Tuesday, October 30, 2007
HCM Program Growth
It is exciting to post that we currently have 72 students enrolled in the health care management program. We have approximately 23 students that enroll in the oline HM courses on a regular basis as we progress through the core HM courses. Last quarter we completed HM 110 US Health Systems, and this quarter we are completing HM 150 Health Politics and Policy. It is enjoyable to watch students learn to think as health care managers and begin to understand the complexities of the US health care system.
Wednesday, October 24, 2007
Key To Using Job Posting Links on this Blog
To find Health Care Management positions using the links identified in the upper left corner of this blog, you will need key words to find job opportunities listed by the organizations. When you enter the link, use the following key words to drill down for job announcements: Professional, manager, managerial, supervisory, non-manager. In some instances you can also identify locations. You need to open listings to determine job descriptions, educational requirements, and experience.
Seldom will you find a position titled 'health care manager.' Once you become familiar with the link, you may find postings such as 'project manager,' 'project director,' 'program lead,' 'program director,' 'clinic manager,' 'ancillary department director', 'associate director', analyst, and coordinator. These are only a few examples of key words used to find health care manager positions.
Remember, it is valuable to become familiar with the job links, and it is valuable to call and schedule an 'informational interview' with the Human Resource person for the organization. Health care organizations and businesses are very interested in talking with potential graduates in health care management at the bachelor degree level.
Seldom will you find a position titled 'health care manager.' Once you become familiar with the link, you may find postings such as 'project manager,' 'project director,' 'program lead,' 'program director,' 'clinic manager,' 'ancillary department director', 'associate director', analyst, and coordinator. These are only a few examples of key words used to find health care manager positions.
Remember, it is valuable to become familiar with the job links, and it is valuable to call and schedule an 'informational interview' with the Human Resource person for the organization. Health care organizations and businesses are very interested in talking with potential graduates in health care management at the bachelor degree level.
Begin Developing Your HCM Job Network
There are 4 MAJOR EMPLOYMENT SECTORS in the Health Care Management Field:
1) Health Care Providers
a. hospitals
b. group physician practices
c. clinics
d. nursing homes
e. outpatient care centers
f. mental health organizations
g. rehabilitation centers
2) Health Care Suppliers
a. biotechnology companies
b. pharmaceutical firms
c. health care management companies (ex:consulting)
d. educational organizations (American Hospital Assn; American Nursing Assn)
3) Insurance Organizations
a. health maintenance (HMO's)
b. preferred provider orgs (PPO's)
c. private insurance tht caters to health care market
d. state and federal health insurance programs (medicare, medicaid,etc)
4) Policy Organizations
a. federal, state, and county departments
b. public health
c. non-profit organizations
d. health oriented mission organizations
If you want to learn more about a specific area related to health care management, it is beneficial to schedule an 'informational interview' with the Human Resource person of the organization you would like to investigate. Get your name in front of the HR person as you build your job network for the future.
If you have any questions, you may contact me or an advisory board member, who will be more than willing to provide advice to you.
1) Health Care Providers
a. hospitals
b. group physician practices
c. clinics
d. nursing homes
e. outpatient care centers
f. mental health organizations
g. rehabilitation centers
2) Health Care Suppliers
a. biotechnology companies
b. pharmaceutical firms
c. health care management companies (ex:consulting)
d. educational organizations (American Hospital Assn; American Nursing Assn)
3) Insurance Organizations
a. health maintenance (HMO's)
b. preferred provider orgs (PPO's)
c. private insurance tht caters to health care market
d. state and federal health insurance programs (medicare, medicaid,etc)
4) Policy Organizations
a. federal, state, and county departments
b. public health
c. non-profit organizations
d. health oriented mission organizations
If you want to learn more about a specific area related to health care management, it is beneficial to schedule an 'informational interview' with the Human Resource person of the organization you would like to investigate. Get your name in front of the HR person as you build your job network for the future.
If you have any questions, you may contact me or an advisory board member, who will be more than willing to provide advice to you.
Monday, October 8, 2007
Care Management or Integrated Health
Wall Street Journal Sunday edition had an article by M.P.McQueen on Health Costs.
In essence, large companies like Ford, PepsiCo have contracted with Care Managers to work with employees and workers help manage their medical care, right down to adding services that arrange for doctor's second opinions and suggest specialists and hospitals.
The article claims Care Managment to be the BIG trend in employer-sponsered health sphere.
