Showing posts with label case management. Show all posts
Showing posts with label case management. Show all posts

Monday, April 4, 2011

Business Acumen Translates Effective Management of Human Capital and Resources

Today's organizational structures are becoming more and more complex. The globalization has emerged as the platform of a modern businesses. With the impact of workforce diversity as a main component of current market, there are dilemmas on the effectiveness of navigating the global organizational goals in every enterprise. 




Globalization became apparent that  there is a competency gap within the Human Resources Management and the Business Units in relation to business acumen. It became apparent that 'business acumen' is a deficiency in many HR organizations. 

Is 'business acumen' really a part of the Human Resources Management?  Many HR professionals' organizational purpose was to push and file papers that are brought into their desk.  Yes, it is time to transform this role and become a participant in the business arena. Acquire the skills and knowledge that reflect business mindset.

Strategically, if your objective was to maximize at  the fullest the capability and effectiveness of people who work in your organization. Then think and act strategically. Integrate both HR management and business principles into your environment.  This will require a demonstration of the financial acumen that relates to the human capital and looking into the bigger landscape of your organization. Aligning these to your overall business objectives that begins from business units to the top of the organization. 

When renaming my 'Generalist' as HR Business Partner, would it align my organization to having competencies with 'business acumen'?  It is suggested to review thoroughly the day-to-day functions of your Generalist. Majority of people in this role do not demonstrate a skill of a business partner. In the preceding  paragraph it provided some cues on  strategic mindset that integrate human capital, business, and bigger landscape.

Hiring HR Business Partner became  a fashion among many organizations that went out in droves advertising their need of a HR Business Partner.  They thought that there are zillions of people with that competencies. However, there were many unrealistic truth among organizations. When an organization advertises a job that calls a 'strategic mindset' the job functions do not measure up to the intended position because it asks for a tactically demonstrated skills plus some blurbs of partnerships and strategic.  These descriptions alone are factual evidence of lack of knowledge and competencies in defining what is a strategic role as HR Business Partner. 

©2011 JNTConsulting



Perspectives:

When your competencies are short to be in line with the current practices and trends of global business, invest on your self development and education. Seek the help of an experienced Coach in this field. This Coach can provide you with necessary yet practical guidance and acquaint you with realistic and pragmatic techniques. Learning is always a gateway of immeasurable opportunities.




For questions and additional inquiries, please send to info@jntconsulting.com or share your comments below. 



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Monday, June 7, 2010

Navigating Global Organizational Needs with Limited Experience

Lucille, the HR Manager of Global Company received a communication from her VP of Administration that three of her recently hired engineers will be sent to three different countries because their technical expertise will be needed in those locations.  John will to go Netherlands, Jeanne will go to India and Pam will go to Canada. 



While Lucille has been in her job for 2 years now, she never had a chance to deal with any outgoing professionals particularly to these countries.  She asked her co-worker Susan, HR Specialist who has been with the organization over 5 years  if she has any knowledge of doing any of this,. Unfortunately, Susan did not have any experience as she was involve mostly in local recruitment hiring, interview scheduling and other HR administravia.

She put the communication on her desk for the day. While working on other things, she was baffled on what she will need to do about it.  It was noted that the three individuals must be at their destination within the next 15 days and end of the month is the latest. 

Before the end of the day, she went to ask her VP if the named individuals have been briefed about their new work location.  She was told that initially their immediate managers have discussed the possibilities but the HR Manager will drive the logistics and make it happen. While Lucille notified her Boss with honesty that she did not have any experience in this area. She was told that she will find a way to make this happen.  

Lucille went home nervous, confused on what to do.  She made some research on the internet. She found several websites however, the information was complex and each country is different. She looked at several fora however, she cannot find exactly some information that relates on specific goals for each individual. 

Lucille was challenged by this endeavor, while she wouldn't like to be viewed as irresponsible. The following day she called her friend Mary, a fellow HR Manager.  Mary advised her to bring on a Consultant in Relocation.  However, Mary further emphasized that she would be very careful in speaking with Relocation Consultant as there are many of them with that position title but they have not done an actual relocation management experience. Most of them are Relocation Consultants that are focused in real estate business, moving household goods, pets and transportation - these are only small parts of the relocation and not the whole picture. Each of them like your money and offer you their individual services. The next time you know you will be dealing with 10 different company representatives. "You will need someone who have actually managed relocation of employee from offer letter package up to the transitional adjustments and then repatriation. And someone who actually worked with people internationally in those countries and they work as your Partner and a Team Manager".

Mary offered her assistance to Lucille by providing her additional insights.  Lucille started interviewing company representatives whom she sourced, however no one among the people she spoke within the popularly known organization have actually done the complete scenario which was given by Mary.  A week is over and did not find the right partner.

Lucille began working with the individuals who will be relocated.  With her meeting with Pam (who was going to Canada) the employee asked if Lucille have assigned a company to work with.  

