Regional Director, Clinical Operations VBC

Job description

Overview

Lead a regional team of clinical team members to drive quality patient outcomes in value-based care. Oversee operations, staffing, compliance, and workflows while partnering with physicians and dialysis facilities. Monitor performance metrics, implement process improvements, and talent management. Collaborate closely with cross-functional colleagues to develop and execute

Responsibilities

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

Manages and coaches the clinical team

Directly manages a team of Nurse Case Managers, Navigators, and Coordinators, providing direction, mentoring, and professional development.

Leads implementation of new clinical initiatives through change management, stakeholder engagement, education, and ongoing performance monitoring

Coaches and mentors the team through regular team meetings, on-site shadowing, and other means.

Conducts regular 1:1 meetings, team huddles, and comprehensive team meetings to ensure alignment and address concerns

Routinely reviews team metrics / scorecards with individual team members and the full team

Ensures optimal deployment and daily productivity of the clinical team, including by balancing caseloads and assignments

Supports nurses in optimizing their schedules and patients (e.g., prioritizing on-site work for nurses who have in-person responsibilities)

Oversees payroll, PTO, expense management, and other Human Resources processes, ensuring accuracy and compliance

Addresses staffing needs by liaising with Human Resource Business Partners, conducting interviews, overseeing onboarding, and precepting new hires

Monitors compliance with professional licenses and manages credentialing processes

Is routinely in the field with the team to provide in-person coaching and mentoring; regular travel required when not geographically close to team and partners

Drives high-quality clinical care and partnership with other clinician and non-clinician partners

Designs, implements, and continuously improves standardized clinical workflows to improve efficiency, consistency, and patient outcomes across multiple partners. This includes regular reviews of Optimal Starts patients, regular reviews of CVC patients, engagement with dialysis facilities, IDT meetings for key physician practices, and others as needed

Partners with Associate Chief Medical Officer, Dialysis Clinic Leaders, and Nurse Case Managers to build strong care plans, removes barriers to execution, and ensures timely delivery.

Partners with Market Operators to design and deploy workflows with each relevant physician practice and dialysis team

Ensures routine engagement of Nurse Case Managers, Navigators, and Coordinators with Risk Adjustment Nurse Practitioners to deliver high-quality care

Develops close working relationships with dialysis facility administrators, and ensures that appropriate communication processes and other workflows are in place to maximize impact of interventions for dialysis patients

Develops close relationships with physician practice leaders and administrators, and is seen as a key clinical resource to drive impact with the practice

Provides oversight of clinical practice standards

Analyzes clinical performance data to identify opportunities, establish action plans, monitor progress, and drive continuous improvement across key metrics

Leads reporting in Monthly Operating Reviews on clinical team performance and issues

Ensures evidence-based interventions are consistently utilized

Monitors quality indicators and develops corrective action plans

Leads design and implementation of new care management approaches

Evaluates emerging practices and recommends clinical program enhancements

Leads population health strategies across assigned markets utilizing predictive analytics, risk stratification, and targeted interventions.

Key Performance Indicators

KPIs include:

Optimal Dialysis Starts

Hospitalizations and Readmissions

Provider engagement and physician satisfaction

Patient engagement

Scope: generally 8-12 direct reports, 2,000-3,000 lives

Travel: generally, 20-50% of the time for physician practice meetings, market / team meetings, and team member shadowing, coaching and mentoring

Qualifications

Qualifications/Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

Clinical operations background required.

Advanced Practitioner degree or Bachelor’s degree in Nursing preferred.

Minimum of 5 years of nursing leadership experience with multi-location healthcare preferred; other relevant experience will be considered; previous dialysis experience a strong plus.

Proficient with all Microsoft Office products, including Outlook, Word, and Excel

Proven experience in management with a focus on team leadership and operational management

Strong analytical skills with the ability to interpret performance metrics and implement improvements

Excellent communication and interpersonal skills to foster relationships and drive team success

Experience in program development and strategic planning

Knowledge of Health Information Exchange (HIE) accounts and Electronic Medical Records (EMRs) preferred

All Full-Time employees are eligible for the following benefits:

Medical / Pharmacy

Dental

Vision

Voluntary benefits

401k with employer match

Virtual Care

Life Insurance

Voluntary Benefits

PTO

All Part Time employees are eligible for the following benefits:

401k with employer match

PTO

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Worksite address

mcallen, TX, 78501, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.