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Job Description & Requirements Vice President, Women & Infant Services StartDate: ASAP Vice President, Women & Infant Services Grady Health Atlanta, GA The Opportunity: Grady, located in Atlanta, Georgia, seeks a transformational nursing executive to serve as Vice President, Women & Infant Services, a highly visible leadership role responsible for clinical, operational, and strategic oversight of one of the organization's most complex and mission-critical service lines. The Position: The Vice President provides 24/7 executive leadership for Women & Infant Services, including administrative, clinical, operational, and educational oversight. The role sets the tone for departmental culture, professional practice, and performance, ensuring safe, high-quality, patient-centered care while advancing operational and strategic objectives. This leader will function as the operational and clinical executive for Women & Infant Services, effectively the "CEO" of the service line, and will be accountable for performance across quality, safety, experience, workforce engagement, and financial stewardship. This is a pivotal time for Women & Infant Services at Grady. The division includes high-acuity maternal and neonatal care, serves a medically and socially complex patient population, and operates within a major academic and essential environment. Strong physician partnership, operational discipline, and visible leadership presence will be essential for success. The Vice President will be expected to bring deep subject matter expertise in women's and neonatal services while also leading cultural, operational, and quality transformation. The role reports to the newly appointed Associate Chief Nursing Officer and partners closely with physician leadership, including the Chief of Obstetrics, to align nursing, medical, and operational priorities. The Ideal Candidate: • Bachelor's degree in nursing., • Master's degree in nursing or health care management, business or related field., • Registered Nurse in the state of Georgia., • Eight (8) or more years of job-related experience with four (4) or more years in nursing leadership to included experience at the director level or higher., • The ideal candidate is an experienced women's services executive (current VP, AVP, or CNO) who combines strategic vision with hands-on operational leadership. This individual must be highly visible, decisive, and comfortable leading in a complex, fast-paced academic essential environment., • Deep expertise in maternal-fetal and neonatal nursing operations., • Executive presence with the ability to lead in high-stakes clinical environments., • Strong collaborator with physicians and academic partners., • Skilled change leader able to elevate performance and culture simultaneously., • Data-driven, quality-focused, and operationally disciplined., • Passion for health equity and serving vulnerable populations. The Organization: Since Grady first opened in 1892, we have continually reinvented ourselves to meet the region's evolving medical needs. In the 1890s, that meant providing the same quality of care for rich and poor, black and white. In the 1920s, it meant performing Georgia's first open-heart surgery. In 2013, it meant creating the first neurological surgical suite within a dedicated stroke center to remove blood clots from the brains of stroke victims. Tomorrow, it will be something we can barely imagine. You may know Grady as one of the nation's best trauma centers. We save people who've been severely hurt in car accidents, industrial mishaps, and other trauma incidents, 24/7. But there's another side to us. The side that heals disease, cares for burns, corrects injuries, treats sniffles. Our physicians, who are in the faculties of Emory and Morehouse medical schools, provide Grady patients with unparalleled care in specialties like cancer, urology, cardiology, neurology, and chronic disease - as well as the more routine, like family medicine and senior care. And we provide this care at Grady Hospital, the Correll Pavilion, and through six (soon to be eight) facilities inside and outside of the Perimeter. Whatever the need, Grady fulfills it - even as we continue to raise the bar for medical care in the region. The world's leading physicians come to Grady to practice here, teach here, and save patients whose conditions are beyond the capabilities of other hospitals. The Location: Atlanta was founded in 1837 as the end of the Western & Atlantic railroad line (it was first named Marthasville in honor of the then-governor's daughter, nicknamed Terminus for its rail location, and then changed soon after to Atlanta, the feminine of Atlantic -- as in the railroad). Today the fast-growing city remains a transportation hub, not just for the country but also for the world: Hartsfield-Jackson Atlanta International Airport is the world's busiest in daily passenger flights. The city has emerged as a banking center and boasts the third largest concentration of Fortune 500 companies in the country. In the past two decades, Atlanta has experienced unprecedented growth -- the official city population remains steady, at about 420,000, but the metro population has grown in the past decade by nearly 40 percent, from 2.9 million to 4.1 million people. Please direct all inquiries, applications, and referrals to: Richard Heishman About B.E. Smith Leadership Solutions, Executive and Physician Leadership Search B.E. Smith Leadership Solutions, Executive and Physician Leadership Search, is a retained executive search firm serving the healthcare and life sciences industries. Ranked as one of the top healthcare recruiting firms in the country, B.E. Smith Leadership Solutions, is known for leading healthcare into the future by its growing base of clients across the country, drawing on a national pool of candidates. #BESRecruitment #LI-RH1 Facility Location With its alluring charm and energetic buzz, Atlanta beckons newcomers from near and far. Part Southern belle, part economic powerhouse, the capital of Georgia is a favorite destination for travel nurses in search of career-boosting assignments, while the city's numerous entertainment options and warm Southern hospitality make it a great place to call home. Job Benefits About the Company At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Women's Services, Women's, Obstetrics, Women's and Children's, Women's and Children, OB, Labor & Delivery, Labor and Delivery, L&D, L & D, Maternal Child, Maternity, Perinatal, Women's Health, Women's Service Line, Women's and Family Services, Postpartum, MCH, Family Birth, Child Birth, Mom/Baby, Mom and Baby, Mom & Baby, M&B, M & B, Womens, Womens Services, Womens and Childrens, Womens and Children, Womens Health, Womens Service Line, Womens and Family Services