Lucille admitted, she cannot find an experienced company but continue to locate.  Pam encouraged Lucille to contact JNT Consulting ... they are in the internet.  Lucille told Pam that she came across the name but did not call because they are not one of the big organizations with advertisements.  Pam replied, it is not the big name and advertisement that works it is the actual knowledge and experience in this area. What is important is they are available to speak with and guide you along the way. I have heard many horror stories among expats about the big companies that relocated them especially when I was in Netherlands.

Pam shared her experiences with JNT Consulting.. "at the other organization I worked with previously, I was sent to the Netherlands for 2 years. I met JNT Consulting there and they managed all of the company requirements and my family's needs.  I did not experience any problem at all. My family and I went to the Netherlands smoothly and we were very happy.  They provided me with guidance on the cultural adjustments, pre-departure information, logistics and planning, they provided caring people that I worked with flawlessly. At any time, you can speak to people in that company - no passing around by pressing buttons on different extension numbers when you call. Their President is also available to speak with you when others are busy with other things. All individuals involved in my relocation knows everything that took place and next stage that will be taking place.  They provided me with additional information that makes you become successful with minimal stress, about the city, its amenities and compliance to local and tax regulations. They assisted me in finding a school for my two kids, introduced me to groups of locally based organizations that we can relate with culturally. They were there when we planned to repatriate.  Like when we moved to the Netherlands, we moved back to USA without any complaints.  In fact, many employees at Global Company that were relocated by JNT Consulting spoke highly about their experience and professional guidance that they got from them. Their proprietary 'Relocation Guide Booklet' was an excellent resource for me.  My former company had expats in many countries and visiting workers from and to these different countries.  They all shared great experiences about them."

Upon completion of the meeting, Lucille called the company and was able to speak with someone who shared her many facts that she needed to understand when planing for relocation of employees at the same time for different countries.  She was impressed. She made an appointment to meet with JNT Consulting representative immediately.  She was relieved after the presentation and meeting.  She understood the entire scenario that will take place in every individual region. She understood the complexities of compliance work she will need to go through with the guidance of JNT Consulting. She began working with JNT Consulting from rigid planning, implementation, execution, management, compliance to immigration, pre-departure, destination services, family cross cultural adjustments, post relocation issues maintenance and repatriation planning.

Forty five days later, all three Expats (John in Netherlands, Pam in Canada and Jeanne in India) have begun their work at their assigned locations.  Their families and adjustments went very well. Lucille kept in contact with JNT Consulting and she was relating how happy her employees were.  Everyone is great, they are just focusing in their job, and her executives in the US were very happy with their productivity as a result of smooth relocation management. She met her deadline in making sure they are at their destinations as planned. "Working with JNT Consulting is a great return on investment"

Perspectives:
Many professionals in the Human Resource Organizations are inexperienced when it comes to international management of people. Working in an international zone requires the competencies of Strategic Human Capital Management because it requires a mindset that is critically attuned beyond the comfort zones within an HR Administravia environment.  

As an international human capital professional, one must be equipped with well rounded knowledge, experience and attitude to work across borders where alot of unknowns will become a daily routine. Openness and flexibility are virtues in these areas in order to become successful in overcoming the challenges of international zone. 

Working with and learning from experienced professionals will lead to a better and more effective organizations.  Human Capital is an asset that will translate successful results of every undertaking within the business environment. 

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Saturday, October 17, 2009

Global: Expatriate Living Abroad can be SUCCESSFUL!

Expatriate Living in another country has a lot of challenges and opportunities. It entails many tasks that you have never come across unless you have a prior experience, however essential. If you are a green horn in the expatriate community you are challenged with identifying the right information. Yes the internet is widely open and you can find anything but the main point is... which ones are correct and which ones are not; "most prevalent practice is to bite your teeth and hope for the best!"

Many things are involved when you uproot yourself from your current living location to another part of the world. There are visas to enter and for employment purposes, current home management, transporting personal stuff, deficiency of cultural knowledge, favorite food, new home, temporary living style and convenience, hobbies, pets, driving license, bank account, medical information and sources, personal insurance, dependents comfort-ability, period of adjustments, survival coping skills and many more.

How and what are the best way to implement expatriate plans? Approach an experienced individual with this kind of lifestyle. Or make a search of an experienced Global Human Capital Consultant with successful experiences in global mobility management. Both types of individuals can provide you an experiential learnings about Expatriate Living abroad. Inquire about the challenges, the advantges and disadvantages. Identify to yourself the value of this experience for your personal fulfillment or growth. Set a short term goal and long term goal as both will help you achieve a balance to your lifestyle being an Expat inlcuding your family members (where applicable).

Dependents are crucial pieces of Expatriate Living. One of the most effective tool that make dependents happier is the implementation of a Cross Cultural Training to all parties. This will provide a pre-transitional adjustments and setting up of expectations. It will facilitate a better behavioral approach to adjustments. If the family member is happy - the expat can concentrate on job functions rather than easing up family's discomforts.

