Job Summary:

To coordinate the delivery of quality patient care to facilitate member satisfaction with the care experience.

Essential Responsibilities:

Manages clinical operations, including staffing schedules, phone access to the health care team, and patient flow.
Is responsible for all appropriate documentation and reporting requirements, such as QA reports, performance evaluations, time sheets, and budget variance reports.
Ensures the appropriate level and mix of staff and effective staff utilization to meet staffing and workload requirements and support the delivery of quality patient care and services, within budgetary guidelines.
Establishes performance goals and provides counseling, coaching, feedback, recognition, training and development to staff.
Manages quality improvement initiatives for areas of responsibility and ensures compliance with HEDIS indicators and other mandated standards.

Basic Qualifications: Experience

Minimum five (5) years of current clinical experience plus two years of supervisory experience required.

Education

Graduate of accredited school of nursing
Bachelors degree in nursing, OR Masters degree in nursing earned through a direct entry MSN program
NOTE: Incumbents grandfathered until 11/30/2024 with this requirement:
BSN or Bachelors degree in health care administration, other health related field, or minimum four (4) years of related experience required.
High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Additional Requirements:

Demonstrated clinical and managerial competence appropriate to area(s) of responsibility; familiarity with all pertinent laws, regulations, and standards of nursing practice; demonstrated competence with financial management principles and standard software applications in a Windows environment required.

Preferred Qualifications: