20 days old

Market Nurse Leader RN Irving Dallas Fort Worth TX

Irving, TX 75060
Apply Now
Apply on the Company Site
  • Job Code
    873742
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) 
 
WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.
 
The Market Nurse Leader is responsible for planning, organizing, and directing clinic operations management in assigned market to meet clinical operational needs, and ensure compliance with federal and state requirements, Medicare guidelines, URAC/NCQA/AHCA/OSHA/Joint Commission standards; responsible for developing and implementing policy and procedures, integrating clinical practice guidelines into clinic processes, and overseeing nursing practice standards of licensed nursing personnel. Impact of work is most often at the local level and regional level. Focus is on broad organizational/professional issues and strategic outlook. This position will assist in the clinical professional development of the Clinic Operations management team in their market. This position maintains continuous quality improvement efforts and opportunities directed toward achievement of clinical and healthcare outcomes. The success of this position requires the ability to foster communication and teamwork between clinics/physicians, market management team, corporate departments, and senior leadership. This position will coach others in the application of clinical competency, translating complex nuances related to clinical competency into easy to understand terms; participates in senior-level discussions regarding clinical competency; participates in the development of reference and resource materials on clinical competency.  Recognized as the SME for clinical competency, both internally and externally. Develops and/or leads development of new applications and approaches for activities related to clinical competency. The Market Nurse Leader will assist senior leadership with long-term planning initiatives assuring activities are appropriately integrated into strategic direction and overall mission and values of the company.
 
Primary Responsibilities:
  • Drives effective clinical decisions within a business environment
    • Clinical Interface/Liaison (clinical problem solver with providers, interdepartmental teams; resolution of issues concerning members, program definition and clarification)
    • Clinical Operations Analysis (monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits)
    • Clinical Training (planning, coordinating, delivering and evaluating clinical training)
    • Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services)
    • Demonstrates understanding of business implications of clinical decisions (e.g., financial ramifications)
    • Asks critical questions to ensure member/customer centric approach to work
    • Identifies and considers appropriate options to mitigate issues related to quality, patient safety or affordability when they are identified, and escalates to ensure optimal outcomes, as needed
    • Utilizes evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results
    • Identifies and implements innovative approaches to the practice of nursing, in order to achieve or enhance quality outcomes and financial performance
  • Serves as subject matter expert to support compliance with applicable federal and state practice health and safety standards, with particular focus on clinical standards and occupational health requirements
  • Conducts clinic assessments for compliance with state and federal health care requirements, Medicare guidelines, and URAC/NCQA/AHCA/OSHA/Joint Commission standards
  • Oversees remediation and corrective action plans, resulting from internal assessments, audits, compliance reviews and self-identified issues
  • Provides leadership and mentoring for clinic staff to ensure patient safety and quality care
  • Serves as a clinical resource for QRA performance and PCMH implementation and sustainment
  • Monitors and ensures compliance with Occupational Health Programs (e.g., TB Screening, Hep B Screening, N-95 Fit Testing, etc.)
  • Advises executive leadership on clinic operations related to nursing practice standard of care
  • Ensures clinic staff has demonstrated appropriate clinical competencies to perform clinic tasks
  • Monitors patient satisfaction and implements plans and programs to continually enhance services provided
  • Participates in professional development activities and education programs to keep staff abreast of health care trends and practices
  • Performs all other related duties as assigned
Position is based out of the Irving Office and will require extensive travel throughout the DFW market.
 
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: 2020-05-15 Expires: 2020-06-14

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.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Market Nurse Leader RN Irving Dallas Fort Worth TX

UnitedHealth Group
Irving, TX 75060

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast