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Job Details


UnitedHealth Group

Clinic Administrator at Optum Primary Care Cypress Gardens

Healthcare

Family Practice/Primary Care

Yearly

No

Winter Haven, Florida, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Nurse Administrator reports to the Supervisor, Support Services and is responsible for planning, coordinating, directing and monitoring all operational and financial aspects of the center in conjunction with the physician(s), Regional Manager of Operations, and Regional Medical Director to provide effective leadership to center teammates and oversee the delivery of quality, cost-effective patient care. The Nurse Administrator is also responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients’ health plan benefits. The Nurse Administrator facilitates continuum of patients’ care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. The Nurse Administrator works in conjunction with the care team and PCP as care team leader. Ensures evaluation is in alignment with site based goals. This role reflects subject matter expertise in two key areas; center leadership as well as care management.

Primary Responsibilities:

  • Provides overall direction and guidance to clinical and administrative teammates
  • Meets with patients, patients’ family and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program
  • Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
  • Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes
  • Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care
  • Works in coordination with the care team and demonstrates accountability with patient management and outcome
  • Promotes a team approach to delivering quality, cost-effective care to where patient satisfaction is the primary goal
  • Provides accurate information to patients and families regarding plan benefits, community resources, referrals and other related issues
  • Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports
  • Prepares annual capital equipment and operating budgets for the center. Monitors departmental activities and justifies variances when necessary. Implements effective tools to improve operational efficiencies and control costs
  • Ensures the coordination of provider schedules and the scheduling of patients. Monitors appointment availability and implements changes as needed
  • Works in conjunction with designated Medical Director, Regional Manager and regional team to enhance provider satisfaction. Assists in resolving provider-related issues when necessary
  • Monitors the impact of growth on the facility’s existing space plan based on projected enrollment, visits and utilization
  • Propose, plan and direct facility expansion and enhancement projects when required
  • Enhances center’s visibility through community involvement
  • Reports progress, operational issues, organizational opportunities and threats to the regional team on a monthly basis or as needed
  • Monitors patient satisfaction through various programs such as the formal complaint process, new patient survey, CAHPS, HOS, etc. Responds as appropriate
  • Team development including recruitment, counseling, mentoring and termination of teammates
  • Provides leadership experience that directly impacts the hands-on daily operations of the center
  • Adheres and monitors compliance with all to learn and implement appropriate Federal, State, and local regulations
  • Implements best practices to oversee the care of patients and to better meet patient needs
  • Evaluates and recommends health delivery network changes with the Medical Director
  • Performs additional duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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:

  • High school graduate, GED or equivalent
  • Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or the ability to obtain within 90 days of employment
  • Additional Requirements for LPNs:
    • Certificate in Practical Nursing
    • Valid Florida LPN license
    • IV certification or the ability to obtain within 90 days of employment
  • Additional Requirements for RNs:
    • Associates or Bachelor’s degree in Science
    • Valid Florida RN license
  • Care management, utilization review or discharge planning experience
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • 5+ years in a Primary Care setting
  • 3+ years of previous management experience
  • Previous healthcare industry experience within managed care and/or medical group operations environment

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company 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.

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