
• Experience leading teams in high-acuity or high-volume environments
• A leadership style rooted in trust-building, assessment, and thoughtful change management
• Comfortable navigating complex markets and supporting teams through growth

Staff Actuary – Value Based Care

PRIMARY PURPOSE

Performance and maintenance of the monthly incurred but not reported (IBNR) healthcare claims process for a large risk based multi-specialty value-based care organization. Serve as a subject matter expert on IBNR estimates and payor data files. Investigate and analyze utilization and medical cost data in support of financial close, budget, and forecasting processes.

MAJOR RESPONSIBILITIES

• Create the monthly claim triangles, populate the IBNR models, and produce the IBNR estimates, working closely with accounting, finance, and operational leaders. Communicate results and supporting information to internal audiences including Finance, Accounting, and Value Based Care executives and team members. Maintain the IBNR models. Research issues and trends and keep leaders informed of findings. Update related monthly reports. Act as key contributor and subject matter expert during budget and forecast cycles. Interact with payor contacts and third-party actuaries as appropriate. (70%)
• Support the annual financial statement audit. Prepare lookback analyses and other information as requested by the auditor. Meet with the auditor as needed to answer questions. (5%)
• Perform medical expense projections and evaluate against payor contracts. (10%)
• Perform ad hoc analyses as requested by management. Independently surface insights and recommendations that help improve the accuracy of IBNR models and/or value-based care operations. (15%)

SUPERVISORY/MANAGEMENT SCOPE

• Role is viewed as a primary subject matter expert on all matters related to IBNR and will be looked to for advice, guidance, and mentorship.
• Manage entire IBNR process, on a monthly basis, to completion, meeting predetermined timelines.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED

License / Registration / Certification

• Associate of the Society of Actuaries (ASA)
• Member of the American Academy of Actuaries (MAAA)

Level of Education

• BS or BA

Field of Study

• Actuarial Science, Mathematics, Statistics, Economics, or a related area

Years of Experience

• Minimum of five years of US healthcare actuarial work experience in managed care or closely related field, with at least 2 years estimating IBNR claims

Describe Type of Experience

• Experience supporting the monthly IBNR process (preferably 3+ years)
• Experience developing and maintaining complicated EXCEL/VBA models and presenting results (preferably 7+ years)

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES (KSA)

• Knowledge of IBNR methodologies and concepts
• Strong understanding of the US healthcare system
• Ability to work effectively with other team members, auditors, payor contacts, and third-party actuaries
• Ability to communicate complex concepts to technical and non-technical audiences
• Understanding of financial statements
• Understanding of relational databases
• Understanding of medical and pharmacy trends
• Understanding of medical claims coding and categorization
• Advanced knowledge of Excel
• Knowledge of SQL/Databricks
• Ability to write and edit VBA macros preferred
• Ability to identify and drill down into causes of changes in medical expenses

The compensation for this role includes a base pay range of $107K-$161K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

• Knowledgeable and skilled in applicable procedures in providing care.
• Provides hygiene needs of assigned patients (AM/PM care, oral hygiene and denture care, perineal care, shampoo, bathing, shaving, care of TED/SCD hose.)
• Provides nutritional needs of assigned patients. (Tray distribution, setting up trays, offering supplements, feeding, adding tube feeding and recording intake.)
• Provides elimination needs of assigned patient. (Foley care, bowel movements, bladder training, enemas, and external catheters; records output.)
• Provides skin care of assigned patients. (turning, positioning, recognition and prevention of skin breakdown, operation of special beds, nail care, and back rubs.)
• Provides comfort measures (Proper positioning, back rubs, oral care, wrinkle free bed sheets and ensuring that bedside table, water pitcher, urinal are within reach.)
• Provides activity needs of assigned patients (i.e. turning, chair, ambulating, walker, and crutches).
• Performs measurements of assigned patients (I&O, hemoccult, gastrocult, TPR, B/P, weights, empty drains, abdominal girth, hose measurements).
• Performs additional skills as directed and supervised by the nurse, after training and certification, i.e. intermittent urinary catheterization, phlebotomy, and clean dressing changes (varies by unit or area).
• Assists with admission, transfer, and discharge of patient.
• Completes assigned aspects of admission process including vital signs, height and weight, room setup, room orientation, assists patient to bed, assures call light available etc.
• Sets up equipment for care (IV poles, admission kit, others)
• Stores and transfers belongings (dentures, hearing aids, glasses and other personal items).
• Packs up all patient belongings at discharge.
• Achieves patient satisfaction when providing patient care.
• Makes rounds minimally every two hours to assure that patients are comfortable, positioned properly, call light available, room orderly.
• Patient needs are met and satisfaction of care is expressed
• Demonstrates ability to anticipate patient needs
• Answers all call lights promptly
• Respects privacy
• Reports pertinent patient information to the nurse assigned to the patient in a timely manner.
• Documentation is completed prior to leaving shift.