On the positive side, care mangers use latest techniques like data-mining and reviewing best practices to help patients and reduce cost by recommending less invasive and less expensive procedures and drugs.
On the flip side, patients can easily find care managers to be intrusive. Also, can patients trust care managers hired by employers or in other words, are employers motives purely altruistic?
Interesting article raising very legitimate concerns.
Thoughts?
In essence, large companies like Ford, PepsiCo have contracted with Care Managers to work with employees and workers help manage their medical care, right down to adding services that arrange for doctor's second opinions and suggest specialists and hospitals.
The article claims Care Managment to be the BIG trend in employer-sponsered health sphere.
On the positive side, care mangers use latest techniques like data-mining and reviewing best practices to help patients and reduce cost by recommending less invasive and less expensive procedures and drugs.
On the flip side, patients can easily find care managers to be intrusive. Also, can patients trust care managers hired by employers or in other words, are employers motives purely altruistic?
Interesting article raising very legitimate concerns.
Thoughts?
The "missing class" of people
The are 34 million people in the United States who meet the 'poverty' criteria to receive assistance for health care services. There are 53 million people who do not qualify for assistance because they have an annual income between 20K and 40K per year (family of four).
In reviewing this group of people who pay their taxes, and assume responsibility for raising their children, they do not qualify for health care assistance based on their gross income. According to recent literature, these families strive to participate in "middle class" dreams, but cannot affor to pay for their health care insurance. They are being referred to as the "missing class" or families that get overlooked in their struggle to maintain a quality of life for their family.
Let's hope that we don't see more and more families slide into the "missing class" and have access to health care services.
In reviewing this group of people who pay their taxes, and assume responsibility for raising their children, they do not qualify for health care assistance based on their gross income. According to recent literature, these families strive to participate in "middle class" dreams, but cannot affor to pay for their health care insurance. They are being referred to as the "missing class" or families that get overlooked in their struggle to maintain a quality of life for their family.
Let's hope that we don't see more and more families slide into the "missing class" and have access to health care services.
Wednesday, October 3, 2007
Have a degree? A Veteran? UnitedHealth Group Position
At UnitedHealth Group, we are a healthy business in more ways than one. We are a Fortune 100 company identified as the first or second most admired company in the health care industry by rankings published in Fortune magazine since 1995. We also have the privilege each day – directly or indirectly – to make a significant difference in someone's life. Sound like a rare combination? It is. Join us and you’ll be inspired to discover your own mix of professional advantages and personal rewards.
Director, Government Programs (Military & Veterans Health Services):
This position provides leadership, management skills and utilization of outside resources to accomplish the goals and objectives that translate into profitable lines of Military & Veterans Health Services business for the corporation.
Develops strategic and tactical business plans for military health including operational goals, performance targets, profitability targets and SG&A.
Organizes and leads the efforts of department managers across UHG to achieve effective and efficient coordination of all departments.
Develops an organization structure, operational standards, and policies and procedures to meet the objectives of overall operations.
Recruits and hires qualified staff and provides for their training and development.
Sets performance expectations and goals, evaluates performance results, provides feedback to managers and administers appropriate rewards.
Fosters a cohesive and supportive team environment.
Prepares and is accountable for the product operations budget.
Monitors spending levels against the plan and takes corrective action as needed to ensure operational objectives are met within established spending limits.
Reviews the product design and pricing on an annual basis to maintain a competitive position.
Maintains working knowledge of defense regulations, the managed care industry, the competitive environment, pertinent legislation, etc.
Establishes and maintains a high profile in the health care community by serving on various boards, committees, and task forces at county, city, state and federal levels to gain credibility in the health care community and influence public policy as it affects military and veterans programs.
Establishes and maintains a continuous liaison with federal officials and legislators to gain direct access and input on legislative and administrative issues affecting the financial and enrollment success of the military and veterans programs.
Qualifications
Bachelor's degree or equivalent work experience.
Master's degree preferred.
Eight plus years experience in a managed care or health insurance industry desired.
Previous military or veterans health experience preferred.
Six plus years management experience in a managed care/insurance environment preferred.
Knowledge of defense regulations and standards preferred
Extensive understanding of goals, processes, procedures, jobs and dynamics of managed health care.
Ability to travel.
Adept at understanding complex concepts and situations presented by the business environment.
Quickly assesses complex problems and selects the appropriate solution. Possesses very strong consultative skills.
