Clinical Manager - Registered Nurse

About Our Company

We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note : We will only contact candidates regarding your applications from one of the following domains : @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

Position Summary

The Clinical Service Line Manager is responsible for administering, directing, planning, and coordinating business and clinical activities for service line initiatives across multiple medical offices / departments in an ACO / Medical Home setting. Works collaboratively with the physicians within the service line, to ensure high quality, cost effective and accessible patient care services in an ACO / medical home model.

Collaborates with the Clinical Director, Senior Director of Clinical Operations, VP of Clinical Operations, Chief Operating Officer, and or Service Line Chair / Chief for designated service lines.

Directs compliance with Clinical Quality Requirements required for ACO / PCMH / HEDIS / AAAHC / AAAASF / ICAL at Summit Health in conjunction with the Chief Operating Officer, VP of Clinical Operations and Clinical Director. Oversees the quality outcomes and dashboards to assure that evidence based best practices are implemented timely for patients. Develops and implements continuous training and staff education to ensure compliance of quality measures relating to the dashboard metrics and externally reported measurements. Collaborates with Nursing leadership on the planning and implementation of interventions to ensure evidence-based practices are followed (i.e. Preventive Measures for colorectal screening, Time Out, etc.). Works closely with providers, support staff and other members of the organization by demonstrating effective communications, teaching, and negotiating skills. Is accountable for quality assessment and efficient coordinated care. Responsible for the oversight and maintenance of HIPPA and Patient Satisfaction requirement. Responsible for oversight and administering of patient / nursing services for selected medical offices / departments. They hold collaborative responsibility for staff with Clinical Director, and or Senior Director of Clinical Operations.

Responsibilities :

• Oversees the service line management of daily operations and program development for Medical Offices including compliance with Clinical Quality Requirements required for ACO / PCMH / HEDIS / AAAHC / AAAASF / ICAL.
• Collaborates with personnel and / or activities at the Medical Office including, but not limited to, interviewing, hiring, training, counseling, evaluation, disciplining and terminating in conformance with organizational policies and procedures.
• Monitors quality improvement, including identification and dissemination of best practices : Reviews data and trends from service line reports generated by Summit Health to determine system performance related to patient outcomes and then suggest areas for improvement. For example, monitors adherence with ACO, NCQA and contractual reporting requirements compared with dashboards. Identifies education, workflow, process or documentation / template enhancements.
• Meets with Clinical Director to analyze service line clinical performance issues and / or determine whether a system-wide performance improvement initiative is warranted. Identifies best practices for implementation.
• Ensures appropriate service line is in accordance with governmental and other regulatory / accreditation standards.
• Ensures nursing care essential to the assessment, promotion, maintenance and restoration of patients' health and wellness.
• Develops, Collaborates and ensures accurate and timely adherence to patient outreach on quality measures tracked via dashboards, Disease Management, Preventive Care, Screening and Diagnostic.
• Develops service line policies and procedures in a consistent and timely manner.
• Develops and implements clinical service line policies and procedures.
• Develops guidelines and best practice for prioritizing work activities, evaluating effectiveness and modifying activities as necessary.
• Identifies, analyzes and resolves service line related problems and issues.
• Coordinates the development and review of operating and capital equipment budgets for selected medical offices / departments. Monitors compliance with established approved budgets, ensuring effective staff and resource utilization.
• Manages relationships with outside vendors to ensure contract compliance and effective levels of support.
• Works collaboratively and actively communicates with other Executive, Operations Managers and administrative personnel to ensure maximum organizational efficiency and productivity.
• Responds to patient concerns. Promotes quality patient care and service.
• Collects data, prepares reports, analyzes statistics and budget reports, and answers correspondence as needed.
• Serves on organizational committees and attends management meetings as requested.
• Participates in professional development activities.
• Ensures the development and delivery of Nursing Education to clinical staff.
• Adheres to all Summit Health Compliance Program Policies and Procedures including all regulatory financial and OSHA requirements. Participates in and contributes to help achieve a total compliance program.
• Manages assigned projects as directed. Performs other duties as requested.

Requirements :

Education / Certifications / Licenses :

Performance Standards for Specialty Knowledge, Skills & Abilities :

Pay Range $100,000 / yr to $125,0000 / yr

The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender / sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https : / / www.consumer.ftc.gov / JobScams or file a complaint at https : / / www.ftccomplaintassistant.gov / .