• Completes care while conserving resources.
• Completes work within assigned shift.
• Overtime used only as requested by Director/Unit Leader/Lead RN/ Shift Coordinator.
• Prevents waste of supplies and linen.
• Checks patient room for unused equipment/supplies and returns to SPD promptly.
• Assists with patient lifting in a timely manner.
• Demonstrates ability to organize and prioritize work with changes as directed by the nurse.
• Uses slow time to improve unit appearance and accept additional assignments.
• Assists others in assignment completion.
• Willingly responds to requests by nursing staff accepting delegated duties from the Registered Professional Nurse and Licensed Practical Nurse.
• Performs unit maintenance duties
• Maintains neat and safe patient environment, including bedside table, bathrooms, wastebaskets, bedpans, and specipans.
• Assures discontinued equipment is removed from patient rooms.
• Completes assigned maintenance tasks such as: cleaning of kitchen, refrigerators, utility rooms, IV poles, carts, making charts, and distributing SPD items.
• Knowledgeable of SPD exchange cart system and consistently charges out supplies used.
• Performs errands as requested
• Knowledgeable of locations of various support areas.
• Responds promptly to urgent requests.

• Provides for safety measures of assigned patients (lifting, transfers, side rails, bed checks, call lights, gait belt use, back safety, slide board, use of restraints.)
• Maintains clear hallways and doorways on an ongoing basis.
• Uses protective equipment appropriately.
• Always washes hands between patients and procedures.
• Practices good body mechanics, getting assistance as needed to protect patient and own safety.
• Promptly reports unsafe equipment of risky situations.
• Alert and responsive to all alarms/call lights.
• Demonstrates a practical problem solving approach to patient moving and handling issues
• Demonstrates skills to promote patient and staff safety through appropriate use of lift equipment.

• Assists in achieving department goals and objectives.
• Utilizes teamwork effort to maintain positive patient perceptions in the areas of promptness, friendliness, attitude to call, took problem seriously, attention to special needs, temperature of foods, noise level, temperature of the room, attitude towards visitors, and concern for privacy.
• Attends educational offerings to validate skills and maintain current knowledge of patient care.
• Gives and receives peer evaluation constructively.
• Supports staffing changes and assisting with staffing needs.
• Is knowledgeable of quality assurance indicators and assists in improvement of patient care, such as ID bands, patient falls, and infection control.
• UnityPoint Health brand promise, mission, vision, and values demonstrated with all interactions with patient and families.
• Displays warmth, concern, and respect for patients and their families.
• Respects patient's and family's privacy.
• Responds promptly to patient and family requests. Alerts the nurse promptly when his/her intervention is required.
• Timely response to call lights.
• Explains procedures, etc. to patient and family within the nursing assistant scope such as meal times, a.m. care delivery.
• UnityPoint Health brand promise, mission, vision, and values demonstrated with all interactions with unit staff/other hospital personnel.
• Conveys warmth, concern, and respect for all hospital personnel.
• Responsive to requests and concerns from other personnel.
• Communication with others is open, honest and respectful.
• Interacts constructively and supportively with other personnel.
• Recognizes role others play in providing care to the patient.
• Provides pertinent information on assigned patients to the nurse during the shift and as requested.
• Assists peers in assignment completion.

