Summary

Join a groundbreaking team of healthcare professionals at Honest Medical Group, where you'll have the opportunity to make a major impact in healthcare. As a Clinical Operations Supervisor, RN, you'll be responsible for evaluating and supervising overall activities for health maintenance and promotion programs. You'll provide daily leadership and be accountable for clinical programs for product lines and members served to ensure contractual compliance and achievement of clinical, quality, and utilization management goals.

Requirements

Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
Degree from an accredited nursing program with a minimum of an Associate or Diploma in Nursing required; Bachelor’s of Science in Nursing preferred
Active, unrestricted Registered Nurse license is required
2+ years of continuous hospital clinical experience within the past 10 years required
2+ years of continuous ambulatory clinical experience within the past 5 years required, preferably in care management or practice management
Experience using data to drive strategy and execution
Ability to execute clinical programs with clear demonstration of results
Skilled using the Microsoft Office suite of products (e.g., Outlook, Teams, Excel, and Power Point
Experience in interdisciplinary team management, including the ability to facilitate interdisciplinary team member discussions
Experience in home health care, health plans, or hospice preferred
Expertise in Performance Improvement preferred

Responsibilities

Provide direct and indirect oversight of inter-disciplinary care teams: Nurse Care Managers (direct), Social Workers, Care Coordinators, Transition of Care Coordinators, etc
Monitor clinical and business dashboards/metrics that drive patient outcomes and performance metrics as it relates to their team’s performance
Understand HEDIS measures and standards. Assist in the development of a plan to close gaps, as needed
Manage Complaints and Grievances, ensuring required response timeframes are met. Direct service recovery to promote optimal patient & partner satisfaction
Oversee processes to manage internal and external referrals for healthcare service (e.g., behavioral health (BH) referral, home health) and specialists (e.g., cardiology, pulmonology)
Promote cohesive and effective team dynamics to ensure success leveraging multiple key performance indicators
Manage direct admit to skilled nursing facility (SNF) process with your team by ensuring appropriate criteria and medical documentation is submitted to accepting agency. Work in collaboration with medical team, offices, medical records
Participate in the interview process & collaborate with recruiters on team member hiring
Team member oversite: Complete performance reviews, identify individual goals, mentor and support team members for professional growth and learning opportunities
Collaborate to develop innovative solutions and programs to overcome healthcare barriers
Work closely with market leaders to facilitate team member education and onboarding to ensure. education and training is completed. Identify team member needs: knowledge, skills, and abilities
Perform other related responsibilities as assigned

Benefits

Competitive base pay with bonuses
Paid time off starting at 4 weeks for full-time employees
12 paid holidays per year
Reimbursement for continuing medical education
401k with match
Health, dental, and vision insurance

Honest Medical Group is hiring a
Supervisor Clinical Registered Nurse