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Director of Clinical Operations, RN or NP - $7,500 SIGN-ON BONUS - Greensboro, NC

UnitedHealth Group

Greensboro, NC
Job Code:
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Job Details

Director of Clinical Operations, RN or NP - $7,500 SIGN-ON BONUS - Greensboro, NC(Job Number:664354)

UnitedHealth Group is at the forefront of making the healthcare system work better for everyone. As a Fortune 6, we continue to be the trailblazer of the healthcare system. In North Carolina, we are committed to the members and patients we serve. This commitment requires innovation, integrity and performance of the highest caliber. The North Carolina team is looking for leaders who are ready to make the difference now and in the future. Be prepared to do your best lifework here.


The Director of Clinical Operations will be accountable for providing co-leadership and oversight of the clinical management team caring for over 2,600 members within our Institutional Special Needs Program (ISNP) who reside in multiple contracted skilled nursing facilities across the state of North Carolina. They will work to develop functional market level strategies, plans, productions and organizational priorities. The DCO identifies and resolves technical, operational and organizational problems inside and outside of their direct team. This role will be integral in forming internal and external strategic relationships, which support program expansion and continued success

The Director of Clinical Operations is a high profile, senior leadership role that oversees the managers and clinicians that provide direct care to program members. Our clinical care delivery model also includes the sub-acute Transition to SNF program within post-acute settings for members of United Healthcare’s Medicare & Retirement products.

***This position requires travel up to 50% of the time within North Carolina***

Primary Responsibilities:

  • Ensure achievement of the site's clinical performance measurements, specific to utilization, STAR/HEDIS measures and documentation/coding requirements.  

  • Communicate and collaborate regularly with internal UHG partners and external SNF partners (Administrators/DONs) to strengthen and grow business relationships and opportunities

  • Strategize, develop, and direct operations of the health services department to ensure provision of high quality, cost-effective medical services

  • Development and management of budget related medical care, P&L involvement

  • Directly lead, supervise, and develop the health services leadership team and maintain accountability for clinical team development and performance

  • Works with the site medical expense team to provide direction for actions to control targeted costs for inpatient and outpatient services

  • Ensure compliance with State and Federal regulations, as well as company policies and procedures

  • Conduct regular agenda driven meetings with staff to address issues, concerns, and to communicate corporate and site-specific philosophy

  • Oversee the integrity of the patient-data base system to ensure consistency in the data entry and integrity

  • Coordinate plans with the local and national quality committee to comply with CMS regulations and National accreditation agencies

  • Coordinate quality program and contractual requirements, maintaining compliance with regulatory and accreditation requirements

  • Strategize with the senior staff regarding program expansion, business development, new care models

  • Collaborate cross-functionally to meet goals and objectives and drive staff efforts in implementing activities to meet business goals

  • Develop and routinely update comprehensive medical management work plans/programs to ensure revenue accuracy

  • Focus on quality improvement, utilization and appropriately reduce medical costs while incorporating the skills of provider partners whenever possible

Job Post Acute Management
Primary Location US-NC-Greensboro
Other Location US-NC-Fayetteville, US-NC-Raleigh, US-NC-Charlotte
Organization Complex Care Community
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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