Operations Manager, Registered Nurse Utilization Review - Remote

Washington, DC
Jan 23, 2022
Jan 26, 2022
Full Time
DescriptionClinical Operations ManagerAre you an experienced Clinical Operations Manager looking for a new challenge? Are you motivated, energetic, and excited to become part of the Kepro team?If so, you might be our next new team member!Who We NeedThe Clinical Operations Manager will manage the day-to-day operations for the assigned contract or program, assuring quality customer service and support for clients and staff.Why us?Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.We do this through our people.At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.What You'll DoCoordinates and directs overall program operations and directly supervises Clinical Staff and non-clinical support staff. Ensures appropriate clinical staff assignments to ensure service level agreements are met.Develops and maintains procedures and practices for accomplishing departmental goals and objectives. Develops and monitors business and financial metrics related to the day-to-day operational success of the program; reports and measures progress toward operational goals through periodic reviews. Coordinates all aspects of the center operations including program coordination, scheduling, work plan management, status reporting and issue resolution tracking for the Operations. Works with IT on system changes related to contract requirementsAssumes responsibilities for the Executive Director in his/her absence.Resolves departmental Operations issues or delegates to the appropriate personnel or staff members for prompt resolution.The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.What You'll NeedRequired QualificationsBachelor's degree in a business field is required.Unrestricted registered nurse (RN) license.ExperienceMinimum of 5 years of experience in healthcare field.3 to 5 years of recent management experience.Previous utilization management experiencePublic and private sector healthcare experience and/or has been involved in providing services to government or commercial programs.Knowledge, Skills, AbilitiesAbility to work within KEPRO's decision-making and organizational structure.Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.Knowledge of US healthcare industry; preferably with experience in both public and private sector. Expertise in employee development and performance management skills.Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with KEPRO's mission and strategic plan.Demonstrated achievement in P&L management, operational process engineering, remote operations management and new business development support.Ability to successfully manage change and growth.Knowledge of business development, strategic planning, tactical implementation and creation of business partnerships.Demonstrated expertise in managing differing customer needs.Ability to participate as a team member fostering collaborative decision-making among leadership, committees, teams or work groups of diverse composition.Thank You!We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!~ The Kepro Talent Acquisition TeamMental And Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.Kepro offers challenging careers, excellent benefits and opportunities for advancement. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. No Phone Calls Please. Visit our website at www.Kepro.com for more information on the Kepro Family of Companies.EOE AA M/F/Vet/DisabilityKepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Similar jobs