Clinical Operations Lead
2 weeks ago
Acentra Health is dedicated to enhancing health outcomes through innovative technology, services, and clinical expertise. Our mission is to develop health solutions that provide maximum value and impact.
Position Summary:
The Clinical Operations Supervisor plays a pivotal role in overseeing the daily functions of Clinical Operations, Utilization Management, and Clinical Review teams, ensuring exceptional service delivery to clients and support for staff.
Key Responsibilities:
- Oversee and coordinate clinical operations, ensuring effective management of clinical support personnel and related programs.
- Establish and enforce operational policies and procedures, while monitoring correspondence with external stakeholders and reporting operational updates to leadership.
- Manage the performance of clinical operations, including program coordination, scheduling, and issue resolution.
- Provide mentorship and training to team members, ensuring compliance with quality standards and contractual obligations.
- Utilize clinical knowledge and problem-solving skills to facilitate optimal client outcomes, considering payer and client requirements.
- Support interdisciplinary teams in achieving objectives related to enrollment, quality of clinical outcomes, and compliance with regulatory standards.
- Conduct quality monitoring activities to identify areas for improvement and ensure adherence to accreditation standards.
- Maintain confidentiality and comply with all relevant regulations regarding client information.
Qualifications:
Required:
- Active RN licensure in Illinois.
- Bachelor's degree in Nursing.
- 5+ years of clinical experience in a healthcare setting.
- 3+ years of experience in Case Management or Utilization Review.
- Strong organizational and time management skills.
- Proficiency in Microsoft Office and relevant software applications.
- Excellent communication and interpersonal skills.
Preferred:
- Master's degree in Nursing.
- Certification in Case Management (CCM).
- Experience in chronic disease management programs.
Why Acentra Health?
We are a collaborative team of healthcare professionals committed to redefining expectations in the industry. Our focus is on improving healthcare delivery and outcomes through our dedicated workforce.
Benefits:
We offer a comprehensive benefits package designed to support your career and personal life, including health plans, paid time off, retirement savings, and educational assistance.
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