Integration Nurse Leader

4 weeks ago

San Antonio, United States UnitedHealth Group Full time

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. The Integration Nurse Leader is responsible for the training application of clinical policies, procedures, processes and operating guidelines for newly acquired clinics. The clinical training provided to newly acquired staff will ensure compliance with federal and state requirements, Medicare guidelines, URAC/NCQA/ACHA/OSHA standards. This position maintains continuous quality improvement efforts and opportunities directed toward achievement of clinical and healthcare outcomes. The success of this position requires the ability to foster communication and teamwork between clinics/physicians, market management team, corporate departments, and senior leadership. This position will coach and educate others in the application of clinical competency, translating complex nuances related to clinical practice into easy to understand training and terms. The Integration Nurse Leader will be responsible for carrying out the approved project plan for the integration, while maintaining all budget and time restraints. The Integration Nurse Leader will provide support for the clinical due diligence team and other operational partners as needed for a successful integration. Primary Responsibilities: Clinical Training (planning, coordinating, delivering and evaluating clinical training) Training methods will include but not be limited to, presentation/facilitation, on the job training, demonstration and performance, job mentoring, discussion, role-playing, simulations, and reflection Responsible for the delivery of training initiatives that drive businesses growth strategies and promote growth and development of newly acquired staff Responsible for completing and managing the clinical training program, including the development of instructional materials Analyze department training needs and assist with developing new training programs based on the results of the analysis Plan, organize, and direct training and development programs for employees for the purpose of increasing individual and organizational performance Enhance the current and future organizational effectiveness by increasing employee’s abilities to maximize performance and productivity Promote, support, and leverage technology resources and tools to improve and enhance workflow efficiency and improve customer service Asks critical questions to ensure member/customer centric approach to work Identifies and considers appropriate options to mitigate issues related to quality, patient safety or affordability when they are identified, and escalates to ensure optimal outcomes, as needed Utilizes evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, and organizational policies) to make clinical decisions, improve clinical outcomes and achieve business results Identifies and implements innovative approaches to the practice of nursing, in order to achieve or enhance quality outcomes and financial performance Serves as subject matter expert to support compliance with applicable federal and state practice health and safety standards, with a particular focus on clinical standards and occupational health requirements Conducts clinic assessments for compliance with state and federal health care requirements and Optum standards Responsible for remediation and corrective action plans, resulting from internal assessments, audits, compliance reviews and self-identified issues Provides leadership and mentoring for clinic staff to ensure patient safety and quality care Ensures clinic staff has demonstrated appropriate clinical competencies to perform clinic tasks Participates in professional development activities and education programs to keep staff abreast of health care trends and practices Performs all other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor’s Degree in Nursing with a minimum of 5 years of experience in healthcare (6 additional years of experience may be substituted in lieu of a Bachelor’s Degree in Nursing) Active, unrestricted Registered Nurse (RN) license in the applicable state of employment 3+ years of related experience in a hospital or clinical setting 2+ years of management experience Experienced in the design, development and delivery of effective training programs Demonstrate proficiency in assessment, design, development, implementation, data collection/reporting, and evaluation of initiatives and/or programs Ability to establish cooperative and collaborative working relationships in the course of performing assigned duties Proven ability to manage and direct various levels of employees Excellent verbal, written communication, presentation and facilitation skills Ability to travel approximately 75% Physical & Mental Requirements: Ability to lift up to 10 pounds Ability to stand for extended periods of time Ability to use fine motor skills to operate equipment and/or machinery Ability to receive and comprehend instructions verbally and/or in writing Ability to use logical reasoning for simple and complex problem solving At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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