Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.
As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.
We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Want more jobs like this?
Get jobs delivered to your inbox every week.
The Clinical Services Manager provides leadership and is accountable for the performance of a team of Advanced Practice Clinicians (APC’s) and RN’s. In collaboration with the Care delivery organization, the CSM will be responsible for clinical outcomes and business operation targets of market.
- Assist in the development of functional market level strategies, plans, and organizational priorities
- Identify and resolve technical, operational and organizational challenges outside and within clinical team
- Develop internal and external strategic relationships, which support program expansion and continuing success
- Directly manage clinical staff to ensure business goals/metrics are achieved
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
- Staff Performance and Internal/External Relationship (Clinical & Leadership Proficiency)
- 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
Program Quality and Revenue Accuracy (Business Proficiency):
- Oversee implementation and adoption of clinical and quality initiative
- 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)