Job Title: Medical Claim Review Nurse Location: 100% Remote Duration: 3 to 6 Months+ (Opportunity for ext. / based off performance/evaluation and team needs/budget) Schedule: 40hr- Must work PST hours. Once trained and working independently, select a shift between 6:00 am to 6:00 pm, Monday through Friday. Job summary: · Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Client policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. Essential job duties: · Facilitate clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. · Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Client policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. · Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. · Resolves escalated complaints regarding utilization management and long-term services and support (LTSS) issues. · Identifies and reports quality of care issues. · Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. · Prepares and presents cases representing Client, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. · Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. · Supplies criteria supporting all recommendations for denial or modification of payment decisions. · Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. · Provides training and support for clinical peers. · Identifies and refers members with special needs to the appropriate Client program by applicable policies/protocols. Must Have Skills: · Hospital clinical experience Hospital Itemized Bill Review (charge line review) Claims knowledge (UB04 and 1500) Coding knowledge (DRG, CPT, HCPCS, Diagnosis and Procedure codes) Chart Audit for coding and medical necessity CMS and State specific knowledge (ability to research by state and line of business, meaning Medicaid, Medicare, Marketplace) Production environment. Required qualifications: · At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. · Registered Nurse (RN). License must be active and unrestricted in state of practice. ? · Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). · Experience working within applicable state, federal, and third-party regulations. · Analytic, problem-solving, and decision-making skills. · Organizational and time-management skills. · Attention to detail. · Critical-thinking and active listening skills. · Common look proficiency. · Effective verbal and written communication skills. · Microsoft Office suite and applicable software program(s) proficiency.

Effectively directs the activities of the inpatient units and evaluates the appropriateness and effectiveness of patient care during assigned shift or other established time frame and keeps the Chief Nursing Officer and other supervisors abreast of significant events or problems.

Effectively directs the activities of the inpatient units and evaluates the appropriateness and effectiveness of patient care during assigned shift or other established time frame and keeps the Chief Nursing Officer and other supervisors abreast of significant events or problems.

Moreover, a dedicated customer service team is in place to address inquiries regarding benefits and resources to ensure consultants receive the support they need.

