Clinical Operations Supervisor
5 days ago
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 and Troubleshoot: Monitor workflow procedures and systems for an efficient and timely operation that is responsive to customers and operational needs, troubleshooting difficult customer service issues and facilitating problem resolution.
- Develop and Implement: Assist the management team in the development of long- and short-range objectives for the department, including system and operational rollouts and coordination of non-clinical support functions to facilitate effective clinical operations.
- Provide Input and Participate: Provide input to the Education and Quality department regarding training needs for new initiatives, participating 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, contributing to systems design and implementation, and participating in developing standards to measure, maintain, and maximize efficiencies and meet operational needs.
- Perform Supervisory Duties: Perform all duties inherent in a supervisory role, ensuring effective staff training, interviewing candidates for employment, evaluating staff performance, and recommending hiring, promotions, salary actions, and terminations as appropriate.
- 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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