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Clinical Manager - Maryland Medicaid & Pediatrics

Kaiser Permanente

Hyattsville, MD

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JOB DETAILS
SKILLS
Alliance/Partner Management, Basic Life Support (BLS), Best Practices, Budgeting, Business Operations, Business Plan, Candidate Screening, Coaching, Conflict Resolution, Contingency Plans, Cross-Functional, Data Analysis, Data Collection, Detail Oriented, Dietetics, Disaster Recovery, Disease, Diversity, Documentation, Equipment Maintenance/Repair, Expense Management, Federal Laws and Regulations, Financial Reporting, Healthcare, Healthcare Providers, Healthcare Quality, Human Resources Management, Industry/Trade Analysis, Information Technology & Information Systems, Leadership, Legal, Licensed Clinical Social Worker (LCSW), Licensing, Maintain Compliance, Medicaid, Medications, Medicine, Microsoft Office, Nursing, Occupational Therapy, Operating Room Nursing, Operational Improvement, Operational Support, Operations Management, Operations Processes, Patient Care, Pediatrics, People Management, Performance Management, Performance Metrics, Pharmacy, Physical Therapy, Physician Assistant, Problem Solving Skills, Procedure Development, Process Improvement, Process Management, Project Design, Project Planning, Project/Program Management, Provider Contracting, Quality Management, Quality Metrics, Registered Nurse (RN), Regulatory Compliance, Regulatory Requirements, Resource Management, Respiratory Therapy, Root Cause Analysis, Set Goals, Social Work, Speech and Language Pathology, Staff Training, State Laws and Regulations, Strategic Planning, Talent Management, Team Building, Team Lead/Manager, Team Player, Technical Operations, Time Management, Training/Teaching, User Documentation, Vendor/Supplier Relations
LOCATION
Hyattsville, MD
POSTED
11 days ago
Job Summary: In addition to the responsibilities below, this position is also responsible for implementing best practice models; implementing patient care delivery systems and practice standards in several locations; investigating and resolving patient/family/member concerns regarding patient care and services; collaborating with physicians, outside healthcare providers, and other health care team members to target diseases/conditions/services that would benefit from a multidisciplinary approach; managing interdisciplinary teams to design assessment tools, interventions, and care management plans that improve member outcomes throughout the continuum of care; monitoring resource needs in assigned clinical areas to ensure appropriate assignment and utilization; monitoring the use and maintenance of equipment, supplies and medications; fostering a safe environment for patients and employees; maintaining clinical expertise, providing clinical supervision, ensuring staff competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the department, providing peer-review within area of expertise; delegating tasks and duties that are aligned to scope of practice; and performing clinical duties as required. Essential Responsibilities: + Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making. + Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives. + Manages continuum of care / care at home operations to support patient care by: driving implementation of action items and supporting compliance with timelines and financial commitments; using and providing feedback on standard reports and identifying needed ad hoc reporting to meet specific client needs related to workflow and performance targets; providing feedback as needed on data collection, reviewing data, and translating reports into short-term operational initiatives; managing human resources activities related to recruitment, creating and ensuring the use of standardized procedures and processes for employee management; leading survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and developing procedures for preparing audit documentation, information, and reports; and assisting in the development and management of their departments expenditures, payroll, and non-payroll budget with input from a higher-level leader. + Ensures standardized care delivery by: developing strategic partnerships with physicians and subject matter experts and managing complex work streams and implementing strategic initiatives with significant program impact; using data and analysis to ensure strategic alignment while developing and implementing plans; proactively monitoring and managing daily operational activities involving patient care management, ensuring consistency and seamless transitions across the continuum of care; managing resources in clinical areas to ensure appropriate assignment and utilization; managing multidisciplinary continuum of care / care at home team(s); supports managing local agency and outside provider contract/vendor relations that provide optimal patient care and medical services for care across the continuum; implementing emergency preparedness programs and ensuring the teams emergency preparedness and recovery plans are current and that staff are