Clinical Project Manager RN

Job Description

This dynamic position supports clinical programs and services and quality improvement initiatives within the Regal North regional operations. Reporting to the Vice President, Clinical Operations, this position works across departments to support optimal medical management and clinical service delivery for members. This position includes effectively communicating and interpreting clinical and non-clinical information for use with a variety of stakeholders, including leaders in different department. This position coordinates efforts of internal teams and guides resources, and may include facilitating high-level multi-disciplinary meetings and discussions. This position also functions as a clinical resource for regional administrators and staff.

Essential Duties and Responsibilities include the following :

1. Support, lead, and/or oversee new and ongoing projects under the direction of the VP of Clinical Operations and Medical Directors as needed.
2. Lead and manage projects related to clinical care management and systems.
3. Triage urgent issues impacting delivery of quality care, resource allocation and health outcomes to promote optimal inpatient and outpatient care management.
4. Liaise between internal departments to facilitate organizational communication and improvement.
5. Identify opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
6. Identifies clinically relevant findings from assessments and information collected from members, and takes appropriate actions in accordance with policies and procedures.
7. Documents information related to member care in accordance with policies and procedures.
8. Follow through with requests and communicates critical member information with the team in a timely manner.
9. Prepare and submits reports, as required.
10. Participates in on-site and off-site meetings/events as part of building and maintaining normal business relationships with the network, as needed
11. Other projects and responsibilities, as assigned.

The pay range for this position at commencement of employment is expected to be $104,000 annually however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

1. Education and/or Experience:

1. Graduate from an accredited Registered Nursing Program (required)

2. Bachelor's degree from four year university highly preferred

3. 2-3 years of outpatient case management experience highly preferred

4. 2-3 years acute care experience preferred

5. 1-2 years of Managed Care experience highly preferred

6. Must have valid CA Driver's License and provide proof of vehicle insurance

7. Proficient in Microsoft Office Programs (i.e., Word, Excel, Outlook, Access and PowerPoint)

8. Excellent verbal and written communication skills

9. Ability to work independently, while still meeting team deadlines and requirements

10. Ability to collaborate and communicate with all members of the healthcare team.

11. Bi-lingual (Spanish or Armenian) highly preferred