15 days old

Director of Clinical Operations - Clinical Reviews - Telecommute

San Diego, CA 92101 Work Remotely
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If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)


The Director of Clinical Operations will have primary responsibility for leading and supporting Advanced Practice Clinician managers and their clinical chart review teams. The Director will be responsible for implementation, execution, tracking and outcomes of chart review programs.  They will apply clinical expertise to ensure clinical quality and accuracy through the development of audit tools, policies and procedures.  This is a national position reporting to the Clinical Performance Sr Medical Director and in close collaboration with the Clinical Performance and Care Service leaders.


You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Directs a team of managers who lead clinical review teams
  • Oversees activities, resolves problems and provides guidance to managers and team members
  • Provides effective orientation to systems, tools, chart review processes and reporting
  • Ensures ongoing development of clinical review staff
  • Evaluates performance of managers and supports them in implementing regularly scheduled audits to ensure comprehensive assessments and clinical accuracy of each peer reviewer
  • Works alongside managers in establishing SOPs, hiring and retaining the clinical review staff
  • Participates in interdepartmental initiatives and projects related to clinical review

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.

Posted: 2020-10-13 Expires: 2020-11-13

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Director of Clinical Operations - Clinical Reviews - Telecommute

UnitedHealth Group
San Diego, CA 92101

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