Regional Manager, Clinical Services (West)

Company: Healthmap Solutions
Location: Phoenix
Posted on: September 2, 2024

Job Description:

Position SummaryThe Regional Manager Clinical Services will be responsible for planning, directing, and overseeing the performance of a team of assigned Provider and Member facing staff. The position will oversee the administrative, clinical, and quality activities related to building strong provider and member engagement and health outcomes.ResponsibilitiesFunction as ambassador for organization with all internal and external customersCollaborate as needed with team to help engage providers and members and serve as escalation point for difficult practices and/or membersImplement organization policies, procedures, workflows, and action plans to drive team performanceEnsure collaboration and communication among multi-disciplinary teams to ensure they are coordinated in working toward maximum customer engagement and improved member outcomesMonitor Key Performance Indicators (KPIs) to identify trends and areas of opportunity that will guide regional strategy; Develop action plans and/or remediation strategies to address areas of opportunityDevelop, monitor, and report on team performance and productivityMonitor practice profiles monthly to ensure that practices with newly attributed members are appropriately assigned to a PRTTroubleshoot technical issues within Compass and/or Tableau as neededPromote an environment of continuous improvement through on-going team audits, provider practice visits, and monitoring of member calls to identify gaps in teams skills and competencies; Work to develop ongoing team education to address areas of opportunityDevelop, coach, and mentor team members to achieve company, department, and individual goalsConduct yearly performance evaluations and provide constructive feedback to redirect team members with a positive discipline approachMaintain team performance according to National Committee for Quality Assurance (NCQA) standards including but not limited to appropriate provider and member documentationComply with HIPAA privacy laws, all other federal and local regulations, and company security policiesProvide recommendations to the leadership regarding necessary operational adjustments needed to ensure organizational objectives and goals are metPerform other related duties as assignedRequirementsBachelors degree in Nursing requiredActive RN licensure requiredMinimum of two years progressive supervisory and/or management experience required5 years of progressive experience in healthcare services, clinical operations, quality, or care management required5 years of experience in closure of care gaps or care coordination preferredPrior experience building and managing relationships with health care providers or patients preferredMust reside in Regional TerritoryProof of valid and unrestricted drivers license requiredSkillsExcellent verbal, written and presentation skillsPeople skills to develop and maintain strong internal and external relationshipsAbility to multitask, prioritize, and create solutions in a challenging environmentDemonstrated leadership skills and ability to create and maintain a positive work environmentStrong critical thinking and analytical skillsAbility to foster strong employee engagement among the teamMust be proficient in Microsoft Office: Outlook, Word, Excel, PowerPointTravelModerate Travel, 25% to 50% of the time#LI-Hybridby Jobble

Keywords: Healthmap Solutions, Phoenix , Regional Manager, Clinical Services (West), Executive , Phoenix, Arizona