Influences much of the business through direction of teams.
Decisions made effect the profitability of the business segment.
Knows products and services sold in their market.
Clearly explains the difference between products.
Selects the correct product or service for the customer's situation.
Sees trends in products and services.
Possesses expert underwriting, financial and analytical skills.
Leads teams in any project related to the selling environment.
Gives directions and brings the project to fruition.
Develops work plans to effectively manage projects.
Translates business strategies into clear objectives.
Builds internal networks and consensus to shape decisions of upper management.
Builds and maintains positive, constructive working relationships with senior levels as well as internal and external customers.
Balances the big-picture concerns with day-to-day activities.
Links business operations and business plans to that of broader organization. Identifies critical high-payoff strategies.
Solid understanding of the company's mission, strategy, strengths and weaknesses
Director, Government Programs (Military & Veterans Health Services):
This position provides leadership, management skills and utilization of outside resources to accomplish the goals and objectives that translate into profitable lines of Military & Veterans Health Services business for the corporation.
Develops strategic and tactical business plans for military health including operational goals, performance targets, profitability targets and SG&A.
Organizes and leads the efforts of department managers across UHG to achieve effective and efficient coordination of all departments.
Develops an organization structure, operational standards, and policies and procedures to meet the objectives of overall operations.
Recruits and hires qualified staff and provides for their training and development.
Sets performance expectations and goals, evaluates performance results, provides feedback to managers and administers appropriate rewards.
Fosters a cohesive and supportive team environment.
Prepares and is accountable for the product operations budget.
Monitors spending levels against the plan and takes corrective action as needed to ensure operational objectives are met within established spending limits.
Reviews the product design and pricing on an annual basis to maintain a competitive position.
Maintains working knowledge of defense regulations, the managed care industry, the competitive environment, pertinent legislation, etc.
Establishes and maintains a high profile in the health care community by serving on various boards, committees, and task forces at county, city, state and federal levels to gain credibility in the health care community and influence public policy as it affects military and veterans programs.
Establishes and maintains a continuous liaison with federal officials and legislators to gain direct access and input on legislative and administrative issues affecting the financial and enrollment success of the military and veterans programs.
Qualifications
Bachelor's degree or equivalent work experience.
Master's degree preferred.
Eight plus years experience in a managed care or health insurance industry desired.
Previous military or veterans health experience preferred.
Six plus years management experience in a managed care/insurance environment preferred.
Knowledge of defense regulations and standards preferred
Extensive understanding of goals, processes, procedures, jobs and dynamics of managed health care.
Ability to travel.
Adept at understanding complex concepts and situations presented by the business environment.
Quickly assesses complex problems and selects the appropriate solution. Possesses very strong consultative skills.
Influences much of the business through direction of teams.
Decisions made effect the profitability of the business segment.
Knows products and services sold in their market.
Clearly explains the difference between products.
Selects the correct product or service for the customer's situation.
Sees trends in products and services.
Possesses expert underwriting, financial and analytical skills.
Leads teams in any project related to the selling environment.
Gives directions and brings the project to fruition.
Develops work plans to effectively manage projects.
Translates business strategies into clear objectives.
Builds internal networks and consensus to shape decisions of upper management.
Builds and maintains positive, constructive working relationships with senior levels as well as internal and external customers.
Balances the big-picture concerns with day-to-day activities.
Links business operations and business plans to that of broader organization. Identifies critical high-payoff strategies.
Solid understanding of the company's mission, strategy, strengths and weaknesses
Client Relations/Park Nicollet/One Year College Required
Specialist, Client Relations
Job ID #: 20577 Location: Park Nicollet Clinic--Airport (Occupational Medicine), Minneapolis
Position Category: Administrative / Clerical Department: Airport Ohsm Bus Health 2011
Employment Type: Full Time Education Required: High School Diploma or equivalent (GED)
Experience Required: 1+ years Union Representation: Non-Union (100)
Work Schedule m-f, days
Position Summary
Gains and communicates a deep knowledge of OHSM business customers accessing PNC-Airport primarily by telephone. Coordinates standardized quality occupational health services required by client companies and provides results of services to the company in a timely and effective manner. Provides account maintenance for customers with standardized service needs including accurate customer profiles for products, services, pricing and demographics.
Education/Experience:
Experience in customer relations and health services is desired. Must have the ability to attend to detail, assess and follow up on problems using a team based approach. Able to work independently as well as in a team with minimum supervision. Minimum one year of college preferred.
