RN Clinical Project Manager
About The Position
This dynamic position supports clinical programs and services and quality improvement initiatives within the Regal North regional operations. Reporting to the Vice President, Clinical Operations, this position works across departments to support optimal medical management and clinical service delivery for members. This position includes effectively communicating and interpreting clinical and non-clinical information for use with a variety of stakeholders, including leaders in different department. This position coordinates efforts of internal teams and guides resources, and may include facilitating high-level multi-disciplinary meetings and discussions. This position also functions as a clinical resource for regional administrators and staff.
Requirements
- Graduate from an accredited Registered Nursing Program (required)
- Proficient in Microsoft Office Programs (i.e., Word, Excel, Outlook, Access and PowerPoint)
- Excellent verbal and written communication skills
- Ability to work independently, while still meeting team deadlines and requirements
- Ability to collaborate and communicate with all members of the healthcare team.
Nice To Haves
- Bachelor’s degree from four year university highly preferred
- 2-3 years of outpatient case management experience highly preferred
- 2-3 years acute care experience preferred
- 1-2 years of Managed Care experience highly preferred
- Bi-lingual (Spanish or Armenian) highly preferred
Responsibilities
- Support, lead, and/or oversee new and ongoing projects under the direction of the VP of Clinical Operations and Medical Directors as needed.
- Lead and manage projects related to clinical care management and systems.
- Triage urgent issues impacting delivery of quality care, resource allocation and health outcomes to promote optimal inpatient and outpatient care management.
- Liaise between internal departments to facilitate organizational communication and improvement.
- Identify opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
- Identifies clinically relevant findings from assessments and information collected from members, and takes appropriate actions in accordance with policies and procedures.
- Documents information related to member care in accordance with policies and procedures.
- Follow through with requests and communicates critical member information with the team in a timely manner.
- Prepare and submits reports, as required.
- Participates in on-site and off-site meetings/events as part of building and maintaining normal business relationships with the network, as needed
- Other projects and responsibilities, as assigned.
Benefits
- Employer-paid comprehensive medical, pharmacy, and dental for employees
- Vision insurance
- Zero co-payments for employed physician office visits
- Flexible Spending Account (FSA)
- Employer-Paid Life Insurance
- Employee Assistance Program (EAP)
- Behavioral Health Services
- 401k Retirement Savings Plan
- Income Protection Insurance
- Vacation Time
- Company celebrations
- Employee Assistance Program
- Employee Referral Bonus
- Tuition Reimbursement
- License Renewal CEU Cost Reimbursement Program
- Business-casual working environment
- Sick days
- Paid holidays
- Mileage
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
501-1,000 employees
