waco | Registered Nurse in Irving, TX

Registered Nurse

  • UnitedHealth Group
  • $72,070.00 - 98,340.00 / Year *
  • 1101 Sunnybrook Dr
  • Irving, TX 75061
  • Full-Time
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Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve **your life's best work.(sm)** WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella. The Regional Nurse Leader is responsible for planning, organizing, and supporting clinical operations management in assigned region to meet clinical operational needs, and ensure compliance with federal and state requirements, Medicare guidelines, URAC / NCQA / AHCA / OSHA / Joint Commission standards; responsible for developing and implementing policy and procedures, integrating clinical practice guidelines into clinic processes, and overseeing nursing practice standards of licensed nursing personnel. Impact of work is most often at the local level and regional level. Focus is on broad organizational/professional issues and strategic outlook. This position will assist in the clinical professional development of the Clinic Operations management team in their region. This position maintains continuous quality improvement efforts and opportunities directed toward achievement of clinical and healthcare outcomes. The success of this position requires the ability to foster communication and teamwork between clinics/physicians, regional management team, corporate departments, and senior leadership. This position will coach others in the application of clinical competency, translating complex nuances related to clinical competency into easy to understand terms; participates in senior-level discussions regarding clinical competency; participates in the development of reference and resource materials on clinical competency. Recognized as the SME for clinical competency, both internally and externally. Develops and/or leads development of new applications and approaches for activities related to clinical competency. The Regional Nurse Leader will assist Clinic leadership with long-term planning initiatives assuring activities are appropriately integrated. **Primary Responsibilities:** + Recommends, implements and review annual clinical and / or clinically impacted policies and procedures + Drives effective clinical decisions within a business environment 1. Clinical Interface / Liaison (clinical problem solver with providers, interdepartmental teams; resolution of issues concerning members, program definition and clarification); 2. Clinical Operations Analysis (monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits); 3. Clinical Training (planning, coordinating, delivering and evaluating clinical training); 4. Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services). 5. Demonstrates understanding of business implications of clinical decisions (e.g., financial ramifications). 6. Asks critical questions to ensure member / customer centric approach to work. 7. Identifies and considers appropriate options to mitigate issues related to quality, patient safety or affordability when they are identified, and escalates to ensure optimal outcomes, as needed. 8. Utilizes evidence - based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results. + Identifies and implements innovative approaches to the practice of nursing, in order to achieve or enhance quality outcomes and financial performanceServes as subject matter expert to support compliance with applicable federal and state practice health and safety standards, with particular focus on clinical standards and occupational health requirements + Conducts clinic assessments for compliance with state and federal health care requirements, Medicare guidelines, and URAC / NCQA / AHCA / OSHA / Joint Commission standards within set timelines + Oversees remediation and corrective action plans, resulting from internal assessments, audits, compliance reviews and self-identified issues according to set timelines + Provides leadership and mentoring for clinic staff to ensure patient safety and quality care + Serves as a clinical resource for QRA performance and PCMH implementation and sustainment + Ensures clinic staff has demonstrated appropriate clinical competencies to perform clinic tasks + Monitors patient satisfaction and implements plans and programs to continually enhance services provided + Participates in professional development activities and education programs to keep staff abreast of health care trends and practices + Identifies variances in operational structure and function between current and desired state reports to Practice Managers and/or Practice Administrators + Performs all other related duties as assigned **Required Qualifications:** + Nursing License, Bachelor's Degree in Healthcare or Business Administration or a related field required. (5 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor's degree) + Active unrestricted Nursing license in the applicable state of employment + Six years or more of directly related experience in medical practice management + Four or more years in the healthcare field, with an emphasis in clinic operations or staff training and development + Supervisory experience in a healthcare setting + Four or more years in the healthcare field, with an emphasis in clinic operations or staff training and development + Basic understanding of standards such as NCQA, AHCA, OSHA, Joint Commission and Medicare + Knowledge of and skills with tools used in Healthcare Operations: EMR, Practice Management System, Clinic Operations and related systems + Travel required across market 40% of the time **Preferred Qualifications:** + Bilingual in English and Spanish preferred + Strong interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including physicians, office staff and other health plan staff + Excellent verbal, written, communication, presentation, and facilitation skills + Knowledge of organization policies and procedures and ability to read, interpret and apply **Physical Demands & Working Conditions:** The physical demands described here are representative of those that must be met by an employee to successfully to perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is regularly required to lift up to 50 pounds and push or pull heavy objects using up to 50 pounds of force. The employee is frequently required to sit for extended periods of time. Ability to stand and/or walk for extended periods of time. Ability to use fine motor skills to operate office equipment and/or machinery. Ability to utilize full range of body motion in occasionally handling and lifting patients. Ability to properly drive and operate a vehicle between multiple clinic locations. Ability to receive and comprehend instructions verbally and/or in writing. Ability to use logical reasoning for simple and complex problem solving. Requires Normal visual acuity and hearing. Potential for exposure to bodily fluids. **Special Requirements:** Verbal and writing ability required to communicate effectively in informing employees of activities and policies. Numerical ability required. Ability to receive, comprehend, and carry out instructions; ability to work safely with equipment, supplies, and materials; ability to comply with attendance requirements; ability to comply with Human Resource policies. **Careers with WellMed.** Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do **your life's best work.(sm)** _Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ Job Keywords: Joint Commission, RN, NCQA, OSHA, Medicare Associated topics: ambulatory, asn, care, coronary, hospice, intensive care, intensive care unit, nurse rn, psychatric, surgical
Associated topics: infusion, intensive, intensive care, maternal, mhb, nurse, psychatric, registered nurse, staff nurse, unit

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.