Job Information
FlexStaff Senior Clinical Operations RN Manager - Queens, NY in Melville, New York
Req Number 131644
FlexStaff
Our client is seeking a Senior Clinical Operations Manager to join their management team and support their mission of excellence in care delivery. This role is integral to overseeing day-to-day operations, ensuring compliance with regulatory standards, and fostering a supportive and collaborative environment for staff and participants alike. Must have a Degree from an NLN accredited nursing school (RN, BSN required or at least 5 years' experience in a healthcare setting).
Job Responsibilities:
Develop and execute personalized care plans to enhance participant satisfaction and outcomes.
Facilitate Interdisciplinary Team (IDT) meetings, Service Delivery Requests (SDR), and other essential meetings, including completing attestations as needed.
Serve as a manager on call during non-operational hours, handling follow-ups and initiating grievances promptly.
Run and analyze necessary Clinical Delivery reports.
Represent the Community Health Nurse (CHN) in IDT meetings when required.
Balance staffing and resources, ensuring seamless team assignments and coverage.
Communicate with IDT and relevant parties to coordinate care, supporting participants in achieving optimal health.
Collaborate with clinicians to review and ensure the accuracy of assessments using UAS and UAS analyzer systems.
Investigate and address all incidents, ensuring Level 2 investigations and documentation are timely and compliant with CLHC regulations.
Ensure complete and accurate documentation for participants, including enrollment, disenrollment, and medical records.
Review participants' charts for quality and address deficiencies.
Work with the Transitions in Care Team to manage care across sites and communicate during care transitions.
Coordinate long-term care services in nursing homes, rehab facilities, etc., as needed.
Monitor care management activities and implement changes to meet participant needs and goals.
Maintain up-to-date knowledge of current health-related issues, procedures, and evidence-based clinical practices.
Recommend and contribute to improvements in services, programs, policies, and procedures.
Collaborate with Human Resources for staff interviews, coaching, disciplinary actions, onboarding, and professional development.
Evaluate work performance and competency of direct reports, provide feedback, and complete annual performance reviews.
Ensure regulatory compliance at all federal and state levels.
Investigate and resolve employee grievances and complaints.
Serve as the Director of Patient Services (DPS) for the LHCSA as assigned.
Meet standardized competencies for the position description established by the PACE organization.
Qualifications:
Degree from an NLN accredited nursing school (RN, BSN required or at least 5 years' experience in a healthcare setting).
Successful completion of an accredited Nursing Program.
Baccalaureate degree highly desired.
Completed NYSED-approved infection control coursework.
Minimum of 8.0 education contact hours, including mandatory training requirements such as infection control coursework.
Case Management Certification recommended within 2 years of employment.
3-5 years of administrative experience in a management capacity in CHHA, LHCSA, acute care, medical-surgical, critical care, nursing home, diagnostic & treatment clinic.
Customer service experience required.
Managed long-term care insurance experience beneficial.
Minimum of 1 year of experience working with a frail or elderly population, or appropriate training from the PACE organization.
Supervisory experience required.
Current active and unrestricted license and registration in New York State as a Registered Nurse.
Legally authorized to practice in the State of New York.
Medically cleared for communicable diseases and up-to-date immunizations.
Bilingual preferred.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,
The salary range for this position is $125,000-$130,000/year
It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status, or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent’s sexual or other reproductive health decisions, or other characteristics protected by applicable law.