NPST Clinical Operations Manager (86155)

Regency Integrated Health Services; Victoria (TX); On-site; USD 110,000 - 140,000; Full time

Job summary

Regency Integrated Health Services seeks a Clinical Operations Manager to support the Laredo facilities and Upper and Lower Valley Regions from Regency Corporate Office in Victoria, TX. The role oversees the ISNP program with NP and RNCC staff and ensures compliant care delivery in alignment with MOC and plan policies.

You will lead clinical staff, coordinate with facility leadership, and report to the Director of Clinical Operations, maintaining professional standards and effective

Qualifications

• MSN with current board certification.
• RN and APN/APRN licensing in Texas.
• 1–2 years SNF/ISNP MOC experience.
• Prescriptive authority agreement with physicians and/or medical directors.

Responsibilities

• Manage the ISNP program in the Texas market.
• Directly oversee and manage staff of NPs and RNCCs delivering care.
• Report to the Director of Clinical Operations (DCO).
• Ensure ISNP MOC requirements and plan policies compliance.
• Provide availability for NPs and RNCCs during normal hours and on-call.
• Oversee chart audits, documentation, and coding quality.
• Recruit, train, and develop clinical staff; conduct regular staff meetings.

Skills

Communication

Staff management

Operational leadership

Healthcare coordination

Education

MSN with board certification

Job description

Job Details

Location: Regency Corporate Office - Victoria, TX 77901

We are hiring for a Clinical Operations Manager supporting the Laredo facilities and Upper and Lower Valley Regions.

Responsibilities

• Manage the ISNP program in the Texas market.
• Directly manage and oversee the ISNP plan’s staff of employed NPs and RNCCs delivering care on a day‑to‑day basis in Institutional Special Needs Plan to assure provider‑level care coordination, as outlined in the Texas Independence Health Plan (ISNP) Model of Care, for all ISNP members.
• Report to the Director of Clinical Operations (DCO).
• Monitor that the NPs and RNCCs are in compliance with the ISNP MOC requirements and plan policies.
• Be available during customary working hours (approximately 8:00am–5:00pm) to provide availability to NPs and RNCCs, with consideration for weekday/weekend on‑call support duties.
• Maintain a high level of professionalism in dress and actions that appropriately reflect the mission and policies of the organization and facilities with which the NPs and RNCCs work.
• Excellent communication skill and relationship management.
• Manage and oversee NPs and RNCCs on a day‑to‑day basis.
• Recruit, train and develop clinical staff.
• Execute the clinical program and deliver metrics.
• Maintain communication with facility leadership and staff through scheduled monthly meetings with DONs.
• Manage medical expense through utilization management, clinical delivery expenses/FTE management, quality metrics and accurate documentation and coding.
• Conduct regular agenda‑driven meetings with clinical staff (NPs and RNCCs) to address issues and concerns and communicate the company’s philosophy.
• Oversee quality of care by NPs and the appropriate level of documentation and coding.
• Conduct chart audits and routine audits on sample charts by NPs.
• Perform rotation for on‑call manager support on weekdays, weekends and holidays.
• Ensure MOC training is delivered to NPs and RNCCs upon hire and annually thereafter.
• Efficiently navigate and operate a laptop computer and related software.
• Conduct routine chart audits to identify risks, trigger events, contingency planning and advance illness planning compliance.
• Verify accuracy and timely documentation and coding.
• Communicate professionally in face‑to‑face conversations with NPs and RNCCs.
• Review post‑hospital POC, contingency, APC and documentation with NPs and prepare PAU review for bi‑weekly presentations.
• Perform clinical rounds with NPs, scheduled and as needed.
• Maintain adequate medical malpractice insurance (generally expected to be $1million/$3million).
• Perform all other duties congruent with the ISNP Plan as assigned.

Qualifications

• MSN with current board certification.
• RN and APN/APRN licensing in Texas.
• Minimum of 1–2 years of SNF/ISNP MOC experience.
• Licenced as both a registered nurse and an advanced practice registered nurse in Texas.
• Maintains an up‑to‑date board certification in specialty.
• Proven record of collaborating and partnering effectively with physicians and facility leadership.
• Responsible for maintaining a Texas statutory prescriptive authority agreement with attending physicians and/or medical directors.
• Goal‑oriented in maintaining Texas Board of Nursing ongoing educational requirements for licensure and re‑certification.
• Compliance with all state and federal guidelines required to practice as a licensed advanced practice registered nurse, including maintaining active RN and APRN licenses.
• Maintains professional medical malpractice liability insurance.