Clinical Team Manager Seattle, WA

Optum is seeking a Clinical Team Manager to join our Home-based Medical Care team in Seattle, WA. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be – helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required. 

The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member’s Primary Care Provider and other providers, and other professionals. Optum providers serve people in their own homes through annual evaluations, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management.

Reporting to the Director of Clinical Operations, the CSM is responsible for clinical outcomes and business operation targets of market. The role will have direct supervisory responsibility over a team of mid-level practitioners including Nurse Practitioners, BH Case Managers, and RNs.

Primary Responsibilities: 

• Set team direction, resolve problems, and provide guidance to members of own team
• Oversee work activities of other supervisors and staff
• Adapt departmental plans and priorities to address business and operational challenges
• Influence and/or provide input to forecasting and planning activities

Job Duties:

• Staff Performance and Internal/External Relationship (Clinical & Leadership Proficiency)
  • Manage salary, bonus incentives and policies in a manner which reward performance excellence
  • Ensure effective orientation and development for Clinical Staff
  • Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards
  • Promote individual development by providing learning and growth opportunities to clinical staff
  • Actively participate in local/regional NP, PA, Physician and Geriatric associations with goal of developing clinical and leadership skills
  • Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate
  • Participate in site specific strategic planning activities
  • Develop solutions to problems or barriers by partnering with key stakeholders
  • Provide clinical and clinical operations expertise on business development efforts
  • Serve as a role model to internal and external partners
• Program Quality and Revenue Accuracy (Business Proficiency)
  • Oversee implementation and adoption of clinical and quality initiatives
  • Accountable for specific financial targets related to clinical programs
  • Use knowledge of the business and financial goals to determine and communicate clinical priorities
  • Partner with staff to achieve business goals
  • Monitor and hold clinical team accountable for documentation and coding initiatives to achieve revenue accuracy
  • Actively engage, coach and drive clinical staff in implementing activities to grow same store and new membership (product/payer specific)

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

• Certified nurse practitioner through ANCC/AANP/ACNP/AG AC NP for adult, family and/or geriatrics (GNP preferred), or Masters prepared Physician Assistant in compliance with state licensure requirements
• Current unrestricted license in state(s) in which practicing
• Unrestricted DEA (license to prescribe narcotics/level II info here) per state regulations (unless prohibited in state of practice)
• 3+ years of related leadership experience with focus on managing and developing a clinical team, preferably in geriatric care setting
• Proven experience in developing and sustaining internal and external client relationships with healthcare professionals, (DON’s, administrators, MDs, RNs, etc.)
• Proficient computer skills including the ability to document medical information with written and electronic medical records
• Proven data analysis capabilities
• Proven excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships
• Proven solid organizational skills and multitasking abilities will be keys to success
• Proven solid clinical critical thinking skills

Preferred Qualifications:

• Experience in adult teaching environment
• Knowledge of Medicare and Medicaid environments
• Proven solid business acumen including analysis and business planning experience

Additional Qualification:

• Ability to lift up to 40 pounds

Washington Residents Only: The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. 

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.