Clinical Manager RN: Service Coordination Leader (Remote)

Registered Nurse; El Paso (TX); Hybrid; USD 92,000 - 164,000; Full time

Benefits offered by this job

Benefits package

401(k) plan

Telecommuter policy

Job summary

Optum is seeking a Service Coordination Manager, RN, to oversee the service coordination staff and drive policy development to ensure timely, accurate delivery of non-waiver and waiver services to Star+Plus members. The position requires a Texas RN license, 7+ years in healthcare with 2+ years in managed care, and 3+ years in supervision.

You will lead orientation and training, set performance goals, analyze outcomes, and collaborate with utilization management, finance, and quality teams.

Qualifications

• Graduate of an accredited school of nursing.
• Current unrestricted RN license in Texas.
• 3+ years of management or supervisory experience in managed care.
• Hands-on experience with STAR+PLUS and LTSS program operations and service delivery.

Responsibilities

• Provide supervision and oversight of service coordination staff.
• Participate in interdepartmental meetings to represent service coordination needs.
• Facilitate orientation and training of service coordination staff.
• Establish goals for performance standards of service coordinators.
• Provide ongoing training and development of staff to achieve standards.
• Identify problems and intervene with corrective plans.
• Provide analysis and reporting to ensure compliance with HHSC, TDI, UMCC and URAC standards.
• Manage field staff productivity goals and outcomes measures.
• Conduct ride-alongs and telephonic audits for staff evaluation.
• Develop and maintain corrective action plans.

Skills

Nursing leadership

Communication skills

Problem solving

Clinical leadership

Bilingual English/Spanish

Education

RN license Texas

Bachelor's degree

CCM certification

Tools

EHR systems

Microsoft Word

Microsoft Excel

Outlook

Job description

Optum is seeking a Service Coordination Manager, RN, to oversee the service coordination staff and drive policy development to ensure timely, accurate delivery of non-waiver and waiver services to Star+Plus members. The position requires a Texas RN license, 7+ years in healthcare with 2+ years in managed care, and 3+ years in supervision.

You will lead orientation and training, set performance goals, analyze outcomes, and collaborate with utilization management, finance, and quality teams.