Healthcare Manager Salary in Billings, MT

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Performs other duties as assigned or needed to meet the needs of the department/organization.

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)• Refers patients to other health care providers and appropriate sources of care as necessary.• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.• Performs other duties as assigned or needed to meet the needs of the department/organization.

Under general supervision of the, Manager, Clinical Coordinator, Director and/or as delegated by the Registered Nurse, assists in the delivery of patient care throughout the Cancer Center or at any of our owned sites (for example, Bozeman, Miles City). Works within the scope of licensure as a licensed practical nurse. Applies identified evidence-based nursing practices consistent with national standards and which support quality outcomes. Works collaboratively with the interdisciplinary team to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the plan of care while maintaining professionalism.Essential Job Functions•Supports and models behaviors consistent with Billings Clinic Cancer Center and Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.•Becomes cross-trained in the following nursing specialties: Radiation Oncology, Supportive and Palliative Care, Medical Oncology, Gynecologic Oncology, Oncology Care Navigation, and Infusion.•Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.•Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.•Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.•Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.•Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.•Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.•Floats as needed within the Cancer Center.•Floats as needed to Bozeman Oncology.•Performs other duties as assigned or needed to meet the needs of the department/organization.•Maintains a minimum of 2 CE's for both breast cancer and stem cell education per year

As a member of the Pharmacy Leadership Team the Pharmacy Clinical Coordinator, is responsible for for leading, developing and implementing clinical pharmacy services to achieve optimal clinical outcomes. Develops objectives, policies, and procedures to formalize and implement the mission, vision, and values of Billings Clinic and the Pharmacy Department. Maintains the standards, customer relations, and practice within the Pharmacy and key stakeholders. Accountabilities include but are not limited to: -Provides leadership, serves as a role model and resource for staff, and direct supervision of staff-Ensure clinical pharmacy programs and services meet the highest standards of quality, safety, and high reliability to achieve optimal clinical outcomes-Serves as a liaison for provider and interdepartmental/intradepartmental relationships and coordinates cross-functional clinical initiatives-Participates and/or leads appropriate regulatory, clinical, and quality committees and/or initiativesEssential Job Functions• Works with manager to develop, expand and oversee pharmacy services locally and within the region to ensure adherence to organizational and departmental mission, vision, values, strategic goals, and business strategies. Responsible for promotion of, and adherence to corporate compliance program. • In collaboration with pharmacy, medical staff, administration, and health care providers, develops and implements short and long-range strategies. Also, leads, develops, and revises programs which enhance department and organization services. • Leads the growth and strategic development of pharmacy services in the overall marketing, program development, and service priorities. Coordinates with providers and other Billings Clinic leadership to assure continuity in pursing pharmacy and organizational goals and synergy in implementing plans and problem resolution. Coordinates and develops collaborative relationships with Billings Clinic departments. • Gathers, analyzes, and trends clinical, financial, and statistical data to evaluate and improve the quality of care, safe and reliable care, adverse outcomes, cost-effective pharmaceutical therapies, and service improvements. Develops, maintains and presents accurate, credible reports regarding patient outcomes associated with services and clinical, financial and quality impacts, as directed. • Practices process improvement principles to assess and improve the quality of the service/care provided within the department. Identifies issues/concerns relating to personnel, workflow, safety, medication errors, etc. and works collaboratively with the Manager to resolve. Formulates recommendations for appropriate cost-effective therapeutic alternatives to patients as appropriate • Maintains knowledge of current trends and development within healthcare and pharmaceutical therapies and pharmacy services. Reads and evaluates medical, pharmaceutical, and other literature to determine its scientific merit and applicability to the organization and pharmacy. Utilizes appropriate information resources to respond to various inquiries and information requests and resolve problems. Facilitates clinical consultation and clarification to medical staff and practitioners as appropriate. • Leads, recruits, develops, mentors, and retains a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide pharmacy services. Adheres to administrative policies and procedures relating to human resource management. Assists management with personnel, may include but not limited to: • Develops and implements orientation and educational programs for pharmacy service area. Develops, maintains, and assesses a standardized process for conducting training, education, and competency. Competency assignments, at a minimum, should cover basic pharmacy processes, policies, and protocols, as well as regulatory-required topics. • Coordinates education within pharmacy service area as appropriate for pharmacy learners.. Works closely with Pharmacy Leadership, Pharmacy staff, and others throughout the organization to ensure a positive learning environment. • Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic's goals and responsibility to achieve quality outcomes. • Knowledgeable and competent in certain pharmacy duties to assist in pharmacy service staffing. • Works with team(s) to meet regulatory and/or accreditation standards for pharmacy service area. Implements corrective action plans as needed. • Performs other duties as assigned or needed to meet the needs of the department/organization. In the absence of the Manager , may be required to assume the essential duties and responsibilities of the Manager