Job Description Job Summary: The Home Health Development Officer is responsible for driving the growth and sustainability of the organization’s home health services. This role combines strategic business development, community engagement, and operational oversight to ensure compliance, quality care delivery, and financial performance for Suncrest Home Health. Reports to the Chief Medical Officer Duties/Responsibilities: • Identify new business opportunities and partnerships to support organizational growth., • Develop and implement strategies to expand home health services and market share., • Build and maintain relationships with referral sources, including physicians, hospitals, and community organizations., • Collaborate with clinical leadership to ensure compliance with state and federal regulations., • Monitor quality assurance programs, patient satisfaction, and performance metrics., • Strong knowledge of CMS regulations, OASIS, and accreditation standards., • Proven track record in fundraising, grant writing, and community engagement., • Bachelor’s degree in Nursing, Healthcare Administration, Business, or related field (Master’s preferred)., • Minimum 5 years of experience in home health, healthcare management, or business development., • Strong leadership and supervisory skills., • Excellent communication and interpersonal skills., • Proficiency in using office software, electronic health records, and scheduling systems. • Ability to work under pressure and maintain composure during busy periods. Physical Requirements: • Frequent exposure to communicable diseases and other conditions common in a clinic environment., • Prolonged periods of sitting and standing., • Occasional lifting and carrying of office supplies or materials. The employee signature below indicates the employee's understanding of the requirements, essential functions, and duties of the position.

Job Description Job Title: Nurse Practitioner Reports To: CMO Position summary: Works in coordination with members of the medical team to provide selected supervised patient services. Assesses and evaluates nursing care provided by team members. Develops high-quality nursing intervention for the individual patient and/or patients and/or family. Makes physical appraisal and thorough assessments of health care needs. Plans and administers nursing care that strives to match his/her skill level. Does anticipatory guidance and health counseling. Requires use of independent judgment. To be directly responsible to the Director or designee in charge regarding nurse practitioner management and responsible to the Chief Medical Officer. Detailed Description Of Position Duties: • Obtain a health, and psychosocial history and report findings in systematic, accurate, and succinct form., • Performs those routine medical treatments and diagnostic procedures for which he/she is qualified by training and which fall within the normal scope of practice for said position., • Order/perform and interpret routine laboratory tests., • Develops a health promotion and maintenance plan; including disease prevention and health education and counseling., • Provides assessment, education, and management for patients/families., • Provides care for selected complicated patients as directed by the physician; and arranges referrals as needed to other members of the health-care team., • Guides, and develops skills and nursing intervention in the team area., • Participates in promoting community health through the performance of physical appraisals and screening procedures in outside agencies., • Establishes priorities., • Carries out many procedures exercising independent judgment., • Periodically participates in peer review or medical records audits., • Keeps records of activities and performances of Nursing Staff., • Attends and participates in team conferences and meetings as required., • Develops and provides in-service education for staff., • Has training in all phases of nursing., • Has excellent personal manner in meeting and caring for patients., • Has the ability to work with doctors and nurses., • Has the ability to follow instructions and make reports., • Has the ability to counsel patients, parents, and friends of patients., • Has the ability to interpret laboratory data and spot problem areas. Must have a license; three (3) years of experience preferred. A registered nurse who has satisfactorily completed a formal family nurse practitioner educational program. Two (2) years of supervisory experience desired. Current nurse’s registration by Georgia Board of Nursing.

