Manager, Clinical Performance

Premier Medical • Clermont, FL

13d

About The Position

The Manager, Clinical Performance is responsible for the direct management of the clinical staff supporting Neuehealth’s clinical programs. The Manager provides day-to-day supervision of assigned UM staff. The Manager monitors consistent application of UM Criteria by staff, for each level and type of UM decision. The Manager monitors documentation for adequacy. The Manager will have responsibility for ensuring clinical teams are aligned 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

• Able to 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