The Nursing Professional Development (NPD) practitioner is a registered nurse that exercises the knowledge, skills, and behaviors that reflects NPD practice judgment and expertise to influence professional role competence and growth of learners in a variety of settings. The NPD practitioner collaborates with the interprofessional healthcare team, stakeholders, and the learner with the desired outcome for improved population health. The NPD practitioner is responsible for applying knowledge and skills detailed in the Scope and Standards of NPD practice guided by the Nursing Professional Development Model. In addition, the NPD practitioner will support the organizational and nursing strategic plan by helping ensure goals and priorities align with patient care, staff needs, and organizational objectives to guide decision making and priority setting.Essential Job Functions• Learning Facilitator: Uses the educational design process and adult learning principles to bridge identified gaps in knowledge, skills, and/or practice.(Maloney & Harper, 2022)Gaps are identified through a variety of means (examples include environmental scanning, learning needs assessments, quality outcomes.)Is an expert in and a resource in the process of designing education.• Change Agent: Advocates for process change at all levels using change management strategies and theories.(Maloney & Harper, 2022)Supports the adaptation of new behaviors and processes in practice to drive desired outcomes.• Mentor: Advances the nursing profession and the NPD specialty by contributing to the professional development of others and supporting ongoing learning as individuals develop across practice, professional, and educational settings.• Leader: Influences the interprofessional practice and learning environments, the NPD specialty, the profession of nursing, and healthcare through creative problem solving and innovation.(Maloney & Harper, 2022)• Champion for scientific inquiry: Promotes the generation and dissemination of new knowledge and the use of evidence to advance NPD practice, guide clinical practice, and improve the quality of care for the healthcare consumer/partner. (Maloney & Harper, 2022)• Advocate for NPD specialty: Supports, promotes, and demonstrates nursing professional development as a nursing practice specialty. (Maloney & Harper, 2022)• Partner for practice transitions: Supports the transition of nurses and other healthcare personnel across learning and practice environments, roles, and professional stages (examples include transition to practice programs for new graduates, advanced practitioners, or transitioning into a new clinical practice area.)Evaluates nursing practice and identifies opportunities for modification that would enhance professional practice, maintain/improve patient care while remaining fiscally sound.• Onboarding/Orientation: Develops, coordinates, manages, facilitates, conducts, and evaluates clinical onboarding/orientation programs focused on retention and growth for nursing and other healthcare personnel.• Competency Management: Demonstrates expertise in competency management by accepting responsibility for measuring, documenting, and supporting the competency process through assessing, developing, coordinating, managing, facilitating, conducting, and evaluating competency continuums to address staff and team performance. (Maloney & Harper, 2022)• Education: Uses the education design process for planning, implementing, coordinating, and evaluating educational activities that address gaps in knowledge, skills, and/or practice for the target audience to achieve specific outcomes.Continuing nursing education - supports awarded continuing education contact hours based on the regulations and standards of the accrediting body.Interprofessional continuing education - promotes collaboration with other healthcare professionals to design, manage, implement, coordinate, and evaluate education when appropriate.• Role Development: Assists staff by coaching, coordinating, facilitating, conducting, and evaluating activities to navigate role transitions, role integration, skill acquisition, and succession planning (examples include the RN becoming a preceptor, charge nurse, leader, or joining a transition to practice program.)• Collaborative Partnerships: Seeks internal and external collaboration for opportunities to teach, coordinate, serve as liaison, and/or advise nurses and other learners regarding education and learning (examples include working with other healthcare/leadership professionals, community partners, emergency medical services, public health departments, disaster management services, academic partnerships.) (Maloney & Harper, 2022)• Inquiry: Promotes and applies professional curiosity using research, evidence-based practice, and quality improvement initiatives to discover, teach, practice, and integrate the best available evidence to transform healthcare delivery and outcomes. (AACN, 2019, p.3)• Personal Professional Role Competence and Growth:Demonstrates competence in knowledge, skills, and practice as outlined in the Nursing Professional Development Scope & Standards of Practice.Identifies personal needs and sets goals for own growth and development in collaboration with department manager.

