NPST Clinical Operations Manager

Job Details

Location:

Regency Corporate Office - Victoria, TX 77901

We are hiring for a Clinical Operations Manager supporting the Laredo facilities and Upper and Lower Valley Regions.

• Manage the ISNP program in the Texas market.
• Directly manage and oversee the ISNP plan’s staff of employed NPs and RNCCs delivering care on a day‑to‑day basis in Institutional Special Needs Plan to assure provider‑level care coordination, as outlined in the Texas Independence Health Plan (ISNP) Model of Care, for all ISNP members.
• Report to the Director of Clinical Operations (DCO).
• Monitor that the NPs and RNCCs are in compliance with the ISNP MOC requirements and plan policies.
• Be available during customary working hours (approximately 8:00am–5:00pm) to provide availability to NPs and RNCCs, with consideration for weekday/weekend on‑call support duties.
• Maintain a high level of professionalism in dress and actions that appropriately reflect the mission and policies of the organization and facilities with which the NPs and RNCCs work.
• Excellent communication skill and relationship management.
• Manage and oversee NPs and RNCCs on a day‑to‑day basis.
• Recruit, train and develop clinical staff.
• Execute the clinical program and deliver metrics.
• Maintain communication with facility leadership and staff through scheduled monthly meetings with DONs.
• Manage medical expense through utilization management, clinical delivery expenses/FTE management, quality metrics and accurate documentation and coding.
• Conduct regular agenda‑driven meetings with clinical staff (NPs and RNCCs) to address issues and concerns and communicate the company’s philosophy.
• Oversee quality of care by NPs and the appropriate level of documentation and coding.
• Conduct chart audits and routine audits on sample charts by NPs.
• Perform rotation for on‑call manager support on weekdays, weekends and holidays.
• Ensure MOC training is delivered to NPs and RNCCs upon hire and annually thereafter.
• Efficiently navigate and operate a laptop computer and related software.
• Conduct routine chart audits to identify risks, trigger events, contingency planning and advance illness planning compliance.
• Verify accuracy and timely documentation and coding.
• Communicate professionally in face‑to‑face conversations with NPs and RNCCs.
• Review post‑hospital POC, contingency, APC and documentation with NPs and prepare PAU review for bi‑weekly presentations.
• Perform clinical rounds with NPs, scheduled and as needed.
• Maintain adequate medical malpractice insurance (generally expected to be $1million/$3million).
• Perform all other duties congruent with the ISNP Plan as assigned.

• MSN with current board certification.
• RN and APN/APRN licensing in Texas.
• Minimum of 1–2 years of SNF/ISNP MOC experience.
• Licenced as both a registered nurse and an advanced practice registered nurse in Texas.
• Maintains an up‑to‑date board certification in specialty.
• Proven record of collaborating and partnering effectively with physicians and facility leadership.
• Responsible for maintaining a Texas statutory prescriptive authority agreement with attending physicians and/or medical directors.
• Goal‑oriented in maintaining Texas Board of Nursing ongoing educational requirements for licensure and re‑certification.
• Compliance with all state and federal guidelines required to practice as a licensed advanced practice registered nurse, including maintaining active RN and APRN licenses.
• Maintains professional medical malpractice liability insurance.