Clinical Director, Specialty Ops

Overview

Clinical Director, Specialty Operations- Value Based Care

• Full-Time, 40 hours per week.
• Monday - Friday; Business hours - may vary when needed.
• Location: Downers Grove, IL
  
  

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
  
  

Responsibilities

• Care Model Design and Execution: Designing, implementing, and executing clinical care models that focus on preventative care and improved patient outcomes across specialties
• Team Management: Managing and training clinical staff, such as nurse case managers and care coordinators, to ensure adherence to new policies and procedures for VBC initiatives.
• Productivity Monitoring: Develops clinical productivity standards and provides coaching and remediation for underperformance
• Performance Monitoring: Utilizing data and analytics to monitor key performance indicators (KPIs), such as hospital admission rates, emergency utilization, in addition to leading metrics around disease progression and appropriate utilization
• Patient Engagement: Overseeing programs and tools designed to enhance patient education, engagement, and care coordination.
• Stakeholder Alignment: Collaborating with physicians and multidisciplinary professional staff to ensure alignment with VBC goals, which may involve providing education and performance management feedback
• Regulatory Compliance: Ensuring that all clinical operations meet regulatory and compliance standards within the evolving healthcare landscape. Proficient in knowledge of current Case Management Standards
• Development: Develops, coaches, and mentors clinical staff including RNs and care coordinators
• Team Composition: Participates in the interviewing and selection process for new hires
• Data Analysis: Review and act on population health dashboards to address care gaps (annual wellness visits, lack of symptom monitoring, missing labs, etc)
• Reporting: Provide regular, timely communication regarding project status, challenges and required actions. Develop tools for documentation of new programs/products as well as monitoring outcomes of these program/products using available data
  
  

Qualifications

• Demonstrates applied knowledge of healthcare business processes and extensive experience working with complex, high-acuity patients
• Knowledge of chronic conditions and related workflows, including congestive heart failure, chronic kidney disease, and associated co- morbid conditions
• Evidence of interpersonal skills and a proven ability to affect change and develop and maintain effective relationships across interdisciplinary teams
• Entrepreneurial mindset geared toward creation, execution and continuous improvement
• Proven skills in program and product development
• Demonstrated organizational, time management, and presentation skills
• Detail-oriented and holds self to high standards of work product
• Strong analytical and critical thinking skills; Able to gather, process, synthesize and structure key insights and conclusions from various sources of information
• Effective in identifying and analyzing problems. Proactively acts as a patient advocate and responds with resolve.
• Excellent verbal communication: Capable of interacting with, and relating to, people of varying educational levels and backgrounds, conveying information clearly and succinctly, applying listening, tact, responsiveness, empathy, and confidentiality. Effective in communicating verbally with other staff and departments related to the job responsibilities.
• Collaboration: Must be able to get along with others, work as part of a team, accept constructive criticism, adapt behaviors quickly, and consistently follow and apply work rules. Works effectively with others to accomplish objectives and goals. Fosters teamwork and positive rapport within all departments to maximize achievement of goals.
• Proficiency with navigation of EPIC, web -based applications, Microsoft Outlook, Teams, Excel, Word, and PowerPoint
• Must be able to work and manage clinical staff in a remote environment
• Must be comfortable working in a dynamic, fast-paced environment
  
  

EDUCATION and / or CERTIFICATION/LICENSURE:

• Current Registered Nurse License in the State of Illinois
• Certified Case Manager (CCM) certification preferred
• Current Basic Life Support (BLS) certification is required in this role
  
  

EXPERIENCE:

• 5 years working in value-based care or strong specialty care experience in cardiac care or kidney disease care
• 5 years combined of related education, experience, or certification.
• Management experience preferred WORK ENVIRONMENT: This position is primarily conducted via telecommunication in a remote setting. The position may require occasional visits to provider offices or in person team meetings with advanced planning. Occasionally visits to off-site locations may be required for training of staff or to retrieve information.
  
  

The compensation for this role includes a base pay range of $95k-145k with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.