Registered Nurse RN Clinical Integration Manager WellMed Greater Texas

Company: Nurse.com
Location: Corpus Christi
Posted on: March 12, 2023

Job Description:

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

WellMed provides concierge - -level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella

This position has significant local and non-local travel throughout - Greater Texas and Florida areas. -

The coverage market can be - San Antonio, Austin, RGV, Corpus, Houston, Florida, etc.

The Clinical Integration Implementation Manager (CIIM) focuses on the training and implementation of clinical policies, procedures, processes, and operating guidelines of the WellMed organization. Carries out the approved project plan established for integration, maintaining all budget and time restraints. The CIIM will work closely with operational partners, including corporate education and support department teams, to provide successful clinic and/or market integration. The Clinical Integration Implementation Manager will provide -support for clinical due diligence activities as assigned.

Primary Responsibilities:

• 
  
• Completes Population Management and Processes training and implementation
  
• Completes Functional Patient Care Committee training and -implementation
  
• Implements QRA processes and initiatives
  
• Implements Medical Management and Utilization Management processes and training
  
• Facilitates patient satisfaction improvement processes with the integrations clinics
  
• Identifies variances in operational structure and function between current and desired state
  
• Engages appropriate resources to provide training, tools and support to clinic and/or market team to reach desired stated as it relates to clinical processes
  
• Provides support and serves as on-going resource to the clinic and/or market team to ensure performance targets are met, with a focus on quality and risk adjustment goals
  
• Identifies risk issues that impact successful integration of the clinic and/or m and engages proper resources to ensure resolution as it relates to clinical processes
  
• Ensures engagement of entire market team in successful transition of the clinic and/or market onboarding to the defined desired state
  
• Ensures integration timelines are met in accordance with the approved project plan
  
• Maintains and builds relationships across business groups
  
• Assists clinic staff and/ or market team in defining appropriate workflows based on introduction of new clinical processes
  
• Provides input into engagement decisions, including work plan, timeline and resource allocation as it relates to clinical work flows
  
• Completes Practice Health and Safety Assessments as assigned
  
• Completes Medical Chart Reviews as assigned
  
• Performs all other related duties as assigned
  
  
  
  
  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:
  
  
  • 
    
  • Active unrestricted Registered Nurse (RN) license in the applicable state of employment
    
  • Bachelor's degree in Nursing, Healthcare or Business Administration or a related field required. -(6 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's degree)
    
  • 4+ years in the healthcare field, with an emphasis in clinic operations or staff training and development
    
  • Knowledge of organization policies and procedures and ability to read, interpret and apply
    
  • Knowledge of and skills with tools used in Healthcare Operations: EMR, Practice Management System, Clinic Operations and related systems
    
  • Significant travel required approximately 75% travel time
    
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
    
    
    Preferred Qualifications:
    
    
    • 
      
    • 6+ years of directly related experience in medical practice management
      
    • Supervisory experience in a healthcare setting
      
    • Solid interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including physicians, office staff and other health plan staff
      
      
      
      
      To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, 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 WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
      
      WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
      
      
      
      Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
      
      OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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