trained and know what is expected during and after an emergency; and leading project teams, initiatives and monitoring implementation and delivery on objectives. + Manages improvements to operations and technology processes by: defining issues and overseeing the development of goals and priorities for strategic projects designed to remediate issues and improve quality, service, affordability, and/or operating efficiency; applying a structured approach for identifying root causes and implementing solutions to improve the performance of operations system processes; and ensuring performance metrics used to monitor the success of strategic improvement projects are tied to strategic department initiatives. Knowledge, Skills and Abilities: (Core) + Ambiguity/Uncertainty Management + Attention to Detail + Business Knowledge + Communication + Constructive Feedback + Critical Thinking + Cross-Group Collaboration + Decision Making + Dependability + Diversity, Equity, and Inclusion Support + Drives Results + Facilitation Skills + Health Care Industry + Influencing Others + Integrity + Leadership + Learning Agility + Organizational Savvy + Problem Solving + Short- and Long-term Learning & Recall + Strategic Thinking + Team Building + Teamwork + Topic-Specific Communication Knowledge, Skills and Abilities: (Functional) + Evidence-Based Medicine Principles + Evidence-Based Practices + Compliance Management + Confidentiality + Conflict Resolution + Health Care Quality Standards + Information Systems + Legal And Regulatory Requirements + Member Service + Microsoft Office + Stakeholder Management Minimum Qualifications: + Minimum two (2) years of experience in a leadership role with or without direct reports. + Minimum two (2) years of customer or member/patient service experience. + Bachelors degree in a business, nursing, health care, or directly related field AND minimum three (3) years of experience in business operations, clinical health care, or a directly related field OR minimum six (6) years of experience in business operations, clinical health care, or a directly related field. + This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire. + Registered Nurse License (Maryland) within 6 months of hire AND Registered Nurse License (District of Columbia) within 6 months of hire AND Registered Nurse License (Virginia) within 6 months of hire OR + Speech-Language Pathologist License (District of Columbia) within 6 months of hire AND Speech Language Pathologist License (Maryland) within 6 months of hire AND Speech-Language Pathologist License (Virginia) within 6 months of hire OR + Pharmacist License (Virginia) within 6 months of hire AND Pharmacist License (Maryland) within 6 months of hire AND Pharmacist License (District of Columbia) within 6 months of hire OR + Physician Assistant License (Maryland) within 6 months of hire AND Physician Assistant License (Virginia) within 6 months of hire AND Physician Assistant License (District of Columbia) within 6 months of hire OR + Occupational Therapist License (District of Columbia) within 6 months of hire AND Occupational Therapist License (Virginia) within 6 months of hire AND Occupational Therapist License (Maryland) within 6 months of hire OR + Physical Therapist License (District of Columbia) within 6 months of hire AND Physical Therapist License (Virginia) within 6 months of hire AND Physical Therapist License (Maryland) within 6 months of hire OR + Licensed Clinical Social Worker (Virginia) within 6 months of hire AND Independent Clinical Social Worker License (District of Columbia) within 6 months of hire AND Licensed Certified Social Worker (Maryland) within 6 months of hire OR + Registered Nurse License (District of Columbia) within 6 months of hire AND Compact License: Registered Nurse within 6 months of hire OR + Dietitian License (District of Columbia) within 6 months of hire AND Registered Dietitian Nutritionist Certification required at hire AND Dietitian License - Nutritionist (Maryland) within 6 months of hire OR + Dietitian License - Nutritionist (Maryland) within 6 months of hire AND Registered Dietitian required at hire AND Dietitian License (District of Columbia) within 6 months of hire OR + Respiratory Care Practitioner License (District of Columbia) within 6 months of hire AND Respiratory Therapist License (Virginia) within 6 months of hire AND Respiratory Care Practitioner License (Maryland) within 6 months of hire OR + Compact License: Physical Therapist within 6 months of hire + Basic Life Support required at hire Preferred Qualifications: + Two (2) years of project/program management and/or implementation-related experience. + Two (2) years of experience in process improvement. COMPANY: KAISER TITLE: Clinical Manager - Maryland Medicaid & Pediatrics LOCATION: Hyattsville, Maryland REQNUMBER: 1430995 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

About the Company

K

Kaiser Permanente

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research. Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach. Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1945
WEBSITE
http://www.kp.org/careers