Clinical Operations Supervisor

5 days ago

Fairview, New Jersey, United States VNS Health Full time
About the Role

VNS Health is seeking a highly skilled Clinical Operations Supervisor to oversee the day-to-day business operations of our clinical and non-clinical support activities. As a key member of our team, you will be responsible for monitoring internal processes, coordinating activities between clinical and non-clinical staff, and supervising support functions to facilitate efficient clinical operations.

Key Responsibilities
  • Supervise and Coordinate: Supervise the day-to-day operations of VNS Health Plans Medical Management clinical and non-clinical staff, making recommendations on operational improvements for the department.
  • Monitor Workflow: Monitor workflow procedures and systems for an efficient and timely operation that is responsive to customers and operational needs.
  • Troubleshoot and Resolve: Troubleshoot difficult customer service issues, facilitate problem resolution, and direct staff in addressing and resolving day-to-day operational issues.
  • Develop and Implement: Assist management in the development of long- and short-range objectives for the department, including system and operational rollouts and coordination of non-clinical support functions.
  • Provide Input and Participate: Provide input to the Education and Quality department regarding training needs for new initiatives, participate in the overall planning, implementation, and evaluation of such programs.
  • Ensure Compliance: Ensure adherence to regulatory and VNS Health Plans standards to ensure compliant operations and department readiness for internal and external audits.
  • Oversee Business Operations: Oversee business operations, workflows, utilization, and schedules, contribute to systems design and implementation, and participate in developing standards to measure, maintain, and maximize efficiencies and meet operational needs.
  • Perform Supervisory Duties: Perform all duties inherent in a supervisory role, including effective staff training, interviewing candidates for employment, evaluating staff performance, and recommending hiring, promotions, salary actions, and terminations as appropriate.
Requirements
  • Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State or Licensed Social Worker Required.
  • Education: Bachelor's Degree in Nursing or other health-related degree for RNs Required, Master's Degree in Social Work for LSW Required.
  • Work Experience: Minimum three years progressive customer service or business operations experience, preferably in a healthcare environment. Required, Supervisory experience Preferred.
  • Skills and Knowledge: Proficient in Personal Computers applications, including Microsoft Word and Excel Required, Knowledge of medical terminology, pharmacology information, and/or insurance terminology Required, Strong knowledge of operations of manual and automated office systems and procedures Required, Strong knowledge of third-party payer requirements for reimbursement Preferred.

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