Summary:

An LVN/ LPN plays a crucial role in managing patient care and ensuring continuity of services. The Care Coordinator is responsible for making telephonic outreaches to members attributed to our value-based contacts. They support the ACO and CIN network providers and practices in successfully meeting quality improvement initiatives, monitoring standards of care and managing high risk multi morbidity patient populations across CHRISTUS Health ministries. The role focuses on improving quality care gaps, promoting preventive care, and improving patient outcomes.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Mentor, train and support the team of care coordinators, ensuring high-quality care and adherence to best practices. Assist with work assignments and development of new work processes as needed. Coordinate and assist with associate onboarding. Create education material for training.
• Monitor and ensure compliance with all regulatory requirements, organizational policies, standing delegated orders and protocols.
• Identify quality gaps and risk adjustment gaps. Participate in Quality Improvement Programs as indicated. Attend learning sessions and share information learned with team members. Assist in the development of tools, education, and workflow processes to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives.
• Conducts internal review audits to facilitate feedback for documentation and efficiency of the care coordination team.
• Support Primary Care Providers and assist patients in scheduling preventative screenings and appropriate appointments. Maintain ongoing communication with healthcare providers through various tools and meetings.
• Monitor value-based care quality performance and pulls reports to identify open care gaps. Conducts telephonic outreach on behalf of providers to close care gaps & address medication adherence to facilitate star rating and quality performance.
• Providing counseling and health education to patients and families, using appropriate materials and standardized protocols. Serve as a subject matter expert in care transitions & quality metrics. Assist in educating practice staff on quality, payor, and government program requirements.
• Communicate resources and services available to patients through the continuum of care.
• Escalate health concerns to Primary Care providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness. Conduct in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education.
• Document relevant, comprehensive information and data using standard assessment tools. Maintain patient chart compliance through proper documentation and updated: preventative screenings, medical history, medication, and immunizations.
• Unburden primary care providers by placing approved orders for labs and other screenings as per the Standing Delegated orders.
• Perform Transition of Care calls on patients transitioning from an inpatient stay to home, or emergency department encounter to identify the need for a follow-up appointment, community resource needs, scheduling follow-up appointments, reviewing discharge instructions, and medications. Utilizing clinical judgment and problem-solving skills to coordinate appropriate care with physicians and Nurse Navigation.
• Prepare and maintain Transitions of Care and Care Management reports and provide periodic updates to network leaders.
• Must have strong leadership, exceptional oral communication skills, strong organizational and analytical skills, ability to adapt to change and motivate a team.
• Must have a strong ability to multi-task and coordinate multiple projects.
• Perform other duties as assigned.

Job Requirements:

Education/Skills
• High School Diploma required.

Experience
• Minimum of 3 years of clinical or home health experience required.
• 5 years supporting value-based care programs, accountable care organizations, or HEDIS
• Knowledge of government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred.
• Knowledge of physician office practice operations and 3 years of experience in a physician practice is preferred.
• Proficiency in keyboarding and EHR systems, primarily Epic.

Licenses, Registrations, or Certifications
• LVN/ LPN in the state of employment and/or compact licensure required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Location: Home Health Offices,12801 Westlinks Drive,Fort Myers FL 33913 (Gateway)

Work Type: Full Time (80 hours bi-weekly)

Shift: Days, 8:00 AM to 4:30 PM, Monday - Friday

Minimum to Midpoint Pay Rate: $38.48 - $50.01 / hour (Salary/Exempt)

Come join out leadership team. We have this one Clinical Manager position open to complete our team of three (3)! Along with our System Director, Director and Educator/QA team members.

Summary:

Responsible for assisting the Director of Clinical Operations and Administrator in planning, organizing and directing of patient care services in accordance with current standards and regulations. This position is responsible for the overall supervision and coordination of an interdisciplinary team of staff to ensure the quality of care is delivered safely to home health patients. The Clinical Manager directs patient assignments, staff scheduling, and coordination of referrals, patient visit volume distributions, and assists in meeting financial targets by effectively managing utilization, productivity, personnel and supplies. This position ensures adherence to clinical best practices to promote optimal patient outcomes and patient experience and ensures that patient needs are continually assessed through development, implementation and updates to the individualized plan of care in coordination/collaboration with the Case Manager, physician and patient.