Job Description JOB TITLE: Licensed Clinical Social Worker GENERAL DESCRIPTION OF POSITION: Reports to Chief Medical Officer or his/her designee. Utilizes professional social work skills in collaborating with other members of the medical team. To prevent or ameliorate related psychosocial problems. To ensure the patient-related and clerical functions of Social Services are executed in a timely and efficient manner. Resolves social, emotional and psychological problems of patient/family which may interfere with goals of the medical treatment plan by either working with patient/family directly or by providing advice and assistance to responsible staff members. DETAILED DESCRIPTION OF POSITION DUTIES: 1. Refers patients to federal, state and city agencies., 2. Interviews patients/families., 3. Makes referrals for needed resources and services., 4. Coordinates referrals from outside agencies to Southside Healthcare, Inc., 5. Develops knowledge of Joint Commission audit procedures for ambulatory health care facilities and social services., 6. Provides crisis intervention for acute situations, i.e., locating emergency housing emergency services, housing, etc., 7. Assists the Performance Improvement initiative by developing and implementing Performance Improvement indicators with appropriate follow up monitoring., 8. To assist in resolving psychosocial problems which may interfere with medical treatment or rehabilitation of the patient/family., 9. Provides case management services and documents such activity in the case record., 10. Maintains an updated file of community agencies and programs., 11. Coordinates volunteer activities as needed., 12. Makes appropriate community/home visits to better ascertain the patient/family environment., 13. Prepares periodic reports on caseloads, visits, etc., 14. Serves as resource person to other staff members by providing advice and assistance in meeting the social needs of the patients., 15. Counsels patients referred internally in need of assistance such as housing, food stamps, Medicaid, Medicare, SSI and other federal and state assistance programs., 16. Contributes to the administrative planning of a social service department., 17. Assures that a planned and systematic process exists for monitoring and evaluating the quality and appropriateness of patient care services and attempts to resolve identified problems., 18. Serves as liaison between patients, their agency social workers (DFACS), employers, community resources, etc., 19. Makes referrals to Protective Services for child/adult abuse, or suspected abuse., 20. Prepares monthly statistical reports., 21. Serves on various community committees as time permits., 22. Provides on-going supportive maintenance to clients as appropriate and provide home visits and outreach calls where appropriate., 23. May assist in preparing budgets and writing proposals for grants. Participates in intra-department and clinic meetings as appropriate., 24. Responsible for continuing education to maintain and further develop knowledge and skills as well as to make appropriate professional requirements., 25. Receives assignments on referral basis from various intra-departmental personnel, i.e., medicine, nursing, home health., 26. Have periodic scheduled meetings with the Director or Designee to review progress and establish goals and objectives., 27. Perform other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES: 1. Knowledge of agency policies and procedures relative to social work to provide services within approved parameters., 2. Knowledge of eligibility criteria for federal and state services such as Medicare, Medicaid, Presumptive Eligibility, Advanced Directives, SSI, Welfare, Veterans benefits, etc. To assist patients/families to receive benefits to which they are entitled., 3. Knowledge of community resources and facilities to make appropriate referrals to assist patient/family., 4. Knowledge of counseling techniques to provide adequate counseling to patient/families., 5. Ability to be compassionate, understanding and flexible., 6. Considerable knowledge of the physical and psychological needs of individuals and families; of cultural factors and belief systems which may affect family lifestyle; of family dynamics; of techniques of interviewing a variety of persons to obtain needed and confidential information; of counseling principles and techniques., 7. Knowledge of guidelines for the provision of protective services; of current social and economic conditions; of available community agency resources; of the legal system and the procedures for legal protection of clients, as patients, and Southside Healthcare, Inc., as a health care facility., 8. Considerable skills in oral and written communication in a clear and concise manner; in providing crisis intervention; in documenting in the case record social services data, facts, observations, contacts, findings and recommendations; in developing service plans; in providing intensive case work services to clients including locating and coordinating specific services to meet client’s needs; in ready and comprehending material of varying levels of complexity. MINIMUM REQUIREMENTS: Master degree in Social Work from an accredited school of Social Work. Should be licensed as a clinical social worker by the State of Georgia. Two (2) years (minimum) casework experience in a home health or health care institution that has dealings, but not limited to, child welfare agencies, psychiatric clinic, and/or family counseling agencies. Knowledge of psychiatric and medical terminology. Ability to make decisions during crisis situations. Lecture/instruct/supervise social services student interns. Involves walking, sitting, standing intermittently during the day. Ability to drive a car is desirable. TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time. Occasional bending stretching of lifting. May require contact with individuals with communicable diseases. May require assistance in restraining violent individuals weighing anywhere from 100-300+ pounds. Requires ability to drive to work under high stress conditions for long periods of time. Ability to hear normal range of voice. Ability to prepare written reports and use telephone equipment. Requires ability to drive to patient homes or outpatient clinics and to negotiate housing not designed for handicap access. TYPICAL WORKING CONDITIONS: Normal office environment. Occasional exposure to communicable diseases and other conditions in a clinic environment.

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