Clinical Operations Supervisor
1 day ago
Acentra Health is seeking a highly skilled Clinical Operations Supervisor to join our team. As a key member of our operations team, you will be responsible for managing the day-to-day activities of our clinical operations, ensuring high-quality customer service and support for our clients and staff.
Key Responsibilities- Develop and enforce operational policies and procedures to ensure efficient and effective clinical operations.
- Manage and supervise a team of clinical staff, providing guidance and support to ensure they have the necessary tools and resources to perform their duties.
- Monitor and manage correspondence between external stakeholders and the company, ensuring timely and effective communication.
- Report operational status to leadership, providing insights and recommendations for process improvements.
- Coordinate and direct clinical operations and related programs, ensuring compliance with regulatory and accreditation standards.
- Develop and maintain procedures and practices for accomplishing departmental or program goals and objectives.
- Develop and monitor business and financial metrics related to the program's day-to-day operational success.
- Active, unrestricted RN licensure for Illinois.
- Bachelor's degree in Nursing.
- 5+ years of clinical experience in a medical or behavioral health setting.
- 3+ years of Case Management and/or Utilization Review experience.
- Knowledge of clinical aspects of nursing/case management/utilization review management with a focus on geriatrics and chronic diseases.
- Ability to utilize critical thinking and apply sound judgment for decision-making and guiding staff.
- Experience in quality management, including involvement in projects, reporting outcomes, or other Quality Improvement Programs (QIP).
- Achieves a URAC-recognized certification in case management within three (3) years of directly supervising the case management process.
- Ability to organize and manage tasks efficiently with minimal supervision.
- Exceptional supervisory, organizational, and time management skills, with the ability to handle multiple competing contractual and team-related priorities.
- Computer proficiency in Microsoft Office and other software programs and the ability to enter and retrieve data from relevant computer systems.
- Excellent verbal and written communication skills; excellent interpersonal communication and negotiation skills.
- Required to pursue ongoing education, certification, and self-development to remain current with case management standards.
- Resides in or around the state of Illinois.
- Master's degree in Nursing.
- 1+ years of experience in multiple chronic disease programs.
- Certification in Case Management (CCM).
- Analytical, reporting, and data management skills.
- Telephonic case management and/or triage experience.
- Knowledge of Utilization Review Accreditation Commission (URAC) standards.
- Previous workload management experience.
- Previous contractual and client relationship management experience.
Acentra Health is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We are a vital partner for health solutions in the public sector, and we are committed to empowering better health outcomes through technology, services, and clinical expertise.
We offer a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. The pay range for this position is $70,200-90,000 annually, based on our compensation philosophy and consideration of various factors, including years of applicable experience and skill level.
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