Manager, Clinical Performance

Premier Medical • Clermont, FL

13d

About The Position

NeueHealth is a value-driven healthcare company focused on providing high-quality, coordinated care. We aim to make healthcare accessible and affordable across various markets. The Manager, Clinical Performance directly manages the clinical staff supporting Neuehealth’s clinical programs, providing day-to-day supervision. This role involves monitoring the consistent application of Utilization Management (UM) Criteria, ensuring adequate documentation, and verifying that clinical teams align with the NeueHealth Model of Care.

Requirements

• Active and unrestricted license as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
• High Attention to detail and Strong analytical skills
• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
• Demonstrated flexibility, organization, and self-motivation
• Highly adaptable to change
• Minimum 1 year experience in a supervisory capacity
• Minimum 5 years’ experience in medical management (Case Management, Utilization Management)

Nice To Haves

• Bachelor’s degree in nursing, Business, or other related Healthcare field preferred
• Certified Case Management preferred
• Training experience preferred

Responsibilities

• Perform the functions of the clinical teams to which the supervisor has direct reporting responsibility, based on scope of practice.
• Responsible for the performance and outcome monitoring data at defined intervals that accurately reflects clinical program activities, key performance indicators and workplans where applicable.
• Responsible for supporting clinical director in the development of performance improvement plans based on deficiencies in key performance indicators.
• Responsible for supporting onboarding training and continued education for clinical staff and care partners.
• Responsible for ensuring the model of care is consistently applied throughout clinical services.
• Able to complete value stream mapping and desktop procedures to ensure program standardization.
• Responsible for supporting clinical directors in conducting care team meetings for care partners.
• Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager