Clinic Integration Nurse Houston TX
Company: UnitedHealth Group
Location: Galveston
Posted on: March 15, 2023
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Job Description:
Do you have compassion and a passion to help others?
Transforming healthcare and millions of lives as a result starts
with the values you embrace and the passion you bring to achieve
your life's best work.(sm)
The Clinical Integration Implementation Manager (CIIM) focuses on
the training and implementation of clinical policies, procedures,
processes, and operating guidelines of the WellMed organization.
Carries out the approved project plan established for integration,
maintaining all budget and time restraints. The CIIM will work
closely with operational partners, including corporate education
and support department teams, to provide successful clinic and/or
market integration. The Clinical Integration Implementation Manager
will provide support for clinical due diligence activities as
assigned.
Primary Responsibilities:
--- Completes Population Management and Processes training and
implementation
--- Completes Functional Patient Care Committee training and
implementation
--- Implements QRA processes and initiatives
--- Implements Medical Management and Utilization Management
processes and training
--- Facilitates patient satisfaction improvement processes with the
integration's clinics
--- Identifies variances in operational structure and function
between current and desired state
--- Engages appropriate resources to provide training, tools and
support to clinic and/or market team to reach desired stated as it
relates to clinical processes
--- Provides support and serves as on-going resource to the clinic
and/or market team to ensure performance targets are met, with a
focus on quality and risk adjustment goals
--- Identifies risk issues that impact successful integration of
the clinic and/or m and engages proper resources to ensure
resolution as it relates to clinical processes
--- Ensures engagement of entire market team in successful
transition of the clinic and/or market onboarding to the defined
desired state
--- Ensures integration timelines are met in accordance with the
approved project plan
--- Maintains and builds relationships across business groups
--- Assists clinic staff and/ or market team in defining
appropriate workflows based on introduction of new clinical
processes
--- Provides input into engagement decisions, including work plan,
timeline and resource allocation as it relates to clinical work
flows
--- Completes Practice Health and Safety Assessments as
assigned
--- Completes Medical Chart Reviews as assigned
--- Performs all other related duties as assigned
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.
This position requires you to travel to clinics Houston area up to
75% of the time. Monday - Friday. Mileage Reimbursement
Required Qualifications:
--- Bachelor's degree in Nursing, Healthcare or Business
Administration, or a related field (6 additional years of
comparable work experience beyond the required years of experience
may be substituted in lieu of a Bachelor's degree)
--- Active unrestricted Registered Nurse (RN) license in the
applicable state of employment
--- 4+ years of experience in the healthcare field, with an
emphasis in clinic operations or staff training and development
--- Demonstrated solid interpersonal skills with ability to
interface effectively both externally and internally with a wide
range of people including physicians, office staff, and other
health plan staff
--- Demonstrated knowledge of organization policies and procedures
and ability to read, interpret, and apply
--- Demonstrated knowledge of and skills with tools used in
Healthcare Operations: EMR, Practice Management System, Clinic
Operations and related systems
--- Ability to travel approximately 75%
--- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation
Preferred Qualifications:
--- 6+ years of directly related experience in medical practice
management
--- Supervisory experience in a healthcare setting
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment
Careers with WellMed. Our focus is simple. We're innovators in
preventative health care, striving to change the face of health
care for seniors. We're impacting 550,000+ lives, primarily
Medicare eligible seniors in Texas and Florida, through primary and
multi-specialty clinics, and contracted medical management
services. We've joined Optum, part of the UnitedHealth Group family
of companies, and our mission is to help the sick become well and
to help patients understand and control their health in a lifelong
effort at wellness. Our providers and staff are selected for their
dedication and focus on preventative, proactive care. For you, that
means one incredible team and a singular opportunity to do your
life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: UnitedHealth Group, Galveston , Clinic Integration Nurse Houston TX, Healthcare , Galveston, Texas
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