Clinical Operations Manager

1 day ago


Burlington, New Jersey, United States Grace Healthcare Services Full time
Job Description

We are seeking an experienced Clinical Operations Manager to oversee the clinical operations and activities for patients and staff of Grace Healthcare Services' clinical program.

The ideal candidate will have a strong background in nursing and management, with experience in supervising and scheduling clinical staff. Key responsibilities include:

  • Schedule Management: Develop agendas and manage regional manager meetings to ensure timely and relevant communication.
  • Face-to-Face Visits: Monitor and manage face-to-face visits to confirm timelines and relevance.
  • Performance Evaluations: Complete performance evaluations for direct reports, including staff performing face-to-face visits, and work with HR on employee counseling.
  • Authorization and Audits: Direct processes to receive prior authorizations for Medicare Part D and track/report third-party Medicare Part D provider claims. Assist with ADR, RAC, ZPIC audits and Medicare Part D appeals.
  • Clinical Support: Provide feedback to regional managers for counseling and performance reviews, assist with support of field and office clinical staff, and be a resource for community representatives and intake staff.

To be successful in this role, you should have:

  • A current NJ Registered Nurse License
  • Bachelor's or Associate degree in nursing preferred
  • At least 3 years of experience in hospice or home care with progressive management responsibilities
  • Strong technical competence and PC skills
  • Excellent critical thinking and reasoning ability

This is a full-time position offering a competitive salary range of $85,000 - $110,000 per year, depending on experience, plus benefits.



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