To coordinate the delivery of quality patient care to facilitate member satisfaction with the care experience.
Essential Functions:
- Manages clinical operations, including staffing schedules, phone access to the health care team, and patient flow.
- Is responsible for all appropriate documentation and reporting requirements, such as QA reports, performance evaluations, time sheets, and budget variance reports.
- Ensures the appropriate level and mix of staff and effective staff utilization to meet staffing and workload requirements and support the delivery of quality patient care and services, within budgetary guidelines.
- Works with Human Resources staff to recruit and hire staff and coordinates comprehensive orientation of new staff.
- Establishes performance goals and provides counseling, coaching, feedback, recognition, training and development to staff.
- Manages quality improvement initiatives for areas of responsibility and ensures compliance with HEDIS indicators and other mandated standards.
- Collaborates with physician managers and providers to coordinate day-to-day patient care, ensure balanced provider panels within the health care team, and facilitate appointment access for members.
Qualifications:
Basic Qualifications:
- Five (5) years of current clinical experience plus two (2) years of supervisory experience required.
- BSN or bachelor's degree in health care administration, other health related field, or equivalent (additional four (4) years) of related experience required.
- Current RN license and CPR certification required.
- Demonstrated clinical and managerial competence appropriate to area(s) of responsibility.
- Familiarity with all pertinent laws, regulations, and standards of nursing practice.
- Demonstrated competence with financial management principles and standard software applications in a Windows environment required.
Must have relevant pediatric clinical experience and program development /implementation experience.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.