Director of Operations, Clinical Care Coordination, Hollywood

Director of Operations, Clinical Care Coordination

12 Days Old

Who we are:

IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients - 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1

With over 30 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services. If you are passionate about inspiring, motivating, and leading teams this opportunity could be for you and we want to hear from you!

Join our team as we strive for excellence through teamwork. We are committed to delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

Full time team members competitive compensation package, include but not limited to;

Medical, Vision, Dental, Short- and Long-term insurance
6+ Days of Holidays Pay
15+ days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Offering Hybrid Remote/Telecommute Work Schedule

What will you be doing:

The Director of Operations provides strategic and operational leadership for critical service functions within a Third-Party Administrator (TPA) environment at Integrated Home Care Services (IHCS) in Florida and Clinical Medical Services (CMS) operations in Puerto Rico. This role is responsible for ensuring the accurate and timely intake of service requests, appropriate utilization management process that is compliant with turnaround times and health plan / CMS guidelines, staffing assessments, streamlining operations/ communications required in UM and service delivery processes, verification of home health start of care (SOC), confirmation of durable medical equipment (DME) delivery, and customer escalations and resolutions. The Director also plays a pivotal role in new client implementations, improving operational efficiencies, coordinating project deliverables with PMO and business management operations, implementing new solutions and projects, leading operational onboarding and ensuring all associated requirements are executed efficiently and in alignment with client expectations.

What will you come with:

Bachelor's degree in healthcare administration, or a related field (Master's degree preferred).
Minimum of 3-5 years of operations leadership experience in healthcare, managed care, or TPA environment
Experience with client implementation and operational onboarding strongly preferred
Strong understanding of utilization management, medical necessity criteria, and regulatory compliance (e.g., CMS, NCQA, URAC).
Skilled in workflow design, metric tracking, and performance improvement methodologies (Lean/Six Sigma a plus)
Proficient in Microsoft Office, data dashboards. (Word, Excel, Powerpoint)
Excellent leadership, problem-solving, and decision-making abilities.
Strong communication and interpersonal skills for cross-functional collaboration

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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Location:: Hollywood
Job Type:: FullTime

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