[Hiring] Clinical Operations Manager @Acentra Health, LLC

Role Description

Acentra seeks a Clinical Operations, Manager - RN to join our growing team.

• Supervision and day-to-day activities of the assigned Case Review Teams.
• Mentoring, coaching, and training team members in the case review process to ensure quality and contract deliverables are met.
• Using independent judgment, utilizing clinical knowledge and competence, communication skills, problem-solving and conflict resolution to effectively ensure optimal client outcomes with consideration of payer/client requirements.
• Working effectively with all healthcare team members internally and externally.
• Supporting the interdisciplinary team with the underlying objective of ensuring contractual, regulatory, and accreditation compliance, and providing timely and accurate data and communications.

Position is remote

Required Work Hours: Monday - Friday from 9:00 AM - 5:30 PM EST.

Occasionally, work may be required in the evenings, holidays and on weekends.

Qualifications

• Active, unrestricted RN licensure.
• Requires pursuing ongoing education, certification, and self-development to remain current with case review standards.
• 4+ years of clinical experience in a medical setting.
• Quality management experience with projects, reporting outcomes, or other QIP involvement.
• Case review experience with evidence-based practice standards.
• Knowledge of the No Surprises Act and Dispute Resolution.

Requirements

• Bachelor’s degree in nursing or related nursing field (preferred).
• Previous workload management experience (preferred).
• Previous client management experience (preferred).
• Strong supervisory experience and knowledge; Independent Dispute Resolution recommended (preferred).
• Strong team-building skills (preferred).
• Excellent verbal and written communication skills; excellent interpersonal communication and negotiation skills (preferred).
• Ability to utilize critical thinking and apply sound judgment for decision-making and guiding staff (preferred).
• Understanding of the importance of instilling a caring philosophy in all aspects of the case review process (preferred).
• Analytical, reporting, and data management skills (preferred).
• Strong organizational and time management skills and the capacity to prioritize multiple tasks (preferred).
• Demonstrates the ability to be organized and efficient in prioritizing and managing assignments with minimal oversight and direction (preferred).
• Computer proficiency in Microsoft Office and other software programs and the ability to enter and retrieve data from relevant computer systems (preferred).

Benefits

• Comprehensive health plans.
• Paid time off.
• Retirement savings.
• Corporate wellness.
• Educational assistance.
• Corporate discounts.
• And more.

Company Description

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.