Clinical Operations Supervisor; in Maricopa, Arizona)

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

The Supervisor, Clinical Health Services is responsible for oversight of healthcare management staff, including the organization and development of high performing teams.

• Oversee a non-clinical DE staff
• Work closely with functional area managers to ensure consistency in clinical interventions supporting our members.
• Be accountable for meeting the financial, operational and quality objectives of the unit.
• Oversee the implementation of healthcare management services for assigned functional area.
• Implement clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA [ National Committee for Quality Assurance ], URAC [ Utilization Review Accreditation Commission ], state and federal standards, and mandates as applicable).
• Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking.
• Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care.
• May act as a liaison with other key business areas.
• May develop/assist in development and/review new training content.
• May collaborate/deliver inter and intra-departmental training sessions.
• Protect the confidentiality of member information and adhere to company policies regarding confidentiality.
• Manage resources responsible for identification of members, development, and implementation of care plans, enhancement of medical appropriateness, quality of care, and monitoring, and evaluating and documenting of care.
• Develop, initiate, monitor and communicate performance expectations.
• Ensure the team's understanding and use of information system capability and functionality.
• May have responsibility for their own case load work.
• May act as a single point of contact for the customer and the account team including: participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers.
• Participate in the recruitment and hiring process for staff, using clearly defined requirements in terms of education, experience, technical, and performance skills.
• Assess developmental needs and collaborate with others to identify and implement action plans that support the development of high-performing teams.
• Establish an environment and work style that promotes the concept of teamwork, cross-product integration, and continuum of care-thinking that results in strong performance.
• Consistently demonstrate the ability to serve as a model change agent and lead change efforts.
• Create a positive work environment by acknowledging team contributions, soliciting input,
• and offering personal assistance when needed.
• Be accountable for maintaining compliance with policies and procedures, and implement them at the employee level.

• 3-5 years of clinical experience.
• 1+ year of direct people leadership, supervisory, team lead, or management experience in a healthcare setting.
• Candidate must hold an active Arizona (AZ) RN license and be authorized to practice in the state of Arizona.
• May be required to travel to health fairs on an occasional weekend basis.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).

• 1+ Previous experience in managed care.
• Ability to work with a team, build high morale, and encourage group commitment to goals and objectives.
• Ability to evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes.
• Ability to communicate effectively with providers, members, staff, and other leaders, both in oral and written formats (e.g., may provide support to the sales staff & network staff via onsite customer visits and/or presentations).
• BSN preferred.

Registered Nurse Diploma or Associates Nursing Degree required.

40

Full time

The typical pay range for this role is:

$80,340.00 - $

This pay range represents…