APC Manager

5 hours ago


Basking Ridge, New Jersey, United States Optum Full time
Senior Clinical Services Manager

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is revolutionizing healthcare delivery.

We are uniting industry-leading solutions to build an integrated care model that addresses an individual's physical, mental, and social needs, ensuring seamless access to care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, you will collaborate with a team to provide care to patients at home, in nursing homes, assisted living, and senior housing.

This life-changing work adds a layer of support to improve access to care, connecting care to create a seamless health journey for patients across care settings.

We're fast becoming the nation's largest employer of Nurse Practitioners, offering a superior professional environment and incredible opportunities to make a difference in the lives of patients.

This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners.

Key Responsibilities:
  • Assist in developing functional market-level strategies, plans, and organizational priorities.
  • Identify and resolve technical, operational, and organizational challenges outside and within the clinical team.
  • Develop internal and external strategic relationships to support program expansion and continuing success.
  • Directly manage clinical staff to ensure business goals and metrics are achieved.
Leadership Adeptness:
  • Staff Performance, Retention, and Development.
  • Manage salary, bonus incentives, and enforce work rules in a manner that rewards excellent performance and maximizes staff retention while meeting budget requirements.
  • Directly lead, supervise, and develop a team of CSMs as well as a team of APCs.
  • Maintain overall accountability for clinical team development and performance.
Business Skills/Healthcare Environment:
  • Revenue Accuracy and Medical Management.
  • Lead the medical expense data analyses.
  • Determine required improvement efforts for the site, based on outcomes relative to targets and budgeted matrices in collaboration with DCO and Medical Director.
  • Work in collaboration with DCO to strategize and implement the clinical model.
Clinical Adeptness:
  • Program Quality.
  • In collaboration with DCO, develop well-designed processes that will be evident in efficient daily workflows that support the achievement of business goals and improve quality of care, work efficiency, and job satisfaction of the clinical team.
  • Assist the DCO in directing the integration of the local quality assurance committee activities.
  • Ensure compliance with State and Federal regulations, company policies, and procedures.
Professionalism:
  • Create an environment that facilitates the team to initiate actions that produce positive results.
  • Ability to hold self and others accountable for actions and results.
  • Answers for one's own behavior and actions.

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:

  • Certified Nurse Practitioner or Physician Assistant through a national board.

Preferred Qualifications:

  • 3+ years of previous management experience.
  • 2+ years of leadership and management experience in an organization that serves the chronically ill.
  • 2+ years of Medicare experience.
  • 1+ years of hands-on post-grad experience.
  • 1+ years of experience as a CSM at Optum.

No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.



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