Clinical Operations Manager, Referral Department - Las Vegas, NV
About The Position
The Clinical Operations Manager – Referral Department is accountable for the operational leadership of Adult Medicine, Specialties, and Pediatric referral services in partnership with physician leadership. This role ensures a consistent, high quality patient experience through strong operational execution, a culture of caring, and alignment with SMA/Optum strategic and financial goals. This position provides day to day leadership for referral operations staff and serves as a key liaison between clinical and administrative teams to optimize referral workflows, patient access, and operational performance.
Requirements
- High School Diploma or GED
- 5+ years of Experience in a Healthcare setting
- 4+ years of Leadership Experience and managing direct reports
- Demonstrated experience in referral management or referral operations, including coordination of specialty referrals, prior authorizations, or access to care processes in an ambulatory or clinical setting
Nice To Haves
- Experience working in a matrixed organization with physician and clinical leadership
- Demonstrated success in performance improvement and change management
Responsibilities
- Provide operational leadership and oversight for referral services across Adult Medicine, Specialties, and Pediatric clinics
- Manage and support the Operations Supervisor, Senior Referral Navigators, and Referral Navigators to ensure effective team performance and engagement
- Partners with physician leadership, site leadership, and nursing teams to optimize referral processes and improve patient flow
- Ensure compliance with clinical, regulatory, and business requirements, including federal, state, and SMA/Optum policies and procedures
- Monitor key performance indicators and financial outcomes; identify trends and implement improvement strategies
- Promote cost effective workflows and operational efficiencies while maintaining quality and service excellence
- Lead quality improvement initiatives and support evidence based practice across referral operations
- Recruit, onboard, and retain high performing staff; ensure ongoing competency, training, and performance management
- Foster a collaborative, service oriented culture focused on patient satisfaction and continuous improvement
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