Special Knowledge/Skills/Certifications/Licenses:
Excellent verbal and written skills
Knowledge of occupational health standardized products
Computer proficiency
Excellent customer service skills
Ability to prioritize work to meet customer needs
Additional Information
The Organization
Rooted in suburban Minneapolis, Minnesota, Park Nicollet Health Services (PNHS) is an integrated health care delivery organization. The two largest entities that comprise PNHS are Park Nicollet Methodist Hospital, a 426-bed community hospital located in St. Louis Park, and Park Nicollet Clinic, a 500-plus, physician multi-specialty group with 25 offices in Minneapolis and its southern, western, and northern suburbs. PNHS truly is an integrated system, as processes of care are designed and managed across these entities to optimize the delivery of care for the patients and communities served.
Park Nicollet Mission, Vision and Values
Mission:
Our mission is to care for and support the health, healing and learning of those we serve.
Vision:
Everyone caring, every day, creating with the individuals we serve, optimal health and greater value.
Values:
Excellence is the standard we apply to our work, achieving best possible outcomes and upholding the highest professional standards.
Caring is our heartfelt motivation to serve our patients and create the best possible experience.
Stewardship is our commitment to create ever greater value with the resources entrusted to us.
Joy is what we experience when serving our patients and each other through a job well done.
Learning is the way we continually improve and create knowledge and value that can be shared.
What makes us unique?
Park Nicollet Health Services is a strong, stable and organically grown multi-specialty group practice within the affluent and highly educated western Twin City metropolitan area. PNHS has a long-standing commitment to quality, proficiency and stewardship, and has embarked on a pioneering effort to study, adopt and integrate the Toyota Production System’s Lean Methodology (Kaizen), enhancing previous gains realized from its Six Sigma efforts. Although PNHS has developed and engaged in strong business partnerships with local competitors, having a single hospital focus adds to its list of strengths and advantages. PNHS was one of the first integrated healthcare systems in the nation to adopt a unit medical record that is now electronic and ubiquitous.
To learn more about our organization, including our award winning care, please visit our website at www.parknicollet.com.
Job ID #: 20577 Location: Park Nicollet Clinic--Airport (Occupational Medicine), Minneapolis
Position Category: Administrative / Clerical Department: Airport Ohsm Bus Health 2011
Employment Type: Full Time Education Required: High School Diploma or equivalent (GED)
Experience Required: 1+ years Union Representation: Non-Union (100)
Work Schedule m-f, days
Position Summary
Gains and communicates a deep knowledge of OHSM business customers accessing PNC-Airport primarily by telephone. Coordinates standardized quality occupational health services required by client companies and provides results of services to the company in a timely and effective manner. Provides account maintenance for customers with standardized service needs including accurate customer profiles for products, services, pricing and demographics.
Education/Experience:
Experience in customer relations and health services is desired. Must have the ability to attend to detail, assess and follow up on problems using a team based approach. Able to work independently as well as in a team with minimum supervision. Minimum one year of college preferred.
Special Knowledge/Skills/Certifications/Licenses:
Excellent verbal and written skills
Knowledge of occupational health standardized products
Computer proficiency
Excellent customer service skills
Ability to prioritize work to meet customer needs
Additional Information
The Organization
Rooted in suburban Minneapolis, Minnesota, Park Nicollet Health Services (PNHS) is an integrated health care delivery organization. The two largest entities that comprise PNHS are Park Nicollet Methodist Hospital, a 426-bed community hospital located in St. Louis Park, and Park Nicollet Clinic, a 500-plus, physician multi-specialty group with 25 offices in Minneapolis and its southern, western, and northern suburbs. PNHS truly is an integrated system, as processes of care are designed and managed across these entities to optimize the delivery of care for the patients and communities served.
Park Nicollet Mission, Vision and Values
Mission:
Our mission is to care for and support the health, healing and learning of those we serve.
Vision:
Everyone caring, every day, creating with the individuals we serve, optimal health and greater value.
Values:
Excellence is the standard we apply to our work, achieving best possible outcomes and upholding the highest professional standards.
Caring is our heartfelt motivation to serve our patients and create the best possible experience.
Stewardship is our commitment to create ever greater value with the resources entrusted to us.
Joy is what we experience when serving our patients and each other through a job well done.
Learning is the way we continually improve and create knowledge and value that can be shared.
What makes us unique?
Park Nicollet Health Services is a strong, stable and organically grown multi-specialty group practice within the affluent and highly educated western Twin City metropolitan area. PNHS has a long-standing commitment to quality, proficiency and stewardship, and has embarked on a pioneering effort to study, adopt and integrate the Toyota Production System’s Lean Methodology (Kaizen), enhancing previous gains realized from its Six Sigma efforts. Although PNHS has developed and engaged in strong business partnerships with local competitors, having a single hospital focus adds to its list of strengths and advantages. PNHS was one of the first integrated healthcare systems in the nation to adopt a unit medical record that is now electronic and ubiquitous.
To learn more about our organization, including our award winning care, please visit our website at www.parknicollet.com.
Example of positions available...AA degree req'd/coding/Park Nicollet
Job ID #: 20020 Location: Westside Business Center, Hopkins
Position Category: Professional / Non-Leadership Department: Compliance Review & Education 8914
Employment Type: Full Time Education Required: Associate's Degree
Experience Required: 2+ years Union Representation: Non-Union (100)
Work Schedule Monday - Friday 7:30 a.m. - 4:30 p.m. (flexible)
Position Summary
The Compliance Educator position develops, coordinates, and leads education and training programs to Park Nicollet Clinic (PNC) providers, professional coders and other billing and business services departments on compliant documentation, coding, and billing to ensure the organization meets all coding, state and federal compliance requirements. The incumbent researches, analyzes, and responds to inquiries regarding compliance, coding, third party payors, Medicare/Medicaid, denials, and billable services. A highly visible position with extensive provider interaction and this role acts proactively to minimize compliance risk. Other duties include coaching and mentoring new physicians and other credentialed practitioners in coding, billing, and documentation requirements, being a resource for clinic managers and finance (billing) regarding coding and documentation requirements, alerts managers regarding possible compliance problems, and researches regulatory questions with Third Party payers and communicates those answers to appropriate department representative. This position requires expertise in reviewing documentation and determining CPT/HCPCS and ICD-9 diagnosis/carrier coding and billing guidelines/regulations. The individual must be detail oriented, organized, work successfully both independently and on team projects, be able to problem solve effectively, establish credibility and rapport with leaders/staff in multiple disciplines within the organization, and have the willingness to actively remain updated and current with changes in the field. In addition, the individual in this role must consistently exhibit sensitivity, integrity, the ability to adapt and support change quickly, and embrace continuous learning. Additional minimum requirements include successful completion of a coding certificate program and two years of coding experience in a health care organization. Must obtain a RHIA, RHIT, or CPC certification (CCS-P and/or CCS) within 6 months of hire.
Position Category: Professional / Non-Leadership Department: Compliance Review & Education 8914
Employment Type: Full Time Education Required: Associate's Degree
Experience Required: 2+ years Union Representation: Non-Union (100)
Work Schedule Monday - Friday 7:30 a.m. - 4:30 p.m. (flexible)
Position Summary
The Compliance Educator position develops, coordinates, and leads education and training programs to Park Nicollet Clinic (PNC) providers, professional coders and other billing and business services departments on compliant documentation, coding, and billing to ensure the organization meets all coding, state and federal compliance requirements. The incumbent researches, analyzes, and responds to inquiries regarding compliance, coding, third party payors, Medicare/Medicaid, denials, and billable services. A highly visible position with extensive provider interaction and this role acts proactively to minimize compliance risk. Other duties include coaching and mentoring new physicians and other credentialed practitioners in coding, billing, and documentation requirements, being a resource for clinic managers and finance (billing) regarding coding and documentation requirements, alerts managers regarding possible compliance problems, and researches regulatory questions with Third Party payers and communicates those answers to appropriate department representative. This position requires expertise in reviewing documentation and determining CPT/HCPCS and ICD-9 diagnosis/carrier coding and billing guidelines/regulations. The individual must be detail oriented, organized, work successfully both independently and on team projects, be able to problem solve effectively, establish credibility and rapport with leaders/staff in multiple disciplines within the organization, and have the willingness to actively remain updated and current with changes in the field. In addition, the individual in this role must consistently exhibit sensitivity, integrity, the ability to adapt and support change quickly, and embrace continuous learning. Additional minimum requirements include successful completion of a coding certificate program and two years of coding experience in a health care organization. Must obtain a RHIA, RHIT, or CPC certification (CCS-P and/or CCS) within 6 months of hire.
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