6 days old

Registered Nurse RN Clinical Integration Manager WellMed Greater Texas

San Antonio, TX 78205
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  • Job Code
    874478
  • Jobs Rated
    118th

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands 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

  

This position has significant local and non-local travel throughout Texas and Florida areas. 

The coverage market can be San Antonio, Austin, RGV, Corpus, Houston, Florida, etc.

   

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 integrations 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.

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Jobs Rated Reports for Registered Nurse

Posted: 2020-05-20 Expires: 2020-06-19

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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Registered Nurse RN Clinical Integration Manager WellMed Greater Texas

UnitedHealth Group
San Antonio, TX 78205

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Registered Nurse
118th2018 - Registered Nurse
Overall Rating: 118/220
Median Salary: $70,000

Work Environment
Poor
166/220
Stress
High
173/220
Growth
Good
53/220
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