Manager, Clinical Operations

City / State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is seeking to hire a qualified individual to join our team as a Manager, Clinical Operations

Position Status : Full-time, Day Shift

Position Location : This position is remote for residents of VA

Standard Working Hours : 8 : 00AM to 5 : 00PM (ET).

Minimum Requirements :

• 4 year RN Bachelor Level Degree
• RN North Carolina, VA (VADHP) or multi-state license
• 2 years Management experience
• 3 years Nursing experience
• 3 years Long Term Care Preferred
• 3 years Medicaid experience preferred

Required Skill Sets :

• Active Learning; Active Listening; Communication; Complex Problem Solving; Coordination; Critical Thinking; Judgment and Decision Making;
• Leadership; Learning Strategies; Mathematics; Mgmt of Financial Resources; Mgmt of Material Resources; Mgmt of Staff Resources;
• Microsoft Excel; Microsoft Word; Monitoring; Persuasion; Project Management; Quality Control Analysis; Reading Comprehension;
• Science; Service Orientation; Social Perceptiveness; Speaking; Systems Analysis; Systems Evaluation; Technology / Computer;

Time Management; Troubleshooting; Writing

Diversity and Inclusion at Sentara

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars : A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community.

We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done.

Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices;

as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

Please visit the link below to learn more about Sentara’s commitment to diversity and inclusion :

Sentara Overview

For more than a decade, Modern Healthcare magazine has ranked Sentara Health as one of the nation's top integrated healthcare systems.

That's because we are dedicated to growth, innovation, and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

Sentara Benefits

As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers.

We offer a variety of amenities to our employees, including, but not limited to :

• Medical, Dental, and Vision Insurance
• Paid Annual Leave, Sick Leave
• Flexible Spending Accounts
• Retirement funds with matching contribution
• Supplemental insurance policies, including legal, Life Insurance and AD&D among others
• Work Perks program including discounted movie and theme park tickets among other great deals
• Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.

For information about our employee benefits, please visit : Benefits - Sentara (sentaracareers.com)

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!

Please Note : The yearly Flu Vaccination is required for employment.

Note : Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind.

Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave.

Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

Job Summary

Serves as the subject matter expert overseeing and directing a team responsible for care coordination activities, routinely assessing and monitoring member status, needs and progress.

Accountable for leadership, education, and supporting execution of strategic direction for clinical operations. Ensures quality of care meets or exceeds regulatory standards and requirements as measured by the division clinical quality indicators and contractual agreements.

Identifies gaps in transition processes and facilitates development and implementation of solutions emphasizing high quality, positive outcomes in vulnerable populations.

Develops and continually drives a culture of clinical excellence, technical competence, compassion and customer-focus within a broad-based interdisciplinary workgroup.

Oversees and supports implementation of clinical educational programs for employees, participating practitioners, partners and members.

For health plans Clinical Operations, develops and oversees all administrative functions, managing interdependencies and risks, program status and evaluation, program growth / expansion in both new and existing markets.

Under direction of Program Director, collaborates with leadership across the organization to achieve clinical outcomes and ensure consistency.

Proven ability to drive clinical teams toward a culture of compliance, strategic and organizational agility, and mastery of engaging and developing staff policies.

Knowledge and experience with regulations and best practices applicable to care management of vulnerable populations.

Extensive knowledge of regulatory requirements and policy coverage guidance applicable to Medicaid / Medicare utilization management.

Qualifications :

N-4YR - RN-Bachelor's Level Degree (Required)Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP), Registered Nurse License (RN) - Nursing License - Compact / Multi-State LicenseLong Term Care, Management, Medicaid, Nursing

Skills

Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness, Speaking + 5 more

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.

gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission to improve health every day, this is a tobacco-free environment.