Director of Clinical Services
Arkos Health
full-time
Posted on:
Location Type: Hybrid
Location: Cheyenne • Wyoming • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- Provide supervision and guidance through clinical leadership to the care management teams
- Maintain and ensure the successful process flow of all clinical programs established with our contracted partners
- Provide oversight and ongoing training to care management clinicians
- Establish and evaluate operational/staffing criteria for Clinical Service departments including but not limited to Complex Care Management, and Hospital/SNF Care Management
- Interact proactively with network providers/offices to educate on organization services, problem solve and resolve care management/care coordination related issues or concerns
- Identify and submit to the Chief Clinical Officer any potential quality issues for review
- Prepare and investigate any quality issues or complaints involving the clinical team
- Collaborate with the clinical team for process improvement and assurance of operational quality as well as, HIPAA compliance according to corporate and compliance policies
- Conduct weekly audits of care management team cases, to ensure corporate and partner compliance is met
- Prepare and appropriately delivery weekly Interdisciplinary Care Team agenda and participates in meetings according to contracted standards
- Maintain and audit weekly time and mileage sheets for all applicable staff
- Act as a resource for all clinical staff for any operational or clinical concerns
- Conduct performance evaluations and formulates disciplinary action plans, as appropriate
- Participate and equally shares in after-hour and week-end coverage for Clinical Services Department
- Work with the assigned HR team to conduct recruitment, hiring, and training of required personnel
Requirements
- BSN required; MSN preferred
- Current, unencumbered, Registered Nurse License and graduation from an accredited Registered Nurse program
- Current unrestricted Nursing license
- Knowledge of Medicare, Medicaid, Marketplace, state, and local managed care regulations
- Five years of acute care or care management experience, prior ER or ICU or other relevant clinical role requiring quick critical thinking experience preferred
- Must have the ability to present clinical information both accurately and confidently
- Able to communicate effectively and in a professional manner with all levels of internal staff and external customers
- Ability to be detail-oriented, able to function under pressure and able to prioritize and re-prioritize tasks as needed
- Ability to work both independently and as part of a team, with minimal supervision
- Excellent customer service and communication skills, both oral and written
- Prior experience in managed care setting preferred
- Must complete our Culture Index Survey.
Benefits
- Employer-paid Medical, Dental and vision premiums at no cost to you
- Employer-paid Short-Term Disability premiums at no cost to you
- Employer-paid Life Insurance premiums at no cost to you
- Employer matching 401(k)
- 15 days annual combined sick/vacation and 10 days of holiday during your first year
- Your Birthday off!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical leadershipcare managementoperational criteriaquality assuranceHIPAA complianceperformance evaluationsacute care experiencecritical thinkingmanaged care regulationsinterdisciplinary care
Soft skills
communication skillsproblem solvingdetail-orientedability to work under pressureteamworkindependencecustomer serviceprofessionalismtraining and mentoringorganizational skills
Certifications
BSNMSNRegistered Nurse License