Under general direction, is responsible for the operations of Medical Oncology, Navigation, and High Risk Breast Center Departments at Billings Clinic downtown campus. Responsibilities include personnel selection, development/mentoring, coaching/counseling, performance appraisal completion, disciplinary actions up to and including terminations as coordinate with Human Resources and leadership team, physician relationships, interdepartmental and intradepartmental activities, process improvement activities, customer relations, quality of service and fiscal control. Develops short and long-term strategic plan, objectives, policies, and procedures for department cost centers to formalize and implement the mission, vision, and values of Billings Clinic. Maintains the standards, customer relations, and practice in a designated service line. Additionally, the manager works with contracting facilities to provide services and billing to patients in rural communities. Manager is responsible for accreditation preparedness for the department and participation in Cancer Center sponsored events outside of daily work schedule, including but not limited to, Relay for Life and Survivor's BBQ. Essential Job Functions• Works closely with department chair dyad partner on short term and long term goals of the department in coordination with the director and medical director dyad team. This includes, but is not limited to, strategic planning of equipment needs, regional growth, treatment advancements, and accreditations. • Develops and oversees Medical Oncology Department at Billings Clinic downtown campus to ensure adherence to organizational mission, vision, values, strategic goals, and business strategies. Interprets and supports the mission and philosophy of Billings Clinic. Responsible for promotion of, and adherence to, the elements of Billings Clinic's Code of Business Conduct and corporate compliance program. • Is key stakeholder and decision-maker, in collaboration with department chair and director dyad, for service expansions and future medical oncology outreach sites and/or hubs. • Is a member of Cancer Committee and attends a minimum of 75% of meetings. Is responsible for creating and updating strategic and programmatic goals for Medical Oncology. • Travels a minimum of annually to other campuses for in-person needs assessments and evaluation of practice. • Conducts huddles in the department daily and attends daily leadership huddles in the Cancer Center. • Reviews and completes safety nets and feedback files promptly per policy. • Has knowledge of Billings Clinic Cancer Center accreditations standards as well as DNV accreditation standards and holds team to these standards. • Manages the operations of the medical oncology department including effective use of resources and assuring efficient patient and staff flow. Leads department in the overall marketing, program development, and service priorities. Coordinates with department chair, director dyad, and other Billings Clinic leadership to assure continuity in pursuing radiation oncology/organizational goals and synergy in implementing plans and problem resolution. • Plans appropriate staffing practices by maximizing the utilization of resources; forecasts and anticipates the personnel needs of the unit with regard to fluctuations in the patient workload; maintains staff at agreed upon budgetary standards. Recommends, implements and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative polices and procedures relating to human resources management. • Creates an environment in which personnel can realize personal growth and development through active participation in unit decisions, opportunities for professional growth and consistent application of personnel policies. • Assists with implementation and maintenance of all policies and procedures. Practices process improvement principles to assess and improve the quality of the radiation oncology program. Assures compliance with regulatory standards Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Adheres to national patient safety goals and prevents, minimizes and/or corrects risks to patients, families, physicians and other members of the health care team. Investigates unusual occurrences and follows appropriate procedures. Provides consultation for patient care related concerns and acts a patient advocate as needed. • Organizes ongoing communication between all health care providers regarding aspects of patient care and unit functioning. Acts to resolve conflicts in a timely manner. Develops collaborative relationships with physicians to enhance quality practice. • Develops, implements, and maintains a realistic, cost-effective annual budget. • Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent team members to provide care/services. Adheres to administrative policies and procedures relating to human resource management. • Maintains and displays an appropriate degree of clinical expertise. Acts as a resource for all levels of the health care team, other health care providers, patients and their families. • Prepares annual budget for medical oncology, navigation and the high risk breast center and monitors the financial performance of the department to assure a favorable contribution margin. • Provides leadership to the team and acts a resource responding to questions and assisting with problem resolution. Plans for effective orientation/training of new and current staff. Participates in and provides feedback into the human resource management functions of interviewing, hiring, coaching/counseling, disciplinary actions and performance appraisals. • Develops with the physicians and oversees completion and interpretation of quality and process improvement activities. • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. • Performs other duties as assigned or needed to meet the needs of the department/organization. • Creates and revises practice guidelines, policies, and procedures for Medical Oncology, Oncology Navigation, and High Risk Breast Center as required and/or needed.

