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Hours Full-time, Part-time
Location Elkridge, MD
Elkridge, Maryland

About this job

We're OptumHealth, one of the nation's largest health and wellness companies, and a true leader in the health care services and health financing arenas. We specialize in population health management solutions that address the physical, mental and financial needs of organizations and individuals. We provide health information and services to nearly 60 million Americans—educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals.


 


We are looking for a Clinical Services Manager to join our team in Elkridge, MD.


 


Responsibilities: 


 


Staff Performance and Internal/External Relationship


 


The CSM will directly oversee the ISNP clinical staff day to day operations.


Develop a strong team that is able to manage change and challenges while still meeting market goals.  


 


Ensure effective orientation and development NP's and promote individual development by providing learning and growth opportunities.


 


Utilize CarePlus performance tools that hold the clinical team accountable for site metrics and performance standards. Keep the DCO updated of all staffing issues, program updates, and work together to develop client facing presentations. Communicate needs and issues addressed by clinical staff to DCO


 


Develop solutions to problems or barriers by partnering with key stakeholders .  Participate in site specific strategic planning activities addressed in the Clinical Leadership meeting, meetings with the Senior team, and with leadership at the nursing homes.


 


Provide clinical and Health Services expertise on business development efforts.


 


Serve as a role model to internal and external partners.


 


 


Program Quality and Revenue Accuracy


 


Oversee implementation and adoption of clinical and quality initiatives. Conduct chart audits on all clinical staff and report to DCO monthly.


 


Accountable for specific financial targets related to clinical programs.  Use knowledge of the business and financial goals to determine and communicate clinical priorities with the DCO.


 


Monitor and hold clinical team accountable for documentation and coding initiatives to achieve revenue accuracy.


 


Actively engage, coach, and mentor their clinical team, with meeting utilization, membership, collaboration with SNF staff, and quality metrics.


 


Ability to lift up to 40 pounds- by transporting equipment, supplies and paper information (books, documents) requires packing the carrying case or bag, pulling the case if on wheels, carrying the case by the handle or shoulder strap.


 


Ability to type on a key board and to touch a screen with a wand.


 


Ability to speak and write Spanish is a bonus.


 


 


 

Requirements

Certified nurse practitioner through ANCC/AANP for adult, family and/or geriatrics (GNP preferred).

Masters prepared NP in compliance with state licensure requirements.

Current unrestricted license in state(s) in which practicing.

Unrestricted DEA (license to prescribe narcotics/level II info here) per state regulations (unless prohibited in state of practice).

Proficient computer skills including the ability to document medical information with written and electronic medical records.

3-5 years related leadership experience with focus on managing and developing a clinical team, preferably in geriatric care setting

Proven experience in developing and sustaining internal and external client relationships with healthcare professionals, (DON's, administrators, MDs, RNs, etc)

Strong business acumen including analysis and business planning experience

Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships

Prior experience in adult teaching environment a plus.

Knowledge of Medicare preferred

Ability to lift up to 40 pounds.

Must possess a valid Drivers License with the ability to travel between nursing homes and/or care settings.


 


Keywords: Clinical, Manager, Maryland, NP, Nurse.


 


UnitedHealth Group is working to create the health care system of tomorrow.


Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.


Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.


Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.



Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.