Market Operations Manager – Utilization Management
CareSource
Associate Clinical Director
Duke Careers
full-time
Posted on:
Origin: • 🇺🇸 United States • North Carolina
Visit company websiteJob Level
Lead
About the role
- Provide planning and clinical support for sites including, developing and executing quality and operational action plans
- Develop and execute targeted site assessments to identify strengths and opportunities for improvement
- Assist teams with real-time data collection and analysis to inform performance improvement and improve patient outcomes
- Assist clinical and operational leadership in the development of efficient and effective patient flow processes for new and existing clinical programs, including emergency transfers
- Serve as the point of contact for up-to-date cardiovascular clinical standards, guidelines, evidence-based practice, and interpreting and summarizing publications (in collaboration with DHN team and Duke Heart Center experts as appropriate) for communication to appropriate site-based personnel
- Manage and guide the facility design process, to assure efficient and effective clinical operations and optimum patient outcomes
- Demonstrate the ability to understand the financial impact to the affiliate organization when developing or evaluating clinical programs
- Provide consultative support and guidance in the development and implementation of site quality oversight and reporting structure, assuring execution of plan and monitoring of results
- Lead programmatic quality review processes, to include but are not limited to: Morbidity and Mortality Conferences Case reviews, with dissemination of reports
- Partner and support cardiovascular registry participation, with an emphasis on vendor coordination, data integrity, and submission accuracy
- Develop community and staff education programs; responsibilities include but are not limited to: Conducting an initial and ongoing assessment of staff education and training at assigned affiliate(s) Complete competency assessments of affiliate staff as needed
- Develop and deliver relevant educational content, utilizing Duke Heart Center experts for guidance as needed
- Establish Continuing Medical and Staff education plan
- Support CME/CE and site community educational events
- Assist in the development and provision of affiliate educational events
- Participate in site strategic planning and cardiovascular service line and program performance reviews to share observations, discuss opportunities for new or enhanced clinical services
- Perform other duties or tasks incidental to the work described herein as required and requested to meet the objectives of the DHN.
Requirements
- Bachelor’s Degree (BSN) and RN licensure in NC
- Master’s in Nursing Science, or MPA, MHA, or MBA with health care concentration strongly preferred
- A minimum of four years as a registered nurse in cardiovascular care; preferably within interventional cardiology
- Minimum of two years in a leadership role or relevant program management experience
- Additional training in clinical informatics and/or clinical analyst skillset highly preferred
- Experience in hospital quality committees a plus
- Ability to travel to affiliated sites (Up to a 4-hour drive, short flights, overnight travel)
