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Nurse Practitioner Clinical Services Manager - Washington State

Company: UnitedHealth Group
Location: Bellingham
Posted on: May 6, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member's Primary Care Provider and other providers, and other professionals. Optum providers serve people in their own homes through annual evaluations, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management.
Reporting to the Director of Clinical Operations, the CSM is responsible for clinical outcomes and business operation targets of market. The role will have direct supervisory responsibility over a team of mid-level practitioners including Nurse Practitioners, BH Case Managers, and RNs.
This role requires you to travel from one appointment to the next. Should you be driving on your own, you must provide proof of a valid driver's license from appropriate government authorities, to ensure compliance with the law.
Primary Responsibilities:


  • Set team direction, resolve problems, and provide guidance to members of own team

  • Oversee work activities of other supervisors and staff

  • Adapt departmental plans and priorities to address business and operational challenges

  • Influence and/or provide input to forecasting and planning activities

  • Manage salary, bonus incentives and policies in a manner which reward performance excellence

  • Ensure effective orientation and development for Clinical Staff

  • Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards

  • Promote individual development by providing learning and growth opportunities to clinical staff

  • Actively participate in local/regional NP, PA, Physician and Geriatric associations with goal of developing clinical and leadership skills

  • Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate

  • Participate in site specific strategic planning activities

  • Develop solutions to problems or barriers by partnering with key stakeholders

  • Provide clinical and clinical operations expertise on business development efforts

  • Serve as a role model to internal and external partners

  • Oversee implementation and adoption of clinical and quality initiatives

  • Accountable for specific financial targets related to clinical programs

  • Use knowledge of the business and financial goals to determine and communicate clinical priorities

  • Partner with staff to achieve business goals

  • Monitor and hold clinical team accountable for documentation and coding initiatives to achieve revenue accuracy

  • Actively engage, coach and drive clinical staff in implementing activities to grow same store and new membership (product/payer specific)
    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
    Required Qualifications:

    • Certified Nurse Practitioner through ANCC/AANP/ACNP/AG AC NP for adult, family and/or geriatrics (GNP preferred), or Masters prepared Physician Assistant in compliance with state licensure requirements

    • Current unrestricted license in state(s) in which practicing

    • Unrestricted DEA (license to prescribe narcotics/level II info here) per state regulations (unless prohibited in state of practice)

    • 3+ years related leadership experience with focus on managing and developing a clinical team, preferably in geriatric care setting

    • Proven experience in developing and sustaining internal and external client relationships with healthcare professionals, (DON's, administrators, MDs, RNs, etc.)

    • Data analysis capabilities

    • Proficient computer skills including the ability to document medical information with written and electronic medical records

    • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
      Preferred Qualifications:

      • Experience in adult teaching environment

      • Solid business acumen including analysis and business planning experience

      • Knowledge of Medicare and Medicaid environments

      • Ability to lift up to 40 pounds

      • Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships

      • Solid organizational skills and multitasking abilities will be keys to success

      • Solid clinical critical thinking skills
        All patient-facing team members will be provisioned with appropriate Personal Protective Equipment (PPE) required for use, as this is an essential function of the role.
        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
        Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
        UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
        Job Keywords: Clinical Services Managers, Optum at Home, OAH, Tacoma, , Olympia, Bellingham, Everett, WA, Kennewick, WA, Washington

Keywords: UnitedHealth Group, Bellingham , Nurse Practitioner Clinical Services Manager - Washington State, Executive , Bellingham, Washington

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