Lee Health Home Health is seeking passionate and dedicated nursing professionals to join our dynamic team. As a valued nurse leader at Lee Health Home Health, you will play a pivotal role in delivering exceptional patient care based on the latest clinical practice guidelines and professional standards. Your expertise will be crucial in crafting personalized care plans that respect the age and cultural diversity of each patient. This position has a driving aspect to it.

Why Join Lee Health Home Health?

• Impactful Work: Make a difference in the lives of patients with a supportive team that values quality care.
• Professional Growth: Benefit from in-service programs and opportunities to advance your nursing skills.
• Comprehensive and supportive onboarding program: We help prepare you for your career with Lee Health Home Health
• Flexible Scheduling: Enjoy a balanced work life with rotating weekends and after-hours visits as needed.
• Competitive Compensation: Receive a rewarding salary that reflects your invaluable contribution to patient care
• Supportive Culture: Thrive in an environment that champions teamwork, flexibility, and professionalism.
• Mileage reimbursed

Your Contribution Matters:

At Lee Health Home Health, we believe that our nurses and leaders are the cornerstone of patient recovery and well-being. Your dedication to managing a select group of patients through their home care journey is instrumental in achieving positive patient outcomes.

If you're ready to take on a fulfilling role that offers both challenges and rewards, we invite you to apply and become an integral part of our Home Health Team.

Apply Now and embark on a career journey where your skills are recognized, and your passion for patient care is valued.

Requirements

• Education: Bachelor's degree required, masters preferred.
• Experience: Minimum of 2 years clinical experience and 3 years Home Health experience required. Demonstrated leadership skills or experience required.
• Certification: BLS (American Heart Association / Basic Life Support) required.
• License: State of Florida Registered Nurse License required or eligible to obtain.
• Other: Must establish and maintain positive and effective working relationships with staff, physicians, patients and other departments. Proficient computer skills.

BayCare Health Systems is currently seeking an experienced Nurse Manager to join our outstanding and compassionate Behavioral Health team at BayCare Northside Behavioral Health.

Our mission at BayCare Northside Behavioral Health Center is to provide individuals and families the highest quality of comprehensive, innovative and affordable behavioral health care services thus enabling a path for those in need to a productive recovery and an enriched quality of life. We provide services to children and adults who meet the admission criteria. Spanish-speaking therapists are also available.

Our Crisis Stabilization Unit, Short-Term Residential and housing programs operates 24/7.

Position details:

Location: Tampa, FL

Facility: Northside Behavioral Health

Status: Fulltime; Exempt

Shift hours: Days

Manager Nurse-Behavioral Health

• Demonstrates proficiency in all Quality leadership skills.
• Manages the care of a patient population and practices expert critical thinking skills when in the clinical setting.
• Assumes 24-hour responsibility for a patient care unit and acts as liaison between patients, team members, physicians, other customers, and administration.
• Promotes evidence-based clinical care that exemplifies the pursuit of clinical excellence.

Minimum Qualifications:

Required Education includes BSN or BS in health related field.

Required Experience includes 3 years RN experience and 2 years Healthcare Leadership or 1 year in Nursing leadership with MSN and RN Certification or 2 years Nursing Professional Development Practitioner/Clinical Educator experience and 6 months Assistant Nurse Manager.

Required Credentials include BLS (Basic Life Support); Required - RN (Registered Nurse); Preferred - ACLS (Cardiovascular) - Unit Specific; Preferred - Nurse Specialty

BayCare Values: Demonstrate a consistent commitment to BayCare Health System’s core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.

Leadership Competencies

• Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
• Emotional Intelligence: Demonstrates self-awareness and manages one’s emotions. Recognizes and responds constructively to others’ emotions and builds meaningful relationships.
• Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
• Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
• Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
• Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
• Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

This position requires Level II screening through the Florida Care Provider Background Screening Clearinghouse, managed by the Agency for Health Care Administration (AHCA). More information can be found at

Equal Opportunity Employer Veterans/Disabled