Unit Manager Clinical Operations

MedStar Health; Houston (TX); Remote; USD 69,000 - 147,000; Full time

Job summary

A leading healthcare organization is seeking a Clinical Supervisor responsible for overseeing clinical operations. The role involves managing clinical staff, implementing procedures, and ensuring effective service delivery across the organization, particularly in a remote capacity for several states.

Benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Tuition reimbursement

Qualifications

• 2 years clinical experience with direct care.
• 2 years experience in utilization review/managed care.
• Case Management Certification (URAC accredited) preferred.

Responsibilities

• Supervise clinical staff in various operations.
• Implement processes and monitor customer service delivery.
• Ensure staff meet/exceed goals and account contracts.

Skills

Leadership skills

Communication skills

Analytical skills

Education

Registered Nurse (RN) license

Bachelor degree

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for supervising clinical staff involved in a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting account contracts, and work across the organization in delivery of services to the customer.

JOB REQUIREMENTS:

• Registered Nurse (RN), with current, unrestricted license to practice in state of operations (TX, OK, NM, IL or MT).
• 2 years clinical experience with direct clinical care to the consumer.
• 2 years utilization review/ managed care experience.
• Leadership skills.
• Knowledge of managed care program policies and procedures.
• Knowledge of managed care and insurance industry.
• Verbal, written, and interpersonal communication skills.
• PC proficiency to include Word, Excel, PowerPoint.
• Analytical skills and sound clinical judgment.
• Case Management Certification (URAC accredited certification) or obtain URAC accredited case management certification within three years of employment if overseeing case management operations.
• Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:

• Supervisory experience.
• Bachelor degree

#LI-FW1

#LI-Remote

This is a Telecommute (Remote) role for Texas, Oklahoma, New Mexico, Illinois and Montana.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$69,200.00 - $146,700.00