Description
General Summary of Position
The AVP of Clinical Operations coordinates and communicates with providers, members or other parties to facilitate optimal care. This role oversees the clinical and non-clinical staff within the District of Columbia (Maryland) Medicaid areas of utilization management, care management and process improvement. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational and external relationships in a manner that conveys high credibility and confidence. The highly qualified candidate must be flexible, adaptable, able to manage competing priorities, and be a leader of both people and process.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree Accredited School of Nursing required
- Master's degree Related field preferred
Experience
- 8-10 years Technical experience to include Utilization Management and/or Case Management; If in DC, District of Columbia Certified Case Manager required
- 8-10 years Leadership/management exerience required
- 5-7 years Experience within the organization healthcare services organization preferred
- 5-7 years Varied clinical experience in hospital or managed care setting required
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the state of Maryland Upon Hire required
- CCM - Certified Case Manager Upon Hire preferred
Knowledge, Skills, and Abilities
- Must be willing to travel for provider facing and corporate meetings as conditions require/permit.
- Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment modalities, statutes, and healthcare delivery models
- Experience working with Medicaid populations.
- Demonstrates a high degree of organizational skill and time management for multiple competing priorities.
- Demonstrates an ability to quicky adapt and mange through a changing environment.
- Demonstrates ahigh level of emotional intelligence and ability to develop rapport.
- Demonstrates the ability to manage a large work force and effective navigate change.
- Excellent clinical, communication, management and leadership skills. Basic computer skills preferred.
Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
- Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
- Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
- Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
- More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.
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