There are expats who were assisted with their relocations by third party companies procured by their Human Resources Department. These companies were meant to ease the challenges of every aspect of the international relocation and transitional lifestyle of the Expat. Experiences of an Expat and family members varies based on the level of service procured and provided by his/her employer. At certain aspects there were shortcomings of the service providers that were authorized by their employer. This is because of inexperience about the entire global mobility management. Oftentimes, companies cut corners and employ admin assistant type equivalents of personnel instead of a strategic experienced consultant. They like to present themselves as Specialist in the global mobility management area but the experience of their staff does not reflect that. However, the main frustration of the Expat and HR Manager - they only find out of the inexperience of such entity when the employee is on-board to relocate. The agreement has been signed and money has been disbursed. Cancelling the engagement is too late. When these arise - it creates a multitude of stress among relocating parties involved. Oversight of these issues can be avoided when working with experienced and strategic consultants in Global Mobility Management and in Global Human Capital Management. This type of professional who has executed both functions within the strategic international HR and external international services HR will definitely give you the best guidance and hand-holdings.

Returned Expatriate and their families can add valuable information to you. Seek out someone who has been in the country where you will be assigned or working. "The best teacher is experience."

Additional valuable information about Successful living of an Expatriate, Secondee or Assignee can be found at:
Your Relonavigator

Do you like to meet people with Expatriate Experience? Join us and share your thoughts and ideas ... learning from experienced professionals is invaluable ... visit our AZExpat Society page to learn more about Expatriate Living.


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Wednesday, June 3, 2009

Job: RN - Clinical Documentation and Appeal Nurse

The Opportunity:
JNT Consulting LLC is seeking an experienced RN Clinical Documentation and Appeal Nurse

Position: RN Clinical Documentation and Appeal Nurse
Location: South Carolina
Code: JNSC-090602a

Job Summary
Responsible for improving the overall quality, accuracy and completeness of clinical documentation of patient medical records and performs responsibilities of auditor and appeal contact for RMC. Works with Physicians, Departments, and Support Staff to ensure compliance with governmental and third party payer regulations while ensuring appropriate level of care assignment for reimbursement.

This position primarily interacts with adolescents, adults and aging adults, does not provides direct patient care. All staff members must be able to demonstrate the knowledge and skill necessary to meet the physical, psycho/social, educational, safety, and related needs of the persons in the assigned work area.

Minimum Qualifications:
• Registered Nurse with two (2) years of medical audit, utilization review, coding, or case management experience
• Two (2) years direct patient care experience.
• Knowledge of CMS guidelines, The Joint Commission standards, ORYX core measures and Interqual/Milliman criteria;
• Persistent, organized, analytical and detail oriented; Excellent interpersonal and verbal communication skills.
• Physical requirements are primarily related to the essential functions of any job. Able to Sit, Walk, Stand, Use your hands, Reach, Talk, and Hear.
• Must be able to lift or exert energy up to 10 pounds 75 % of the time and up to 25 pounds 25% of the time.
• Close vision distance or clear vision at 20 ft. or more and the ability to observe an area that can be seen to move up and down or left and right.
• Read, analyze and interpret complex scientific, clinical or business journals, financial reports or legal documents. Able to respond to sensitive inquiries or complaints from guests, regulatory agencies, staff and members of the business community.
• Has the ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to deal with concrete and abstract concepts and interpret verbal, nonverbal and written instructions.


Responsibilities:
• Performs concurrent record reviews on selected admissions.
• Facilitates modification to clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management staff, nursing staff, other caregivers, and HIM coding staff.
• Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve the quality of documentation and help ensure accurate HIM code/DRG assignment.
• Monitors, evaluates and reports the effectiveness of concurrent reviews and outcomes. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes.
• Audits records/bills of denials identified through various sources such as MAC, RAC, MIC, CERT, and commercial payers utilizing criteria and regulatory guidelines.
• Act as liaison with clinical departments to ensure all charges and medical documentation are appropriate and complete for Health Information Management and Patient Accounting processes.
• Responds to requests and questions of patients, staff, and third party payers with respect to hospital charges and medical documentation.
• Performs routine audits for CPRM usage of EHR resources and application of appropriate level of care criteria.
• Educates Physician offices and Clinical Departments on issues and trends identified.
• Researches new procedures/supplies and techniques to include reimbursement.
• Reviews Medicare Advisories, Transmittals, memorandums and Medicaid bulletins regarding changes in utilization and case management.
• Organizes denial management system for the Regional Medical Center.
• Appeals denials with all payer sources as appropriate.
• Additional duties/assignments as requested by the Director of CPRM and Clinical Excellence Manager.


Compensation: DOE (Depending on Experience)
Salary + Benefits

Please submit your resume in word file and must indicate the position code: JNSC-090602a on your subject line and attach your resume.

To submit your resume please email to: careers@jntconsulting.com with Code: JNSC- 090602a

All qualifying candidates will be interviewed by telephone for screening purposes. Succeeding steps will follow to those who will become strong candidate for the position.

Inquiries about the status of an application are discouraged. When your qualification will not match to all of the requirements of this position, your Resume will be put in our active database for future consideration of any employment opportunity. Thank you.

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