May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.

Develops objectives, policies, and procedures for department cost centers to formalize and implement the mission, vision, and values of Billings Clinic. Maintains the standards, customer relations, and practice in a designated service line. Accountabilities include quality of services; short- and long-range planning to achieve goals and objectives; fiscal control; physician and interdepartmental/intradepartmental relations; personnel management.Essential Job Functions• In collaboration with physician leadership and other medical staff, administration, and other health care providers, develops and implements short- and long-range plans, and leads, develops and revises programs which enhance department services.• Leads department in the overall marketing, program development, and service priorities. Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing service line/organizational goals and synergy in implementing plans and problem resolution.• Develops, implements, and maintains a realistic, cost-effective annual budget.• Practices process improvement principles to assess and improve the quality of the service/care provided within the department. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance for department and ensures compliance of department and staff.• Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of Billings Clinic. Recommends, implements, and evaluates plans and systems that assure sufficient number of qualified and competent staff to provide care/services. Adheres to administrative policies and procedures relating to human resource management.• Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to Billings Clinic's goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.• Participates in evaluation, selection and integration of health care technology and information management systems that support quality of care/financial needs and the efficient use of resources.Minimum QualificationsEducation• Four (4) Year Bachelor's Degree in related service areaExperience• Two (2) years of experience in General Surgery or related service areaLicenses and Certifications• Current Montana/Wyoming driver's license and the ability to be insured to operate Billings Clinic vehiclesOr an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.

May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.

Under general supervision of the, Manager, Clinical Coordinator, and/or Director, assists in the delivery of patient care. Works within the scope of licensure or certification. Applies identified evidence-based clinical practices consistent with national standards and supports quality outcomes. Works collaboratively with the interdisciplinary team to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the care of the patient while maintaining professionalism.Essential Job Functions •Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.•Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching. Lead: Assisting with new policies and protocols. Assist with quality and process improvement. Assists in orientation and ongoing training of clinical staff.•Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license/certification.•Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. Lead: Write and update training manual, and staff competencies.•Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status. Lead: Ordering and maintaining appropriate medications and supplies for the department.•Utilizes performance improvement principles and improve the quality of patient care. Initiates and maintains quality measures as applicable to the department.•Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team. Lead: Coordinates with internal and external teams to support quality and access to care.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. Lead: Assists with clinical staff education requirements, licensure and applicable certification.•Participates in scheduling, to include approval of personal time off. Excludes extended leaves requiring leadership approval.•Maintains department communications through participation in huddles and models high reliability organizing principles.•Performs other duties as assigned or needed to meet the needs of the department/organization.