Simplifying the healthcare experience for clients and members.

Clinical Manager, Navigation Service Delivery

ManagerManagerFull TimeRemoteTeam 201-500H1B SponsorCompany Site LinkedIn

Location

New York

Posted

84 days ago

Salary

$100K - $125K / year

Professional Certificate5 yrs expEnglish

Job Description

• Lead, motivate, coach, and mentor your team of Clinical Health Guides to deliver world-class concierge-level clinical guidance in a care navigation contact center environment • Support team with complex clinical navigations (member encounters) and offer clinical insight, guidance, and support • Escalation management, including resolving member issues, root cause analysis, developing solutions, and communicating resolution plans to key stakeholders and clients as needed. • Interview, hire, onboard, train, audit, and ensure team member adherence to Rightway care navigation model • Assign, review, and monitor employee workload to ensure the timely and accurate completion of member interactions • Perform daily, weekly, and monthly reviews of performance analytics to drive member experience, identify process improvements, and otherwise manage the business • Develop, update, and maintain Standard Operating Procedures • Develop evidence-based clinical protocols and workflows • Serve as the internal primary clinical point of contact and subject matter expert for the organization • Support new/renewing client launches • Work collaboratively in cross-functional teams to drive operational and product improvements, growth, and efficiency • Supports the client success team with client requests and needs requiring clinical expertise • Supports the client success team, as needed, with client quarterly business reviews in providing clinical insights and impact for their population. • Responsible for evaluating strategic clinical partner vendors as well as oversight and management of our clinical vendor partners.

Job Requirements

Must have a Registered Nurse or Advanced Practice Registered Nurse active, valid license, and must have a multi-state/compact license
Experience developing and executing on public health and/or population health strategies and programs
Demonstrated and direct nurse management experience or equivalent experience required
Disease Mgmt and/or Case Mgmt program experience is highly desirable
Candidates must have at least 5 years of experience with direct patient care
Strong and demonstrated coaching and mentoring skills with a passion for developing and growing team members
High level of Emotional Intelligence (EQ)
Growth-oriented, coachable with a focus on continued professional growth and development
Requires a flexible work schedule, including evenings and weekends as needed
Strong team-building, collaboration, and motivational skills
Ability to effectively influence and communicate with all levels of the organization, with excellent written and verbal communication skills
Builder and self-starter who is willing to develop SOPs, drive innovation, product recommendations, address operational gaps, and continuously look for ways to improve the business and member experience
Highly organized, with experience in project management, creating roadmaps, and executing with accountability
Ability to multitask in a fast-paced environment
Requires experience managing data and deriving insights.